Exercise Strategies for Bedside Cases During Hospitalization

NCT05252286 | Unknown DMC

• 1 other identifier: IRB110-193-A
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Patients after hospital admission would experience the functional decline, so-called Hospital-Associated Disability. This condition could not only impact the patient health function but pose a burden on the family, even more consuming of medical resource in the country. Therefore, in addition to routine rehabilitation program, various bedside exercise programs are provided as an adjunct therapy to prevent functional declination and improve physical mobility for a patient after hospital admission. The aims of the study are conducted to compare the effect of three various bedside exercise programs (exercise based on watching video, oral education and paper sheet) on physical mobility among the hospitalized patients. This is single-blind randomized control study and patients recruited from Tzu-Chi medical center in eastern Taiwan are ranged from 30 to 90 years old. All participants are randomly assigned to three groups (watching video, oral education and paper sheet). Patients in watching video group are provided with theirs 3 to 5 poor physical performance video recorded on the tablet or mobile phone during the rehabilitation program. The other two groups are provided oral education and paper sheet exercise program, respectively. All three groups patients conduct their bedside exercise programs when they return their ward. Physical performance tests are evaluated before the intervention and one or two days before discharge by a physical therapist blinded the groups of patient .

Conditions

Disability Physical; Hospitalization

Keywords

Hospital-Associated Disability; self-exercise

Outcome Measures

Primary Outcomes (1)

• Barthel Index (BI)

  The investigators will use the BI as the primary outcome measure in this study to evaluate activity of daily living at baseline before intervention, one week after intervention, and the time at discharge. BI is scored 0 to 100, the higher score and the better functional performance.

  Up to four weeks

Secondary Outcomes (4)

• Short Physical Performance Battery (SPPB)

  four weeks

• Time Up and Go (TUG)

  Up to four weeks

• de Morton Mobility Index (DEMMI)

  Up to four weeks

• Hand-held dynamometer

  Up to four weeks

Study Arms (3)

video watching

EXPERIMENTAL

In the video-watching group, a patient will follow the exercise instructions from watching the video. The exercise content in video are set during the patient conducting the rehabilitation program. Then, the therapist will select 3 to 5 groups of movements pattern needed to be enhanced catching from the video for the patient to practice when returning the bedside after the rehabilitation programs.

Other: video watching

paper sheet

ACTIVE COMPARATOR

For the paper sheet group, the therapist will prepare the exercise leaflet, suitable for the patients, in advance, and select three to five groups of movement exercises on the leaflet that his/her therapist deem the patients needed to be enhanced. When the patients ends his/her rehabilitation program, they can practice following the instructions on the leaflet for them-self in bedside.

Other: paper group

oral health education group

PLACEBO COMPARATOR

In the oral health education group, the program is similar to the paper sheet group without providing any exercise paper sheet the patient but oral education.

Other: oral education group

Interventions

video watching OTHER

Watching video In this group, when the patient conducts their rehabilitation exercise, the therapist would record the poor physical movement pattern from his/her performance by using the mobile phone or tablet. The patients will be provided with watching video exercise, containing 3-5 items of "their poor physical performance", selected by the therapist as a feedback to let the patient practice when they return their bedside ward after their rehabilitation time. The content of video-watching exercise program will be changed or modified once weekly as the patient improve the physical movement performance.

video watching

paper group OTHER

In the paper sheet group, the therapist will give three to five poor movement patterns, selected from the patient conducting their rehabilitation program, to practice when returning bedside ward.

paper sheet

oral education group OTHER

the patient only receives the oral exercise education about how to improve their physical performance during their hospital stay.

oral health education group

Eligibility Criteria

• Age: 30 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Functional dependence evaluated by Barthel Index
• Patients needed to rehabilitation program referred by medical doctor during hospitalization
• Be able to follow command and assessment

You may not qualify if:

• Impaired cognition
• Psychological problem from medical diagnosis
• Having a potential cardiac risk or severe disease diagnosis from medical doctor

Sponsors & Collaborators

• Buddhist Tzu Chi General Hospital: lead

Study Sites (1)

Tzu Chi Buddhist General Hospital

Hualien City, 970, Taiwan

RECRUITING

Study Officials

• Jia-Ching Chen

  Department of physical therapy, Tzu Chi University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Jia-Ching Chen

CONTACT

886-3-8565301; chenjiaching0608@gmail.com

Yi-wen Huang

CONTACT

886-38561825; a13521002@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor, Department of physical therapy

Study Record Dates

• First Submitted: January 22, 2022
• First Posted: February 23, 2022
• Study Start: March 15, 2022
• Primary Completion: December 1, 2023
• Study Completion: December 1, 2023
• Last Updated: March 16, 2022

Record last verified: 2022-03

Locations

TW (1)