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RaisingAwareness–usingtheFunc2onalFitnessMOT

ProfessorDawnSkeltonGlasgowCaledonianUniversity

&LaterLifeTraining

PurposeoftheFFMOT•  HighlighttheUKPhysicalAc7vity

Guidelineswithprofessionalsandolderpeople(65+)

•  Highlighttheimportanceofthecomponentsoffitness,par7cularlystrengthandbalanceandsedentarybehaviour

•  Useasamo7va7onaltooltoengage

olderpeopleinlocalphysicalac7vityprogrammesandopportuni7es

History•  Developedin2011fortheGlasgow

ScienceFes7valandAc7veAgeingWeek-Glasgow

•  Pilotedwith60olderpeopleinGovanShoppingCentreandtheArcLeisureFacilityatGCU

•  Launchedatthe8thWorldCongressonAc7veAgeing(Glasgow),with250olderpeopleandtheircarers

•  Over700professionalstrainedinuse

Anopportunityforyou

1.  Buildonyourexis7ngworktopromoteAc7veAgeing

2.  AwarenessraisingontheUKCMOGuidelinesonPhysicalAc7vityforOlderAdults(65+)

3.  Func7onalFitnessMOTeventsasacontribu7ontopromo7ngAc7veAgeing,egUKDayforOlderPeople(Oct1steachyear)

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Whatisfunc2onalfitness?

“Func&onalFitnessperformanceishavingthephysiologicalcapacitytoperformnormaleverydayac&vi&essafelyandindependentlywithoutunduefa&gue”.

(Rikli@Jones1999)

Greaterpriorityinlaterlife?

U2lisingwhatworks

•  Anenjoyableandintriguingac7vity....whatisanMOTforolderpeople?

•  Onetooneassessment•  Timeto–  understanddifferentcomponentsoffitness–  discussbarriers,mo7vators&solu7ons–  digestpersonalisedinforma7ontotakeaway

•  Followupinforma7on(local)onhowtofindoutmore

•  Normaldatasetsfromlargestudies

WhatitisNOT

•  Aresearchtool•  Apre-postprogrammeevalua7ontool•  Analterna7vetoapre-exerciseassessment•  Analterna7vetoofferingtailoredexercise(don’tjustassess,do!)

•  Appropriateforfrailer,olderpeopleinresiden7alcare

Adver2sing

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Whathappens?

•  IndividualFFMOTAssessment•  1–1discussionaboutresults,strengthsandweaknesses

•  Tailoredguidanceontakingac7on

•  TakehomeFFMOTresultsandac7onplan

•  Followup(ifagreed)

Personalisedtakehomeinforma2on

Circuitapproach

Lowerlimbstrength&Endurance

Flexibility Flexibility Balance

Circuitapproach

PersonalisedFeedback

Balance Strength Endurance

SelfreportedPA

DiscussionaboutresultsandAc2on

Plan

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Datacomparedto“peers”•  Eachtestexplainsreason•  Genderspecific•  Actualdatamarkedongraphanddiscussed•  Par7cipantsdowellonsomethingsandnotothers

12 __

Timetodiscussandshare

Whatneedssomeworkandwhy?•  Lowerlimbstrengthandstaminanottoobad•  Balanceworkneededtoreduceriskoffalls•  Flexibilityneedsimprovingforbeferwalking

Preferencesandopportuni2es

•  Indoororoutdoor?•  Homeorgroup?•  Mixedgrouporsinglesex?•  Timeconstrained?Perhapsac7vi7esthatcanbeincorporatedintodailylife(sittostandsduringTVadverts,toeraiseswhilewai7ngforkefletoboil)

•  Anymedicalcondi7onsthatlimitac7vityormayrequirespecialistadvice?

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Ontheday-youwillneed•  EnoughcopiesofFitnessMOTforpoten7alnumberofpar7cipants

•  Localphysicalac7vityco-ordinatortoensuretailoredadvice

•  PosturalStabilityInstructors,physiotherapistsandexerciseteacherstoundertaketheFFMOTs

•  Onepersonwitheacholderpersonforalltestsanddiscussion

•  CircuitapproachtoFFMOTtests•  Plentyoflocalliteratureonopportuni7es

Equipmentandspaceneeded•  WeighingScales•  HeightScale•  HandgripDynamometer•  Stopwatch/7mer•  Tapemeasure(tomeasuredistanceonfloor)•  Hardlongwoodenruler(tomeasurereach)•  Bollardstomarkwalkingroutes•  Stablechairswithoutarms•  Flatnon-slipfloorspaceforwalking•  Sitdownquietareafordiscussion

Otherthoughts.....•  Personalisedonetooneassessmentandadvicethroughoutso…..

•  Numbersofpeopleneededtoruntheawarenessraising?

•  Otherpeopledeliveringtheawarenessraising?– OtherPA,fitness,health,socialcareprofessionals;Peermentors

•  Spacerequirements•  Followup– Dataprotec7onissuesvsknownbenefitoffollowup

Casestudy–AberdeenCityCouncil,Scotland

•  Twoxonedayevents–1st60,2nd90par7cipants•  “Meettheprovider”exhibi7onwithfocuson–  Keepingeyes,feetandmindhealthy–  Preven7ngfalls–  Technologyandindependence–  Suitableexerciseclasses,socialac7vi7esandevents

•  Includehealthcheckseg.BloodPressure•  “Nowheldevery6monthsandaddi7onaltrainingacrossthecommunitytosustain

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Casestudy–Rochdale•  Link4Lifeexerciseprogrammes•  Entrypointtooneof3local10

weekexerciseclasses•  Reportpersonalisa7onof

scores/resultsimprovemo7va7on

•  Reportindividualimprovementsinphysicalfunc7onanddailyliving(over10weeks?)

•  Par7cipantsdirectedtootherformsofac7vityeg,aqua,yoga,Zumba,walkingprogrammes

Casestudy–supportedliving

•  ReachingOlderAdultsinRenfrewshire(Roar)Scotland

•  27oldervolunteersunderwentaFunc7onalFitnessMOTfacilitatedbyphysiotherapystudents

•  3monthfollowupreportedindividualimprovements

•  IncreaseinafendingROARsocialac7vityeventsandgeqng“OutandAbout”

Casestudy-Locallibraries

•  Whitehaven-CumbriaPartnershipNHSFounda7onTrust-PhysiotherapyServices

•  HealthandWellbeingFFMOThalf-day9.30–2.00

•  IncludedFunc7onalFitnessMOTs,BMIandbloodpressurechecks

•  273peopleafended(aged49to92)50+MOTs

•  15localorganisa7onsafendedandsupportedwithinforma7ontablesandstands

Flexibleapplica7ons

•  Op7onstoscaleupordowntosuitresources

1.  Onetooneadviceandguidance

2.  Smaller/regularongoingprogramme(10–20)

3.  Largescaleevent/healthfare(50+)

•  Healthtrainerworkforce

•  Shoppingcentres•  Parishhallsinruralcommuni7es

•  Intergenera7onaleventswithFEandHEstudents

•  Physiotherapyseqngs

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Conclusions

•  Importanceofdifferentcomponentsoffitnesstohealthandindependenceinoldage

•  Awarenessraisingimportantbutliteraturealonewillnotwork

•  Personalisingtheadviceisvital•  ImportanttoalsoraiseawarenesswithotherAc7veAgeingprofessionals

Wanttoknowmore-nextsteps?

Furtherinforma7onanddetailsofalltheFunc7onalFitnessMOTresources(MOTtool,

circuitcards,protocolsandposters)andtrainingdaysareavailablefromtheLaterLifeTraining

Website@www.laterlifetraining.co.uk