There was a large heterogeneity in the studies concerning sample size , types of interventions and types of assessment s. There is strong evidence for a positive effect of  physical training  on muscle strength and mobility ; moderate evidence for an effect on range of motion ; and contradictory evidence regarding gait , activities of daily living , balance and endurance .
OBJECTIVE the positive effect of physical training in healthy elderly people is well documented .
The aim of this systematic review was to describe the effect of physical training on physical performance in institutionalised elderly patients with multiple diagnoses .
Outcomes of enhanced physical and occupational therapy service in a nursing home setting.
OBJECTIVE The purpose of this study was to determine if 1.0 Full-time Equivalent ( FTE ) physical therapy ( PT ) and 1.0 FTE occupational therapy ( OT ) per 50 beds result ed in differences in functional status for nursing home residents when compared to 1.0 FTE PT and 1.0 FTE OT per 200 beds . DESIGN R and omized control program evaluation , cost analysis . SETTING Nursing home in the province of Alberta , Canada . PATIENTS 115 residents assigned to 1 PT and 1 OT per 50 beds ( enhanced group ) versus 1 PT and 1 OT per 200 beds ( control group ) using stratified r and om allocation by severity of condition . INTERVENTIONS Both groups received ongoing treatment , follow-up , and restorative interventions , but enhanced group received more hours of service . OUTCOME MEASURES Functional Independence Measure ( FIM ) , Functional Assessment Measures ( FAM ) , and Clinical Outcome Variables Scale ( COVS ) recorded at 6-month intervals over a 2-year period . RESULTS Mean score differences favored the enhanced group for the tests over the 2 years . Significance was observed on FIM Total at 6 and 12 months , FIM Self Care at 6 months , FIM Communication at 24 months , and FIM Psychosocial at 6 , 12 , 18 , and 24 months ; FAM Total at 6 , 12 , 18 , and 24 months , FAM Self Care at 6 months , FAM Mobility at 12 months , FAM Communication at 6 and 24 months , FAM Psychosocial at 6 , 12 , 18 , and 24 months , and FAM Cognition at 6 and 12 months ; and COVS at 6 , 12 , 18 , and 24 months . A cost analysis demonstrated that PT/OT offered at the 1:50 ratio would result in a cost savings in terms of nursing staff dollars for 30 long-term-care beds of $ 16,973 over the 2 years of the study compared to the 1:200 ratio . This equates to an annual cost savings of $ 283 per bed . CONCLUSIONS Increasing the amount of PT/OT can have a positive effect on the functional status and cost of care of long-term care residents
There was a large heterogeneity in the studies concerning sample size , types of interventions and types of assessment s. There is strong evidence for a positive effect of  physical training  on muscle strength and mobility ; moderate evidence for an effect on range of motion ; and contradictory evidence regarding gait , activities of daily living , balance and endurance .
OBJECTIVE the positive effect of physical training in healthy elderly people is well documented .
The aim of this systematic review was to describe the effect of physical training on physical performance in institutionalised elderly patients with multiple diagnoses .