Community psychomotor program and functionality in older adults: a comparative study with the Barthel Scale
Keywords:
community participation; older persons; rehabilitation; physical activity; quality of life.Abstract
This study aimed to examine the effect of a community-based psychomotor programme on the functionality of older persons, comparing implementation in Daule, Samborondón and La Troncal using the Barthel Index. A comparative design with pre- and post-intervention assessments was conducted in community settings, where trained staff delivered group sessions addressing balance, strength, coordination, gait and manual skills, and recorded functional performance with standardised instruments. The analysis considered within-canton change and between-canton contrasts using appropriate procedures for paired observations and internal consistency checks. Participation in the programme was associated with shifts from higher-difficulty categories toward favourable categories across key psychomotor domains and with increases in functional independence, with territorial differences that reflected the influence of local implementation contexts. No relevant events compromising intervention safety were recorded. In conclusion, the community-based psychomotor programme proved feasible and showed favourable effects on the functionality of older persons in the three cantons, with improvement trajectories that varied according to local conditions; these findings supported integration into health services and community devices, and warranted follow-up evaluations to assess sustainability and transfers to activities of daily living.
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Copyright (c) 2025 Manuel de Jesús Rondan Elizalde, Johnny Edison Olivo Solis, David Job Morales Neira, Borys Bismark Leon Reyes
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