A5088808291- Physical Activity and Health
- Cerebral Palsy and Movement Disorders
- Balance, Gait, and Falls Prevention
- Health disparities and outcomes
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Hip and Femur Fractures
- Chronic Disease Management Strategies
- Stroke Rehabilitation and Recovery
- Older Adults Driving Studies
- Behavioral Health and Interventions
- Urban Transport and Accessibility
- Frailty in Older Adults
- Health and Wellbeing Research
- Health and Well-being Studies
- Technology Use by Older Adults
- Aging and Gerontology Research
- Mobile Health and mHealth Applications
- Health and Medical Studies
- Health Systems, Economic Evaluations, Quality of Life
- Migration, Aging, and Tourism Studies
- Occupational Therapy Practice and Research
- Motivation and Self-Concept in Sports
- Dementia and Cognitive Impairment Research
- Medical Practices and Rehabilitation
- Spatial Cognition and Navigation
Heidelberg University
2016-2025
Robert Bosch Hospital
2020-2025
University Hospital Heidelberg
2023-2025
Robert Bosch Stiftung
2024
Heidelberg University
2024
University Medical Center
2024
University Hospital and Clinics
2024
Medizinische Fakultät Mannheim
2022
Stuttgart Observatory
2021
University of Gothenburg
2020
Background The development of optimal strategies to treat impaired mobility related ageing and chronic disease requires better ways detect measure it. Digital health technology, including body worn sensors, has the potential directly accurately capture real-world mobility. Mobilise-D consists 34 partners from 13 countries who are working together jointly develop implement a digital assessment solution demonstrate that outcomes have provide better, safer, quicker way assess, monitor, predict...
Studies on life-space (LS) and its determinants have previously been limited to community-dwelling subjects but are lacking in institutionalized older persons. The purpose of this study was provide an advanced descriptive analysis LS nursing home residents identify associated factors based established theoretical framework, using objective, sensor-based assessment with a high spatiotemporal resolution. Cross-sectional two homes Heidelberg, Germany (n = 65; mean age: 82.9 years; 2/3 female)....
The 'Lifestyle-integrated Functional Exercise' (LiFE) program successfully reduced risk of falling via improvements in balance and strength, additionally increasing physical activity (PA) older adults. Generally being delivered an individual one-to-one format, downsides LiFE are considerable human resources costs which hamper large scale implementability. To address this, a group format (gLiFE) was developed analyzed for its non-inferiority compared to reducing activity-adjusted fall...
Abstract Digitized assessments have a considerable potential to guide clinicial decision making and monitor progress disease trajectories. The Timed Up Go test (TUG) has been long established for assessment in geriatric medicine instrumented versions (iTUG) developed validated. This scoping review includes studies that applied the iTUG aims identify use cases show where how could interventions clinical management. literature search was limited peer-reviewed performed pre- post-intervention...
Wearable and lightweight devices facilitate real-world physical activity (PA) assessments. MX metrics, as a cut-point-free parameter, evaluate accelera-tion above which the most active X minutes are accumulated. It provides insights into intensity of PA over specific durations. This study evaluated association metrics clinical tests in older adults recovering from proximal femoral fracture (PFF). Analyses were conducted on PFF cohort baseline assessment Mobilise-D project using an...
Wearable and lightweight devices facilitate real-world physical activity (PA) assessments. MX metrics, as a cut-point-free parameter, evaluate acceleration above which the most active X minutes are accumulated. It provides insights into intensity of PA over specific durations. This study evaluated association metrics clinical tests in older adults recovering from proximal femoral fracture (PFF). Analyses were conducted on PFF cohort baseline assessment Mobilise-D project using an...
Abstract Background Previous research has shown that not only falls, but also fear of falling (FoF) influences health-related quality life (HrQoL) negatively. The EQ-5D (consisting an index and a visual analogue scale [EQ-VAS]) is frequently used instrument to determine HrQoL in clinical studies economic evaluations, no previous study compared the association between FoF with EQ-VAS. Moreover, factors influence are rarely examined. Thus, this aimed examine mediate association. Methods (Short...
The Lifestyle-Integrated Functional Exercise (LiFE) program is effective in improving strength, balance, and physical activity (PA) while simultaneously reducing falls older people by incorporating exercise activities recurring daily tasks. However, implementing the original LiFE includes substantial resource requirements. Therefore, as part of LiFE-is-LiFE project, a group format (gLiFE) has been developed, which will be tested regarding its noninferiority to individually delivered terms...
Abstract Background The Lifestyle-integrated Functional Exercise (LiFE) programme is a fall prevention originally taught in resource-intensive one-to-one format with limited feasibility for large-scale implementation. aim of this paper to present the conceptual framework and initial evaluation group-based LiFE (gLiFE) developed Methods gLiFE (part I) based on three pillars, Activities Principles , Theory Behaviour Change Techniques Instruction . was tested II) within multimodal approach...
Abstract Background Life-space mobility (LSM) is an important aspect of older adults’ real-life mobility. Studies have shown that restricted LSM a risk factor for many adverse outcomes such as low quality life and mortality. Therefore, increasing number interventions aim to enhance LSM. However, the intervention approaches differ in terms their type/content, duration, targeted populations, but also outcome measures assessment tools. Especially latter impairs comparability studies with...
Abstract Background Fall prevention is important for healthy ageing, but the economic impact of fall are scarcely investigated. A recent cost-effectiveness analysis compared a group-delivered Lifestyle-integrated Functional Exercise Program (gLiFE) with an individually-delivered program (LiFE) in community-dwelling people (aged ≥ 70 years) at risk falling. In addition, current study aimed to analyze budget LiFE and gLiFE, standard care Germany. Methods Markov model was developed reflect...
ORIGINAL RESEARCH article Front. Psychol., 09 July 2013Sec. Movement Science and Sport Psychology https://doi.org/10.3389/fpsyg.2013.00411
Objectives: Physical activity (PA) may counteract depressive symptoms in nursing home (NH) residents considering biological, psychological, and person-environment transactional pathways. Empirical results, however, have remained inconsistent. Addressing potential shortcomings of previous research, we examined the effect a whole-ecology PA intervention program on NH residents’ using generalized linear mixed-models (GLMMs).Method: We used longitudinal data from two German NHs who were included...
(1) Background: Identifying groups with a misaligned physical capacity (PC) and activity (PA) is potentially relevant for health promotion. Although an important determinant, deeper knowledge of underlying walking behavior patterns in older adults currently missing. We aim to identify specific PA signatures determine variables discriminating between groups. (2) Methods: In total, 294 community-dwelling (≥70 years) were divided into four quadrants based on thresholds (≥ or <5000 steps/day) PC...
Physical activity (PA) is not only an important marker of physical impairment, but also a pathway to improve quality life and enhance cognitive social functioning old individuals. Yet, making interventional use PA training as means for prevention enhancement nursing home residents has found very limited attention worldwide so far. That said, the project 'Long-term Care in Motion' (LTCMo) part INNOVAGE consortium (funded by European Commission) following aims: Overall: Install assess socially...
The aim of the study was to investigate psychometric quality a newly developed activity monitor (uSense) document established physical parameters as well innovative qualitative and quantitative gait characteristics in geriatric patients.Construct concurrent validity, test-retest reliability, feasibility for analysis were analyzed multi-morbid, patients with cognitive impairment (CI) (n = 110), recently discharged from rehabilitation.Spearman correlations uSense reflecting active behavior...
Abstract Background The Lifestyle-integrated Functional Exercise (LiFE) program is an effective but resource-intensive fall prevention delivered one-to-one in participants’ homes. A recently developed group-based LiFE (gLiFE) could enhance large-scale implementability and decrease resource intensity. aim of this qualitative focus group study to compare experiences regarding acceptability gLiFE vs LiFE. Methods Programs were seven sessions or individual home visits within a multi-center,...
Background: Decreasing performance of the sensory systems' for balance control, including visual, somatosensory and vestibular system, is associated with increased fall risk in older adults. A smartphone-based version Timed Up-and-Go (mTUG) may allow screening impairments through mTUG subphases. The association between subphases system examined. Methods: Functional mobility forty-one community-dwelling adults (>55 years) was measured using a validated mTUG. Duration its 'sit-to-walk',...
To determine whether a multicomponent, individually tailored intervention to promote physical activity (PA) enhances life-space (LS) utilization in nursing home (NH) residents and effects can be sustained at follow-up after continuation of the program as part institutional daily routines. Pre-post-assessed controlled trial two highly similar NHs with 3month 143 NH (intervention group: n = 78; control 65) LS primary outcome. The PA promoting consisted several components (group sessions;...