Studies & Results


“I came down stairs by myself for the first time that I can remember.” ~ Betty W., 89

“I can get in and out of my son’s SUV without help.” ~ Marilyn S., 89

“My feet feel firmer on the ground.” ~ Ginny M., 85

“I’m not leaking anymore.” ~ Marge M., 90

Overview

Improving the lives of older adults is what drives us.  From the beginning we wanted to be sure we were helping people. We began performing studies prior to launching MoveMor™. The results have been astounding and continue to fuel our passion to help older adults move, feel and live better.

Results

Over ten clinical studies continue to prove:

  • Better Balance
  • Greater Ankle Flexibility
  • Increased Independence
  • Increased Leg Strength
  • Improved Continence (self-reported)
  • Potential Fall Risk Reduction
The studies below performed the Take 10 to MoveMor™ program (10 exercises, 10 reps, 10 minutes)

Brookdale Vista Grande Assisted Living, Colorado Springs, CO                         March – June 2017
Carla Wilson, Executive Director & Roselle Campbell, PT, Transition Care Manager
Protocol: 7 residents  |  Take 10 to MoveMor™ exercise program*  |  1X/week |  14 weeks
Assessments: Ankle Flexibility  |  10’ Timed Up & Go (TUG)  | 30-Second Chair Stand
Results: Dorsi- & Plantar Flexion: 6 and 4 degree improvements, respectively | TUG: – 10 seconds / 27% improvement   |  30-Second Chair Stand: +2 / 53% improvement

 
Legacy Healthcare Services, Eaton Senior Living, Lakewood, CO                          April – June 2017
Emily Welt, MOT, OTR/L, Area Rehab Clinical Specialist & Matthew Shea, PT, Rehab Director
Protocol: 12 residents  |  Rehabilitation using MoveMor™ as one tool  | 2X/week  | 15-30’  |   8 weeks
Assessments:  Berg Balance Test and Tinetti Balance
Results: 12-point score improvement  Berg    |   6-point improvement Tinetti

 
Seabury Active Life Care Community, Bloomfield, CT                                               Feb – April 2016
Cindy Senk, Fitness Director & Matt McGowan
Protocol: 6 residents   |   Take 10 to MoveMor™   |   1X/week    |   12 weeks
Assessment:  BIODEX Falls Risk Test
Results: 28% balance improvement

 
Legacy Healthcare Services, George Mason Community, Fairfax, VA             Aug – October 2016
Danielle Cannella, MPT, Legacy Healthcare Services, Area Rehab Clinical Specialist, Virginia/DC
Protocol: 7 residents   | Take 10 to MoveMor™    |   1-2X/week    |    4-6 weeks
Assessments: Ankle Flexibility and 10’ TUG
Results:  Dorsi- & Plantar Flexion: 2 and 3 degree improvements, respectively | TUG: -10 second / 15% improvement

 
Nicoya Health & Lifestyle Management, Dallas, TX                                          Feb 2015 – Aug 2016
Dr. Sara Kyle, Director of Resident Wellness
White Paper  below
Protocol: 74 frail older adults participated from 10 senior communities across the USA. Data from 40 residents was used in the final study analysis. (White Paper below) Take 10 to MoveMor™ | 2X/wk  | 8 weeks at each community             
Assessments:  Ankle Flexibility  |  Activities of Daily Living Score  MDS 3.0  |  8’ TUG  |  Falls Hx

Results:

    • Statistically significant improvements: Increased ankle range of motion (dorsi/plantar flexion)
    • Strong and positive correlations: Improved gait speed
    • Positive impact: Reduced fall incidence during intervention
    • Reduced ADL scores: Empower greater independence

 
University of Maryland School of Nursing                                                                           2015 – 2020 
Dr. Beth Galik, National Institutes of Health Grant Study
Study: Behavior and Function-Focused Care of Nursing Home Residents with Dementia
Nurse Study Coordinator and contact, Erin Vigne has seen a variety of improvements in residents using the MoveMor™ resistance system.

 
Five Colorado Communities Participated in Manual Muscle Testing & TUG         Jan – Dec 2014
Physical therapists and one doctor performed testing at: 2 Skilled Nursing Facilities, Balfour Senior Living, doctor’s office, InnovAge Adult Daycare (Study details below MoveMor.com)
Protocol: 19 participants  |  Individual rehabilitation 2-3X/week for 1-8 weeks
Balfour Senior Living: Group exercise classes | 20 minutes |  1X/week  |  6 weeks
Assessments: Manual muscle testing of quadriceps, hip flexors and anterior tibialis muscles and 10’ TUG
Results:  Stronger quadriceps, hip flexors and anterior tibialis muscles                                      

  • Reduced 10’ TUG: Our stars: Marjorie W., 87: 19 to 8 sec  (improved 21%);    Margareta L., 93:  17.41 to 12.61 sec  (improved 28%)
  • Reduced Fear of Falling (self-reported questionnaire): From a score of 3 reduced to 2 & 1 (0-none; 1-some; 2-fair; 3-very)

 
Colorado University Metabolic Study                                                                                        Nov 2011
A local Colorado university doctor was intrigued by MoveMor™ and performed an informal metabolic study with 8 graduate students participating. (Study details at MoveMor.com)
Results: 60% increase in metabolism compared to quiet sitting.

*The “Take 10 to MoveMor™” exercise program (10 exercises, 10 reps,10 minutes).

 View online at www.MoveMor.com/exercise-programs

MoveMor…Fall Less

Additional study details happily provided upon request.
Study results prove that MoveMor™ can empower older adults to move, live and feel better.  With stronger legs, increased ankle flexibility and better balance, the fear & risk of falling is less while the level of independence grows.

 

 

 

 

Pilot Study Using MoveMor™ Mobility Trainer for Frail, Long-Term Retirement Home Residents across the United States

 

Sara McVean Kyle, Ph.D., Catherine Reade, MS, RD., Kiran Kanwar, Ph.D., Jana Russell, MS, CTRS

NEEDS ANALYSIS

The MoveMor™ Mobility Trainer is an innovative piece of exercise equipment developed by Resistance Dynamics, Inc in Littleton, Colorado. Previous MoveMor™ Mobility Trainer pilot studies have identified positive results in manual muscle testing, Timed Up and Go, and self-reported fear of falling in a clinical physical therapy setting in long-term care and community based residents, but there has not been a study evaluating the effects on mobility, strength, flexibility, or fall reduction in a designated “frail” population.

PURPOSE

To determine if implementing a simple and brief resistance training program using the MoveMor™ Mobility Trainer will help improve mobility, ankle flexibility, and reduced fall(s), and ADL scores (Activities of Daily Living) during exercise intervention and six months post study.

METHODS

Phase 1 Residents were recruited from two skilled nursing homes; Lakeside in San Antonio, Texas (n=8) and Cottonwood Creek in Round Rock, Texas (n=5). Phase 2 Residents were recruited from a Continuing Care Retirement Community (CCRC) Orlando Lutheran Towers in Orlando, Florida (n=8). Phase 3 Residents were recruited from Someren Glen in Centennial, Colorado (n=12) and Bonnell Good Samaritan in Greeley, Colorado (n=7) for a total n=39 possible participants in each category.

Independent Variable – Exercise Protocol using MoveMor™ Mobility Trainer.
Dependent Variables – TUG results, ankle flexibility, number of falls and Activities of Daily Living (ADL) scores.

The information listed below was collected within a 7 day period prior to intervention and 7 days post intervention of the 8-week exercise program using the MoveMor™ Mobility Trainer. All participants were identified as “frail” based on standardized scores of the Timed up and Go (TUG). Residents who participated in the study were not on a formal physical therapy plan, nor were any other fall reduction interventions enlisted during study time (physical or environment). All residents were 65+ years of age, residing in a long term care setting.

Baseline Measurement prior to Session 1 Participation
1. 8ft Timed Up and Go (if able)
2. Ankle Dorsiflexion (goniometer)
3. Ankle Plantar Flexion<
4. Number of falls in previous 6 months
5. Activities of Daily Living (if applicable)

Post Study Measurement after Week 8
1. 8ft Timed Up and Go (if able)
2. Ankle Dorsiflexion (goniometer)
3. Ankle Plantar Flexion (goniometer)
4. Number of falls 6 months post-test (phase 1 and 2 only)
5. Activities of Daily Living (if applicable)

Exercise Procedures
Take 10 to MoveMor™- 10 exercises, 10 repetitions, 10 minutes (repeated once or twice with a break in between)

Program Length: 8 weeks

Frequency: Two times per week

Exercises: 10

Goal: Address major muscle groups to regain strength, mobility and independence.

goal-chart2

ANALYSIS

Data was first collected on site by the fitness director and then entered into SPSS 22.0 where all analysis was conducted. Paired correlations were used to show the measure of association between the dependent variables and twice weekly exercise intervention using the MoveMor™ Mobility Trainer. Paired t-tests were used to measure the pre and post-test differences of the participants. A 95% confidence interval (p = .05) was used for all analysis.

Paired Sample Statistics

paired-sample-stats1

Paired Sample Correlations

paired-sample-corr-2

Paired Samples Test

paired-sample-test1

CONCLUSION

Using a 95% Confidence Interval (p = .05) Paired T-tests and Paired Samples Correlation show that there is a statistically significant difference between the following variables:

Paired Samples Correlations
• TUG Pre and Post
• Dorsiflexion Left Pre – Dorsiflexion Left Post
• Plantar Left Pre – Plantar Left Post
• Plantar Right Pre – Plantar Right Post
• Falls Post – Falls During

Paired T-Tests
• Dorsiflexion Left Pre – Dorsiflexion Left Post
• Dorsiflexion Right Pre – Dorsiflexion Right Post
• Plantar Left Pre – Plantar Left Post
• Plantar Right Pre – Plantar Right Post
• Falls Pre – Falls During
• Falls Post – Falls During

The post-study tests using the “Take 10 to MoveMor™” exercise protocol clearly show that the MoveMor™ Mobility Trainer has an impact on fall incidence during exercise intervention. An increase in ankle range of motion as measured in dorsi and plantar flexion movements was significant. The mean scores of the Timed up and Go (TUG) show only minimal change in velocity and lack significance with the current sample size.

The paired correlations indicated that TUG scores and use of the exercise intervention are strongly and positively correlated (r = .986, p <0.001)

LIMITATIONS

Activities of Daily Living were not used in paired t-tests because a third of the sample size did not assess ADL’s or give an accurate score through a trained individual with experience scoring Activities of Daily Living. Phase 3 participants are not yet six months post-test to assess falls post study.

There are gaps in data due to physical and cognitive limitations of participants. Additionally, levels of active engagement using the board vary based on physical endurance and function as well as the ability to accurately perform the movements as they are demonstrated.

Regardless of ability, it is important to include exercise requiring lower body resistance training to a frail, older population as an ongoing treatment intervention despite coordinator or the inability to perfectly perform the movement.
MoveMor™ Pilot-Study Results: RAW DATA
Quick snapshot of individual outcomes

Phase 1: Lakeside Skilled Nursing & Cottonwood Creek Nursing (n=13)
February 1, 2015 – April 1, 2015

Participants: AL Residents
tug-test1

**Declined – residents declined TUG test either stating discomfort day of test, disinterested, or cognitive confusion.

KEY
Green: Positive / Improvement
Yellow: Neutral /Positive: Maintenance
Red: Negative / Decline

Phase II: Orlando Lutheran Towers (n = 8)
April – June 2015

Participants: IL Residents
tug-test2

**Declined – residents declined TUG test either stating discomfort day of test, disinterested, or cognitive confusion.
n/a – resident refused or unable to perform test

KEY
Green: Positive / Improvement
Yellow: Neutral/Positive: Maintenance
Red: Negative/ Decline

Phase III: Someren Glen Retirement Community (n=12)
Sept-Nov 2015

Participants: IL Residents
tug-test3

KEY
Green: Positive / Improvement
Yellow: Neutral/Positive: Maintenance
Red: Negative/Decline

Phase III: Good Samaritan Society of Greeley (n=7)
Sept – Nov 2015

tug-test4

Restorative Nursing
Participants: Wheelchair-bound AL residents with cognitive impairments

KEY
Green: Positive/Improvement
Yellow: Neutral/Positive: Maintenance
Red: Negative/Decline


Pilot-Study Abstract 

Strength and mobility improvements and reduced fear of falling seen with 19 volunteers at five communities!

Objectives:

  • To determine and document patient strength and mobility outcomes using the MoveMor™ Mobility Trainer (MT) for one-on-one treatments and exercise classes.
  • To gain feedback on its use from therapists and patients.
  • To assess product design performance in the field; make modifications to improve product function.

Pre- & Post-Tests

Objective Subjective
Manual Muscle Testing
Quadriceps, Hip Flexors and Anterior Tibialis
(progressive scale from 0-5)
Pain Level                                    (0-None, 1-Some, 2-Often, 3-Daily)Fear of Falling (Level of Concern)  (0-None, 1-Some, 2-Fair, 3-Very)
Timed Up & Go (TUG)
(seconds)
Confidence to perform ADL without falling
(0-None, 1- Some, 2-Fair, 3-Very)

Treatment & Results

Skilled Nursing Facility #1 (Privately-Held National Chain)
One-on-one treatment: 2 short-term residents. The MoveMor™ was used every other day in addition to standard rehabilitative therapy. Time range: 11 to 14 days.
Results: Strength improvements at quads, hip flexors, anterior tibialis muscles; improved mobility with reduced TUG. One reported less pain and a reduced fear of falling, the other more confidence.

Skilled Nursing Facility #2 (Privately-Held National Chain)
One-on-one treatment: 2 short-term residents. The MoveMor™ was used every other day in addition to standard rehabilitative therapy. Time range: 6 to 9 days.
Results: Strength improvements at quads, hip flexors, anterior tibialis muscles; increased range of motion at ankle with dorsi-flexion; reduced TUG. One reported reduced pain and fear of falling.

Center for Functional Health
Manual muscle testing: 17 patients. Eight presented with inhibited sartorius and piriformis muscles.
Results: 7 of 8 patients activated these muscles after 3 minutes of MoveMor™ exercise.

Balfour Senior Living
Thirty-minute exercise class once a week for 6 weeks; 11 residents participated. Four completed pre- & post-testing.
Results: Strength improvements at hip flexors and anterior tibialis muscles with no change at quads (all 5/5). Three out of 4 reduced TUG. A 93 y.o. female went from 17.41 to 12.61 seconds – a 28% reduction!

InnovAge (Adult Day Care) 
One-on-one treatment: three participants.  The MoveMor 3-4 days per week; 3 sets of 10 repetitions; 10-15 minutes per session.
Results: Strength improvements at quads, hip flexors and anterior tibialis muscles. Two out of three improved mobility by 6%, one had no change. All three experienced a reduced fear of falling!

Conclusion

  • The MoveMor™ may help to improve strength and mobility in adults and older adults in one-on-one treatments and in exercise classes.
  • Feedback was overwhelmingly positive from therapists and patients.

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