The MoSi®-Project

Project management

Prof. Dr. med. Karl-Günter Gaßmann

Chief physician of the Geriatrics Center Erlangen at the Malteser Waldkrankenhaus St. Marien in Erlangen

Current project: Bavaria-wide implementation and evaluation of the MoSi®-Training & prevention program (funded by the Bavarian State Ministry of Health and Care)

Dr. Samuel Schülein

Head of Gait- and Mobility Laboratory at the Geriatrics Center Erlangen

MoSi®-Master Instructor

Bianca Weyermann

Research assistant at the Gait- and Mobility Laboratory of the Geriatrics Center Erlangen

MoSi®-Master Instructor

MoSi®-Insturctors at the Geriatrics Center Erlangen

Christine Hoffmann

physiotherapist

Andrea Keppler

physiotherapist

Belinda Mauerer

physiotherapist

Ralf Ziegmann

occupational therapist

MoSi® is funded by the Bavarian State Ministry of Health and Care as part of the "Gesund.Leben.Bayern" initiative.

We are collaborating with:

Aim

Aim

The aim of this project is to to apply primary prevention at the earliest possible stage and to counteract the onset of limitations in walking ability. For this purpose, a scientifically evaluated MoSi® training- and prevention program (Mobility and safety in older age) is to be implemented and offered throughout Bavaria in Germany. The special feature about it is that the participating elderly learn and practice the prevention exercises and behavioral approach in a course with a maximum of 10 participants and can then carry them out independently at home. It is planned to implement at least one MoSi®-Training base in each governmental district in Bavaria.

Our peer- group for the MoSi® training and prevention courses are women and men from the age of 65 onwards. The program is suitable for all those who can still walk without assistiv devices (at least 50 meters/160 feet without (e.g. rollator, walking stick)). Furthermore, have consulted their attending physician before participation. A MoSi® course lasts 5 weeks with 2 exercise sessions per week under the guidance of an instructor of 60 minutes each. The aim is to maintain and improve walking ability and gait safety, as well as balance, coordination, reaction and a sense of security. In the long term, the intention behind MoSi® is to maintain mobility and independence in everyday activities of elderly people, reduce the risk of falling and thus improve their quality of life.

The evaluation is carried out by an assessment at the beginning and end of the course and a survey of the participants using standardized questionnaires.

In the first phase of the project, MoSi® instructors, in particular physiotherapists, occupational therapists and sports scientists, are trained at the Geriatrics Center Erlangen (MoSi®-Headquarter). After a successfully completed exam, the trained participants receive a certificate and thus the requirement to offer the training in their facility.

Summary of Goals

Summary of Goals

  1. The project is intended to serve as an initial measure for the implementation of a prevention program to maintain and improve walking ability and mobility that will be used throughout Bavaria. To this end, the plan is to set up at least one MoSi®-Training Center in each administrative district in Bavaria.
  2. Education of MoSi®-Instructors at the Geriatric Center Erlangen (GZE)
  3. Each MoSi®-Training Center conducts at least two MoSi® courses per year
  4. Accompanied by a scientific evaluation and assessment
Peer-group

Peer-group

Women and men aged 65 and older who are still independently mobile and have consulted their attending physician about their ability to participate.

Process

Process

  1. Recruitment of at least one MoSi®-Training Center in each Bavarian administrative district
  2. Education and certification of MoSi®-Instructors at the Geriatric Center Erlangen (GZE)
  3. Provide advice (consulting) on the implementation of MoSi®-Training Centers
The apprenticeship

The apprenticeship

The apprenticeship and licensing of a MoSi®-Instructor includes 24 teaching units with with in-depth theory and practical units on age-appropriate training, education on fall risk, fall prevention and early detection, instruction in the MoSi® concept in theory and practice over a period of three days.  The licensing of the instructor is based on a practical examination.

Proof of success

Proof of success

The outcome of MoSi® will be scientifically evaluated and published.

The assessments conducted to collect the data are:

  • Functional-Reach-Test
  • Fingertip-to-floor test (FTF)
  • Five-Time Sit-to-Stand Test (FTSST)
  • Timed-Up & Go (TUG)
  • Grip strength measurement (Jamar®)
  • BORG Scale (measuring perceived exertion)
  • Self-assessment questionnaire to determine fear of falling (Falls Efficacy Scale-International (FES-I))
  • Self-assessment questionnaire to determine the history of the falls (GCE-Falls-History Questionnaire)

Research

The effect of the MoSi® training program will be scientifically evaluated and published. The multi-center study project within Bavaria was approved by the Ethics Committee of the Medical Faculty of the Friedrich-Alexander University Erlangen-Nuremberg. The study has been registered in the German Clinical Trials Register (DRKS)

 

Scientific Publication:

Bauer C, Rietsch C, Gröger I, Gassmann KG. [Mobility and safety for elderly (MoSi), a new intervention to improve mobility and gait in elderly people]. Z Gerontol Geriatr. 2009;42(5):360-364.