Physical Function of Older Citizens During Municipality-based Rehabilitation

NCT04862481 | Completed

• 2 other identifiers: SJ7588045-00052B
• Study Type: observational
• Target: 115
• Locations: 1 country
• Sites: 1

Brief Summary

When choosing outcomes to assess rehabilitation's effect or progress, it is essential to consider the constructs being measured and their value to the patient and the psychometric properties. Choosing an outcome that reflects all aspects of International Classification levels of Functioning, Disability and Health (ICF) is challenging, especially in heterogeneous groups. However, it is important to know the psychometric properties as this gives important knowledge on how to interpret results and, consequently, how this can inform the patient's care. The Short Musculoskeletal Function Assessment (SMFA) questionnaire can reflect differences in patients' functional status with a broad range of disorders, like for elderly citizens undergoing municipality-based rehabilitation. Nevertheless, since there is no golden standard to measure rehabilitation outcomes, construct validity needs to be established to investigate how scores of SMFA can be related to measures on all levels of ICF. Therefore, this study has three main objectives:

1. 1.To investigate how scores of the SMFA questionnaire are related to measures on different ICF levels
2. 2.To describe the characteristics of older citizens starting municipality-based rehabilitation on all ICF levels
3. 3.To investigate predictor variables of upper- and lower extremity strength

Conditions

Aging; Rehabilitation; Frailty; Sarcopenia; Fractures, Bone; Musculoskeletal Pain; Musculoskeletal Diseases; Musculoskeletal Injury; Muscle Weakness; Weakness, Muscle

Keywords

SMFA; SF36; ICF; OLDER; REHABILITATION

Outcome Measures

Primary Outcomes (1)

• Measure of physical functioning with Short Musculoskeletal Function Assessment (SMFA)

  Self reported

  Baseline

Secondary Outcomes (1)

• Measure in health-related quality of life with Short Form 36 (SF-36)

  Baseline

Other Outcomes (28)

• Measure of mobility with The New Mobility Score

  Baseline

• Measure of the PRISMA-7 score

  Baseline

• Measure of the Tilburg Frailty Scale score

  Baseline

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Participants from Slagelse municipality's community-based health centre will be recruited in the period January 2021- June 2021 or until 115 men and woman have been included. To detect a correlation coefficient of minimum r=+/-0.3 with a significance level of 0.05 and power of 0.8 between the primary outcome SMFA and the generic health-related quality of life questionnaire SF36 a minimum of 85 participants are needed based on the Fisher's z test. Some studies have shown a response rate for the SMFA to be approximately 65% in cross-sectional studies, we, therefore add another 35% extra participants to the calculated sample size, resulting in a target of 115 participants to be initially included in the study.

You may not qualify if:

• Inability to speak or read Danish,
• Active cancer,
• Upper or lower limb amputations,
• Hypertension \>180/110,
• Referred to rehabilitation primarily due to gynecological or neurological conditions (apoplexies) or surgeries where movement restrictions prohibit participating in most of the tests,
• Discouragement from a general practitioner.

Sponsors & Collaborators

• University College Absalon: lead
• University of Southern Denmark: collaborator
• Sundhed og Træning, Slagelse Municipality: collaborator
• Danish Council for Independent Research: collaborator

Study Sites (1)

Sundhed og Træning

Slagelse, Region Sjælland, 4200, Denmark

Location

Related Publications (1)

• Teljigovic S, Dalager T, Nielsen NO, Holm L, Ejvang MB, Sjogaard G, Sogaard K, Sandal LF. Development and feasibility of a conceptual model for planning individualised physical exercise training (IPET) for older adults: a cross-sectional study. BMJ Open. 2024 Mar 5;14(3):e075726. doi: 10.1136/bmjopen-2023-075726.

  PMID: 38448065 DERIVED

MeSH Terms

Conditions

Frailty; Sarcopenia; Fractures, Bone; Musculoskeletal Pain; Musculoskeletal Diseases; Muscle Weakness

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Muscular Atrophy; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Atrophy; Pathological Conditions, Anatomical; Signs and Symptoms; Wounds and Injuries; Muscular Diseases; Pain

Study Officials

• Sanel Teljigovic, PhD student

  University College Absalon & University of Southern Denmark

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 15, 2021
• First Posted: April 28, 2021
• Study Start: January 25, 2021
• Primary Completion: September 10, 2021
• Study Completion: September 12, 2021
• Last Updated: March 23, 2022

Record last verified: 2022-03

Locations

DK (1)