Jennings Stephen C, Manning Kenneth M, Bettger Janet Prvu, Hall Katherine M, Pearson Megan, Mateas Catalin, Briggs Brandon C, Oursler Krisann K, Blanchard Erin, Lee Cathy C, Castle Steven, Valencia Willy M, Katzel Leslie I, Giffuni Jamie, Kopp Teresa, McDonald Michelle, Harris Rebekah, Bean Jonathan F, Althuis Katherine, Alexander Neil B, Padala Kalpana P, Abbate Lauren M, Wellington Toby, Kostra James, Allsup Kelly, Forman Daniel E, Tayade Arti S, Wesley Alan D, Holder Alice, Morey Miriam C
VA Health Care System, Durham, NC, USA.
Duke University Medical Center, Durham, NC, USA.
Gerontol Geriatr Med. 2020 Dec 14;6:2333721420980313. doi: 10.1177/2333721420980313. eCollection 2020 Jan-Dec.
Exercise is critical for health maintenance in late life. The COVID-19 shelter in place and social distancing orders resulted in wide-scale interruptions of exercise therapies, placing older adults at risk for the consequences of decreased mobilization. The purpose of this paper is to describe rapid transition of the Gerofit facility-based group exercise program to telehealth delivery. This Gerofit-to-Home (GTH) program continued with group-based synchronous exercise classes that ranged from 1 to 24 Veterans per class and 1 to 9 classes offered per week in the different locations. Three hundred and eight of 1149 (27%) Veterans active in the Gerofit facility-based programs made the transition to the telehealth delivered classes. Participants' physical performance testing continued remotely as scheduled with comparisons between most recent facility-based and remote testing suggesting that participants retained physical function. Detailed protocols for remote physical performance testing and sample exercise routines are described. Translation to remote delivery of exercise programs for older adults could mitigate negative health effects.
锻炼对于维持老年人的健康至关重要。新冠疫情期间的就地避难和社交距离规定导致锻炼疗法广泛中断，使老年人面临活动减少所带来后果的风险。本文的目的是描述基于Gerofit设施的团体锻炼项目迅速过渡到远程医疗服务的情况。这个从Gerofit到家庭（GTH）的项目继续开展基于团体的同步锻炼课程，每个班级有1至24名退伍军人，不同地点每周提供1至9节课。在基于Gerofit设施的项目中活跃的1149名退伍军人中有308人（27%）过渡到了远程医疗授课的课程。参与者的身体性能测试按计划继续以远程方式进行，将最近一次在设施内测试与远程测试相比较表明参与者保持了身体功能。文中描述了远程身体性能测试的详细方案和示例锻炼常规。将锻炼项目转换为针对老年人的远程服务可以减轻对健康的负面影响。
