Functional Strengthening Exercise Program in Primary Health Care of Hong Kong Promotes Overall Health and Well-being of Patients.

This abstract has open access
Abstract Description
Submission ID :
HAC928
Submission Type
Authors (including presenting author) :
MOK QWW(1), LUK OTY(1), TSANG GNC(2), WAN SYS(2), WONG MMS(3), WONG MMY(3), CHEUNG KYH(3)
Affiliation :
(1)Physiotherapy, Allied Health Clinic, Family medicine and Primary Health Care Department, HKEC, (2)Physiotherapy Department, HKEC, (3)Family medicine and Primary Health Care Department, HKEC
Introduction :
After episodes of musculoskeletal problems or with chronic diseases, patients under the care of physiotherapy in Family Medicine and Primary Health Care of HKEC were timely empowered to take charge of their own health through a “Functional Strengthening Exercises Program” (F-SEP).
Objectives :
To promote overall health and well-being through “4E” approach: 1. Education: To improve the knowledge of patients on proper exercise format 2. Empowerment: To enhance confidence to perform proper exercises by providing self-management tools and encouraging patients to manage their own health 3. Enhancement: To improve the physical performance of patients with chronic conditions 4. Experience: To incorporate patient preferences and values into the program
Methodology :
Suitable patients with the features below were screened by physiotherapists: 1. The initial problems for attending physiotherapy program were settled. 2. Lack of concept of general fitness. 3. Concerns on overall health deterioration. 4. Expressed interest to improve self-health but no idea on how to commence. 5. Worries exercise or daily activities provoke the health problems.
Result & Outcome :
One hundred and seven patients attended the F-SEP (mean age: 63.7) with 50 patients completed (mean age: 64.1) during January to June 2024. Clinical outcomes were compared between the first and fourth sessions. After F-SEP, all patients reported improved knowledge on proper exercises format and had confidence to keep adequate exercise habit as reflected in Self-Efficacy for Exercise Scale. There were significant improvements in Handgrip Test (from mean of 23.5 to 24.6 kg, p<0.05) and the 30s Chair-Rise Test (from mean of 12.0 to 15.7, p<0.05). These are the parameters for screening Sarcopenia. All participants voted recommending this program to others. No initial musculoskeletal condition provoked throughout.
11 visits