Effect of Physiotherapy and Rehabilitation Program on Physical Activity Level in the Elderly Inpatient

NCT03516032 | Completed

• 1 other identifier: 15/750
• Study Type: interventional
• Target: 323
• Locations: 0 countries
• Sites: N/A

Brief Summary

In inpatient older adults, decrement in their mobility and loss in their physical activity are seen in time line between their hospitalization and discharge. The aim of our study was to investigate the effect of physiotherapy and rehabilitation program on physical activity, functional skills and quality of life in elderly inpatient. A total of 124 patients who were randomized as study and control group followed by Hacettepe University Faculty of Medicine Department of Internal Medicine, Division of Geriatric Medicine were included to the study. Thirty minutes physiotherapy and rehabilitation program was applied to the patients in the study group according to their functional levels. Geriatric patients in the control group did exercises by themselves. Demographic data, cognitive functions, muscle strength, presence of comorbidity, functional mobility, physical activity, daily living activities, fear of fall, quality of life and depression status were assessed of all cases. Activities of daily living and depression status was questioned again three months later. This study evaluated the efficacy and cost effectiveness of increasing physical activity in older people during inpatient rehabilitation. These results could assist in the development of evidenced-based rehabilitation programs for this population.

Conditions

Hospitalism

Keywords

exercises therapy; rehabilitation; aged; inpatients

Outcome Measures

Primary Outcomes (3)

• DEMMI-De Morton Mobility Scale

  The De Morton Mobility Scale (DEMMI) was used to record the changes in mobility of the patients from admission to discharge. The score is between 0-100, and high scores indicate that mobility is better. Performance of a wide range of mobility tasks such as getting in and out of bed, standing from a chair and walking is observed and scored. The DEMMI has demonstrated reliability and validity in older adults

  5 DAYS

• EQ5D-EQ-5D EuroQool Health Quality Assesment

  For quality of life assessment, we used the EuroQol- 5 Dimension (EQ-5D). The EQ-5D describes health status according to five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has three levels, namely, "no problems", "some problems" and "severe problems". Besides the five dimensions, the EQ-5D consists of a visual analogue scale (VAS-5D) ranging from 0 (worst imaginable health state) to 100 (best imaginable health state).

  5 DAYS

• PAIR-Physical Activity in Inpatient Rehabilitation Assessment

  Patient mobility was assessed by Physical Activity in Inpatient Rehabilitation Assessment (PAIR). PAIR was developed to allow an estimation of physical activity levels in inpatients. PAIR was to provide a cost-saving and widely available tool which is easy to implement within the rehabilitation process. This scale is scored between 0 and 7; "0" indicates that the patient is only in bed to recover, and "7" indicates that the patient can walk to the outside of the hospital to recover

  5 DAYS

Secondary Outcomes (2)

• Katz Activities of Daily Living Scale

  5 DAYS

• GDS-Geriatric Depression Scale

  10 AND 90 DAYS

Study Arms (2)

walking exercises

EXPERIMENTAL

walking in the hospital corridor

Behavioral: exercises

balance exercises

EXPERIMENTAL

heel rise exercises

Behavioral: exercises

Interventions

exercises BEHAVIORAL

balance exercises; walking exercises

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Aged 65 years or older
• Mini Mental State Examination score greater than 24;
• Stayed in the hospital at least 48 hours.

You may not qualify if:

• Angiina pectoris, acute myocarditis, myocardial infarction story in the last 3 months,
• Pulmonary embolism and deep vein thrombosis within the last 3 months,
• Active infection,
• Malignancy and terminal disease status,
• Fracture story in the lower and upper extremities in the last three months
• Severe hearing and visual loss.

Sponsors & Collaborators

• Hacettepe University: lead

Related Publications (1)

• Karapinar M, Kirdi N, Firat T. Effectiveness of supervised and functional level-based exercise program in elderly inpatients: Randomised controlled trial. Clin Rehabil. 2022 Dec;36(12):1623-1634. doi: 10.1177/02692155221116818. Epub 2022 Jul 25.

  PMID: 35880264 DERIVED

MeSH Terms

Interventions

Exercise

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Masking Details: The specific purpose of the clinical staff study not directly involved in the study is not specified in terms of not affecting the participants.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PT, MSc

Study Record Dates

• First Submitted: April 4, 2018
• First Posted: May 4, 2018
• Study Start: January 1, 2015
• Primary Completion: September 15, 2016
• Study Completion: December 15, 2016
• Last Updated: May 4, 2018

Record last verified: 2018-04

Data Sharing

• IPD Sharing: Will not share