Physical Activity Program Assignment 2022
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Running head: PHYSICAL ACTIVITY PROGRAM
Physical Activity Program
Name of the Student
Name of the University
Author Note
Physical Activity Program
Name of the Student
Name of the University
Author Note
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1PHYSICAL ACTIVITY PROGRAM
Introduction
The following physical activity plan will address the problem of the older adults or
citizen residing in a Senior Citizen Home. It is quite evident that, the people reside in an old
care home are not associated with any kind of physical activity in their daily life. Thus, it is
very crucial to design a health activity plan for the older adults of the senior citizen home in
order to make them more active physically. Physical activity is an essential process for being
healthy in case of all the age group people of the society. The older age group of the
community is not at all different for them. In order to maintain the mobility and independence
of the older adults, the physical, psychological wellbeing is very crucial for the senior citizen
people in the older care home (Matthew-Maich et al., 2016).
In this essay, the physical activity plan for the older adults in an older age care home health
is discussed in a brief manner.
Initial Health Screening
In an older age care home, generally there are people in the different age group and it is very
evident that, for the different age group of people the condition of the health will be different.
So, in this physical activity plan, the main focus will be on the people of 50 years or more (50
year- 70 years).
In order to assess the physical condition for the designing the physical activity plan for the
older adults in the age group of 50 years to 70 years, a few physical assessment tests must be
done and based on that the physical activity program will be designed (Sink et al., 2015). In
general, a few common tests are performed as a part of the physical assessment program.
Mostly, a cardiovascular assessment for the knowing the condition of the heart of the older
adults, a anthropometric measurement session for assessing the primary body measurement of
Introduction
The following physical activity plan will address the problem of the older adults or
citizen residing in a Senior Citizen Home. It is quite evident that, the people reside in an old
care home are not associated with any kind of physical activity in their daily life. Thus, it is
very crucial to design a health activity plan for the older adults of the senior citizen home in
order to make them more active physically. Physical activity is an essential process for being
healthy in case of all the age group people of the society. The older age group of the
community is not at all different for them. In order to maintain the mobility and independence
of the older adults, the physical, psychological wellbeing is very crucial for the senior citizen
people in the older care home (Matthew-Maich et al., 2016).
In this essay, the physical activity plan for the older adults in an older age care home health
is discussed in a brief manner.
Initial Health Screening
In an older age care home, generally there are people in the different age group and it is very
evident that, for the different age group of people the condition of the health will be different.
So, in this physical activity plan, the main focus will be on the people of 50 years or more (50
year- 70 years).
In order to assess the physical condition for the designing the physical activity plan for the
older adults in the age group of 50 years to 70 years, a few physical assessment tests must be
done and based on that the physical activity program will be designed (Sink et al., 2015). In
general, a few common tests are performed as a part of the physical assessment program.
Mostly, a cardiovascular assessment for the knowing the condition of the heart of the older
adults, a anthropometric measurement session for assessing the primary body measurement of
2PHYSICAL ACTIVITY PROGRAM
the older adults , muscular fitness measurements, joint mobility assessment that is assessment
of joint range of motion or flexibility of the older adults must be done.
A health condition assessed by the health care fitness trainer can identify the needs of the
patients and as per the level of the fitness, the trainer will design the health activity for the
older adults in the older age care home (Alves et al., 2016). The health condition of the
clients will help the trainer to identify the type of the physical exercises for the older adult
population. Therefore, it is quite evident that, in the physical activity program, there should
be assessment for pulmonary disease, cardiovascular condition of the patients
(Seniorscouncil.net, 2019).
GOALS of the Program
According to the study of Acefitness.org (2019), it is reported that, the poor health condition
of the older adults is also associated with various other diseases and simultaneously, the lack
of physical activity among the people in the older care home is also associated with the
alteration of the quality of life of those older population. Not only this, an improved condition
of the health of the older adults in a health care home will also help in reducing the rate of
hospital cares among the elderly person in the older care home (Hwang & Braun, 2015). It is
also quite evident that, the benefits and resultant outcomes of the health activity of the older
adults are well established and in recent times, it is reported that physical activity among the
older adults is one of the important factor for the wellbeing of the older people. Apart from
that, it is also reported that, even though the elder people of the old care home know about the
benefits of the health activity, still most of the older adults in the older care home practices
the sedentary life styles (de Souto Barreto et al., 2016). Hence, the primary goals of this
physical activity plan will mainly focus on the changing behaviours of the older people in the
older care home as well. Hence, it is the duty of the physical trainer to design the physical
the older adults , muscular fitness measurements, joint mobility assessment that is assessment
of joint range of motion or flexibility of the older adults must be done.
A health condition assessed by the health care fitness trainer can identify the needs of the
patients and as per the level of the fitness, the trainer will design the health activity for the
older adults in the older age care home (Alves et al., 2016). The health condition of the
clients will help the trainer to identify the type of the physical exercises for the older adult
population. Therefore, it is quite evident that, in the physical activity program, there should
be assessment for pulmonary disease, cardiovascular condition of the patients
(Seniorscouncil.net, 2019).
GOALS of the Program
According to the study of Acefitness.org (2019), it is reported that, the poor health condition
of the older adults is also associated with various other diseases and simultaneously, the lack
of physical activity among the people in the older care home is also associated with the
alteration of the quality of life of those older population. Not only this, an improved condition
of the health of the older adults in a health care home will also help in reducing the rate of
hospital cares among the elderly person in the older care home (Hwang & Braun, 2015). It is
also quite evident that, the benefits and resultant outcomes of the health activity of the older
adults are well established and in recent times, it is reported that physical activity among the
older adults is one of the important factor for the wellbeing of the older people. Apart from
that, it is also reported that, even though the elder people of the old care home know about the
benefits of the health activity, still most of the older adults in the older care home practices
the sedentary life styles (de Souto Barreto et al., 2016). Hence, the primary goals of this
physical activity plan will mainly focus on the changing behaviours of the older people in the
older care home as well. Hence, it is the duty of the physical trainer to design the physical
3PHYSICAL ACTIVITY PROGRAM
activity plan in such a way that can attract the older people in the age care home in doing the
physical activity (de Labra et al., 2015).
Possible Testing and Assessment of Results
Parameter Assessment Result Consideration
Cardiovascular
Parameters
Heart Rate
Blood Pressure
30-60 seconds measurement
blood pressure two measures
3-5 min apart
Abnormal: HR > 100 bpm •
Systolic/diastolic
Abnormal: SBP > 140
mmHg and/or DBP > 90
mmHg
Anthropometry
Height and Weight
Body Mass Index (BMI)
The measurement must be
taken in in/lb or in cm/kg
and BMI must be
determined by the Weight
(in Kg)/ Height (in m2).
When BMI > 30, initiate
weight mgmt. strategies:
height (m2) as it indicates
obesity.
Circumference measures waist, hip, upper arm, upper
thigh Waist-to-hip ratio
(WHR)
A Good measures to
confirm loss of inches
Waist-to-hip ratio (WHR)
Abnormal: men > 0.95;
women > 0.86
Skin fold measures Waist, iliac, thigh,
subscapular, chest, mid-calf,
maxillary.
This measures needs
accurate anatomic location
of skinfold sites to
determine body fat of the
patients’ body.
activity plan in such a way that can attract the older people in the age care home in doing the
physical activity (de Labra et al., 2015).
Possible Testing and Assessment of Results
Parameter Assessment Result Consideration
Cardiovascular
Parameters
Heart Rate
Blood Pressure
30-60 seconds measurement
blood pressure two measures
3-5 min apart
Abnormal: HR > 100 bpm •
Systolic/diastolic
Abnormal: SBP > 140
mmHg and/or DBP > 90
mmHg
Anthropometry
Height and Weight
Body Mass Index (BMI)
The measurement must be
taken in in/lb or in cm/kg
and BMI must be
determined by the Weight
(in Kg)/ Height (in m2).
When BMI > 30, initiate
weight mgmt. strategies:
height (m2) as it indicates
obesity.
Circumference measures waist, hip, upper arm, upper
thigh Waist-to-hip ratio
(WHR)
A Good measures to
confirm loss of inches
Waist-to-hip ratio (WHR)
Abnormal: men > 0.95;
women > 0.86
Skin fold measures Waist, iliac, thigh,
subscapular, chest, mid-calf,
maxillary.
This measures needs
accurate anatomic location
of skinfold sites to
determine body fat of the
patients’ body.
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4PHYSICAL ACTIVITY PROGRAM
Submaximal Aerobic
Fitness Assessment
Aerobic Capacity In order to check the aerobic
capacity, various
instruments such as upright
bicycle, recumbent bicycle,
treadmill, and arm. In field,
the physical health planner
can use walking test data of
HR and RPE can be used.
In this case, standard
protocol of doing those
exercises must be used by
the physical activity planner
as the changing of HR and
RPE is good indicator of
physical activeness.
Endurance Performance Functional assessment must
focus on mode of activity
that is generally executed by
the clients who are limited
(example- cardiac data:
required time to complete
known distance.
Good means to assess users
who are restricted (e.g.,
cardiac, pulmonary,
arthritic, disabled, etc.)
Muscular Fitness
Measures
Muscle Strength
Repetition-max test;
repetition number precise to
client’s fitness status and
level of muscular strength
However it is not
appropriate for all the
clients. The use of handgrip
dynamometer among the
participants is also important
as it helps in determination
of muscle strengths.
However, it is reported that,
Submaximal Aerobic
Fitness Assessment
Aerobic Capacity In order to check the aerobic
capacity, various
instruments such as upright
bicycle, recumbent bicycle,
treadmill, and arm. In field,
the physical health planner
can use walking test data of
HR and RPE can be used.
In this case, standard
protocol of doing those
exercises must be used by
the physical activity planner
as the changing of HR and
RPE is good indicator of
physical activeness.
Endurance Performance Functional assessment must
focus on mode of activity
that is generally executed by
the clients who are limited
(example- cardiac data:
required time to complete
known distance.
Good means to assess users
who are restricted (e.g.,
cardiac, pulmonary,
arthritic, disabled, etc.)
Muscular Fitness
Measures
Muscle Strength
Repetition-max test;
repetition number precise to
client’s fitness status and
level of muscular strength
However it is not
appropriate for all the
clients. The use of handgrip
dynamometer among the
participants is also important
as it helps in determination
of muscle strengths.
However, it is reported that,
5PHYSICAL ACTIVITY PROGRAM
strength training is required
prior to exercise for
performing the exercises in a
well manner.
Muscle Endurance It is determined by the
numbers of repetition before
the onset of fatigue in case
of performing the exercises
like pull-ups, curl-ups,
bench press and other
muscle group exercises.
Although, there are various
tests to examine the
condition, still it is stated
that all the persons cannot
perform these tests. It is the
duty of the trainer to identify
the needs of the clients
whether he or she can
perform the exercises or not
and along with this, RPE
should be used as a guide of
measuring the fatigue.
Joint Range of Motion
(Flexibility)
For the upper extremities,
goniometer or any other
standard instruments can be
used. In case of the lower
extremities, the same
instruments can be used as
well.
In this test, the shoulder
flexion/ extension and
abduction and adduction of
the internal and external
rotation can be measured.
Along with this, the trainer
must focus on the functional
ADL outcomes. For the
lower region of the body,
strength training is required
prior to exercise for
performing the exercises in a
well manner.
Muscle Endurance It is determined by the
numbers of repetition before
the onset of fatigue in case
of performing the exercises
like pull-ups, curl-ups,
bench press and other
muscle group exercises.
Although, there are various
tests to examine the
condition, still it is stated
that all the persons cannot
perform these tests. It is the
duty of the trainer to identify
the needs of the clients
whether he or she can
perform the exercises or not
and along with this, RPE
should be used as a guide of
measuring the fatigue.
Joint Range of Motion
(Flexibility)
For the upper extremities,
goniometer or any other
standard instruments can be
used. In case of the lower
extremities, the same
instruments can be used as
well.
In this test, the shoulder
flexion/ extension and
abduction and adduction of
the internal and external
rotation can be measured.
Along with this, the trainer
must focus on the functional
ADL outcomes. For the
lower region of the body,
6PHYSICAL ACTIVITY PROGRAM
flexor and extensor muscle
movements must be
checked. Along with this,
the abduction and adduction
of the hamstrings and
quadriceps may be measured
by the physical activity
planner. For assessing the
balance related outcomes of
the client the assessor may
check the flexibility of the
ankle of the clients.
Neuromuscular Assessment In this section, the assessor
may perform the reaction
time tests, gait analysis,
hand-eye coordination and
balance of the patients.
This tests are generally
performed in a lab setting by
the assessor in older care
home. It is recommended
that, such tests are
performed for the patients
who have neuromuscular
deficits.
Brief Program Design
Based on the above tests the program can be designed as a step by step process that is
the program would be divided into several steps. The steps will be comprised of the testing
step as well. Other than this the population selection should be done on the basis of the vital
flexor and extensor muscle
movements must be
checked. Along with this,
the abduction and adduction
of the hamstrings and
quadriceps may be measured
by the physical activity
planner. For assessing the
balance related outcomes of
the client the assessor may
check the flexibility of the
ankle of the clients.
Neuromuscular Assessment In this section, the assessor
may perform the reaction
time tests, gait analysis,
hand-eye coordination and
balance of the patients.
This tests are generally
performed in a lab setting by
the assessor in older care
home. It is recommended
that, such tests are
performed for the patients
who have neuromuscular
deficits.
Brief Program Design
Based on the above tests the program can be designed as a step by step process that is
the program would be divided into several steps. The steps will be comprised of the testing
step as well. Other than this the population selection should be done on the basis of the vital
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7PHYSICAL ACTIVITY PROGRAM
signs and the physical test. Then the health educators would be providing proper knowledge
about the effectiveness of the fitness exercises in the older age. The motivational and the
educational training would be provided by the health educators for at least 2 months. Then
the assessment of the training would be done based on another testing step of the physical and
the vital sign check-up. This check-up will determine the effects of the physical training on
the body of the older people of the older age home facility. If the positive changes can be
seen then the physical activity program would proceed further and if the activity program
results in negative outcomes then the physical activities should be replaced (Spruit et al.,
2015).
Administration of Program
The program should be administered with utmost priority in order to provide the older
people a fit and positive daily life style. The administration process can be done by the public
health care provider, public nurse and also the government and social workers as well. The
administration will be dependent on the attentiveness and response of the public health care
providers. The factor of the administration would be done on the basis of the outcome
analysis which would be done on the basis of the check-up of the target population after an
expected time frame of the change among the vital signs and also the physical condition as
well.
Analysis of Initial Potential Outcome
The outcome analysis should be done prior to the program based on the planning of
the program. The effectiveness of the program should be considered as the positive factor.
However, the analysis of the outcome would be complete after the program ends that is the
actual outcome of the program. The outcome analysis would be effectively done with the
help of the physical check-ups of the older people of the old age home facility. The check-up
signs and the physical test. Then the health educators would be providing proper knowledge
about the effectiveness of the fitness exercises in the older age. The motivational and the
educational training would be provided by the health educators for at least 2 months. Then
the assessment of the training would be done based on another testing step of the physical and
the vital sign check-up. This check-up will determine the effects of the physical training on
the body of the older people of the older age home facility. If the positive changes can be
seen then the physical activity program would proceed further and if the activity program
results in negative outcomes then the physical activities should be replaced (Spruit et al.,
2015).
Administration of Program
The program should be administered with utmost priority in order to provide the older
people a fit and positive daily life style. The administration process can be done by the public
health care provider, public nurse and also the government and social workers as well. The
administration will be dependent on the attentiveness and response of the public health care
providers. The factor of the administration would be done on the basis of the outcome
analysis which would be done on the basis of the check-up of the target population after an
expected time frame of the change among the vital signs and also the physical condition as
well.
Analysis of Initial Potential Outcome
The outcome analysis should be done prior to the program based on the planning of
the program. The effectiveness of the program should be considered as the positive factor.
However, the analysis of the outcome would be complete after the program ends that is the
actual outcome of the program. The outcome analysis would be effectively done with the
help of the physical check-ups of the older people of the old age home facility. The check-up
8PHYSICAL ACTIVITY PROGRAM
process would be comprised of the factors of the physical condition monitoring of the people.
The aspect of the initial potential outcome on the other hand dependent on the aspect of the
initial vital and also physical condition assessment of the participants of the program.
However, the factor of the pre analysis of the potential outcome would be the check point of
the program success (Toots et al., 2016).
Marketing of Program
The marketing of the program would be done on the basis of the hand leaflet
distribution among the target people that is the older people of the old age home facility. On
the other hand the factor of the marketing also attract the financial investors as well.
However, the cost effective planning would be required to engage the financial investors. On
the other hand the stakeholders that is the health care providers, target population and the
social workers would require the aspect of the incentivised and also effective planning details
of the plan.
Related Program Administration
Related program administration would be depending on the health care administers of
the government or the financial investors. The factor of the process of the administration
would be dependent on the effectiveness of the program by means of the ethical consideration
maintenance, properly and equally providing the care and training to the older people without
any discrimination. The factor of the administration would also be assessing the effectiveness
of the program by means of the financial use of the program which would be cost effective as
well. However, the process of the administration would be requiring the assessment of the
outcome of the program that is the effectiveness of the program on the health outcome of the
older age people of the old age home facility.
Conclusion
process would be comprised of the factors of the physical condition monitoring of the people.
The aspect of the initial potential outcome on the other hand dependent on the aspect of the
initial vital and also physical condition assessment of the participants of the program.
However, the factor of the pre analysis of the potential outcome would be the check point of
the program success (Toots et al., 2016).
Marketing of Program
The marketing of the program would be done on the basis of the hand leaflet
distribution among the target people that is the older people of the old age home facility. On
the other hand the factor of the marketing also attract the financial investors as well.
However, the cost effective planning would be required to engage the financial investors. On
the other hand the stakeholders that is the health care providers, target population and the
social workers would require the aspect of the incentivised and also effective planning details
of the plan.
Related Program Administration
Related program administration would be depending on the health care administers of
the government or the financial investors. The factor of the process of the administration
would be dependent on the effectiveness of the program by means of the ethical consideration
maintenance, properly and equally providing the care and training to the older people without
any discrimination. The factor of the administration would also be assessing the effectiveness
of the program by means of the financial use of the program which would be cost effective as
well. However, the process of the administration would be requiring the assessment of the
outcome of the program that is the effectiveness of the program on the health outcome of the
older age people of the old age home facility.
Conclusion
9PHYSICAL ACTIVITY PROGRAM
Based on the above discussion it can be concluded that the factor of the physical
activity program for the older people would be effective. The factor of the physical activity
would be helpful in the process of better health outcome of the older people of the old age
home who have the practice of the sedentary life style. On the factor of the physical activity
program for the older people would be working on the betterment of the process of the health
condition of the older people of the older age home facility that who are not effectively active
in any kind of physical activities.
Based on the above discussion it can be concluded that the factor of the physical
activity program for the older people would be effective. The factor of the physical activity
would be helpful in the process of better health outcome of the older people of the old age
home who have the practice of the sedentary life style. On the factor of the physical activity
program for the older people would be working on the betterment of the process of the health
condition of the older people of the older age home facility that who are not effectively active
in any kind of physical activities.
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10PHYSICAL ACTIVITY PROGRAM
References
Acefitness.org. (2019). Retrieved 11 August 2019, from
https://www.acefitness.org/onlinelearning/courses/pdf/OLC-EPA-10.PDF
Alves, A. J., Viana, J. L., Cavalcante, S. L., Oliveira, N. L., Duarte, J. A., Mota, J., ... &
Ribeiro, F. (2016). Physical activity in primary and secondary prevention of
cardiovascular disease: Overview updated. World journal of cardiology, 8(10), 575.
de Labra, C., Guimaraes-Pinheiro, C., Maseda, A., Lorenzo, T., & Millán-Calenti, J. C.
(2015). Effects of physical exercise interventions in frail older adults: a systematic
review of randomized controlled trials. BMC geriatrics, 15(1), 154.
de Souto Barreto, P., Morley, J. E., Chodzko-Zajko, W., Pitkala, K. H., Weening-
Djiksterhuis, E., Rodriguez-Manas, L., ... & Izquierdo, M. (2016). Recommendations
on physical activity and exercise for older adults living in long-term care facilities: a
taskforce report. Journal of the American Medical Directors Association, 17(5), 381-
392.
Hwang, P. W. N., & Braun, K. L. (2015). The effectiveness of dance interventions to improve
older adults’ health: a systematic literature review. Alternative therapies in health and
medicine, 21(5), 64.
Matthew-Maich, N., Harris, L., Ploeg, J., Markle-Reid, M., Valaitis, R., Ibrahim, S., ... &
Isaacs, S. (2016). Designing, implementing, and evaluating mobile health
technologies for managing chronic conditions in older adults: a scoping review. JMIR
mHealth and uHealth, 4(2), e29.
Seniorscouncil.net. (2019). Retrieved 11 August 2019, from
http://www.seniorscouncil.net/uploads/files/PARC_Best%20Practices%20Guide.pdf
References
Acefitness.org. (2019). Retrieved 11 August 2019, from
https://www.acefitness.org/onlinelearning/courses/pdf/OLC-EPA-10.PDF
Alves, A. J., Viana, J. L., Cavalcante, S. L., Oliveira, N. L., Duarte, J. A., Mota, J., ... &
Ribeiro, F. (2016). Physical activity in primary and secondary prevention of
cardiovascular disease: Overview updated. World journal of cardiology, 8(10), 575.
de Labra, C., Guimaraes-Pinheiro, C., Maseda, A., Lorenzo, T., & Millán-Calenti, J. C.
(2015). Effects of physical exercise interventions in frail older adults: a systematic
review of randomized controlled trials. BMC geriatrics, 15(1), 154.
de Souto Barreto, P., Morley, J. E., Chodzko-Zajko, W., Pitkala, K. H., Weening-
Djiksterhuis, E., Rodriguez-Manas, L., ... & Izquierdo, M. (2016). Recommendations
on physical activity and exercise for older adults living in long-term care facilities: a
taskforce report. Journal of the American Medical Directors Association, 17(5), 381-
392.
Hwang, P. W. N., & Braun, K. L. (2015). The effectiveness of dance interventions to improve
older adults’ health: a systematic literature review. Alternative therapies in health and
medicine, 21(5), 64.
Matthew-Maich, N., Harris, L., Ploeg, J., Markle-Reid, M., Valaitis, R., Ibrahim, S., ... &
Isaacs, S. (2016). Designing, implementing, and evaluating mobile health
technologies for managing chronic conditions in older adults: a scoping review. JMIR
mHealth and uHealth, 4(2), e29.
Seniorscouncil.net. (2019). Retrieved 11 August 2019, from
http://www.seniorscouncil.net/uploads/files/PARC_Best%20Practices%20Guide.pdf
11PHYSICAL ACTIVITY PROGRAM
Sink, K. M., Espeland, M. A., Castro, C. M., Church, T., Cohen, R., Dodson, J. A., ... &
Lopez, O. L. (2015). Effect of a 24-month physical activity intervention vs health
education on cognitive outcomes in sedentary older adults: the LIFE randomized trial.
Jama, 314(8), 781-790.
Spruit, M. A., Pitta, F., McAuley, E., ZuWallack, R. L., & Nici, L. (2015). Pulmonary
rehabilitation and physical activity in patients with chronic obstructive pulmonary
disease. American journal of respiratory and critical care medicine, 192(8), 924-933.
Toots, A., Littbrand, H., Lindelöf, N., Wiklund, R., Holmberg, H., Nordström, P., ... &
Rosendahl, E. (2016). Effects of a high‐intensity functional exercise program on
dependence in activities of daily living and balance in older adults with dementia.
Journal of the American Geriatrics Society, 64(1), 55-64.
Sink, K. M., Espeland, M. A., Castro, C. M., Church, T., Cohen, R., Dodson, J. A., ... &
Lopez, O. L. (2015). Effect of a 24-month physical activity intervention vs health
education on cognitive outcomes in sedentary older adults: the LIFE randomized trial.
Jama, 314(8), 781-790.
Spruit, M. A., Pitta, F., McAuley, E., ZuWallack, R. L., & Nici, L. (2015). Pulmonary
rehabilitation and physical activity in patients with chronic obstructive pulmonary
disease. American journal of respiratory and critical care medicine, 192(8), 924-933.
Toots, A., Littbrand, H., Lindelöf, N., Wiklund, R., Holmberg, H., Nordström, P., ... &
Rosendahl, E. (2016). Effects of a high‐intensity functional exercise program on
dependence in activities of daily living and balance in older adults with dementia.
Journal of the American Geriatrics Society, 64(1), 55-64.
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