Effectiveness of the Geriatric Activation Program Pellenberg (GAPP) on the Geriatric Rehabilitation Ward

Not Applicable

Completed

• Conditions: Hip Fractures; Abdominal Injury; Chronic Obstructive Pulmonary Disease; Stroke
• Interventions: Other: Geriatric Activation Program Pellenberg

• Registration Number: NCT03109483
• Lead Sponsor: KU Leuven

Brief Summary

The aim of this study is to investigate the effectiveness of our developed week-treatment program GAPP, on strength, balance, speed, functionality and cognition, with the main goal to achieve a better independence for activities of daily living (ADL).

Each day of the week an exercise program of 45 minutes is given assigned to a specific aspect of the rehabilitation; strength, balance, speed, functional training and one day is for testing or group therapy.

Participants will be followed for four weeks, with testing on day one, after two weeks and at the last day of the four-week program.

Detailed Description

The aim of this study is to investigate the effectiveness of our developed week-treatment program GAPP (Geriatric Activation Program Pellenberg), on strength, balance, speed, functionality and cognition, with the main goal to achieve a better independence for ADL.

Each day of the week an exercise program of 45 minutes is given assigned to a specific aspect of the rehabilitation.

Monday: speed and coordination, including as many repetitions as possible in one minute for: quick arm movements in standing, quick trunk movements in sitting, quick weight transfers in standing, stepping.

Tuesday: functional training, including walking stairs, transfers, sitting to lying and reverse, moving objects in the room, functional fit-o-meter.

Wednesday: balance, including maximum weight transfers in all directions, exercises with reduced base of support, reaching.

Thursday: strength, including sit to stand with a weight belt, lifting a weight bimanual of the table, walking with ankle weights, arm extension with therapy bands.

Friday: testing or group activity. One week the following test will be taken: Berg Balance Scale, 10m walking test, Digit Symbol Substitution Test, knee extension and elbow extension strength with the microfet2, Basic-ADL and Geriatric Depression Scale.

The other week there will be a group session, this could be in sitting (like moving on music) or standing (like petanque).

Walking will be practiced every day of the week and individual needs (like specific hand rehabilitation or pain problems) will be addressed besides the program when needed.

Study Timeline

• Study Start: 2017-03-17
• Study First Submitted: 2017-04-03
• Study First Submitted QC: 2017-04-11
• Study First Posted: 2017-04-12
• Primary Completion: 2019-03-30
• Study Completion: 2019-03-30
• Status Verified: 2019-07
• Last Update Submitted: 2019-07-22
• Last Update Posted: 2019-07-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 111

Inclusion Criteria

• admitted to the geriatric rehabilitation ward of UZ Leuven, campus Pellenberg
• the ability to walk 10m with help of a person or walking aid
• an expected stay of at least four weeks
• a signed informed consent

Exclusion Criteria

• medically instable
• not able to understand the questions and tasks of the program or testing

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Geriatric Activation Program Pellenberg	Geriatric Activation Program Pellenberg	intensive multicomponent physical therapy week program

Primary Outcome Measures

Name	Time	Method
Functional Balance	four weeks	Functional balance measured with the Berg Balance Scale
Independence for activities of daily living	four weeks	Independence for ADL measured with the Basic-ADL

Secondary Outcome Measures

Name	Time	Method
Walking speed	four weeks	Walking speed measured with the 10m walking test
Strength of arm Extension	four weeks	Strength of arm extension, measured with the microFET2 hand held dynamometer. The mean peak force in Newton of three trail will be used.
Cognitive function	four weeks	The Digit Symbol Substitution Test will be used to measure response speed, sustained attention
Strength of knee extension	four weeks	Strength of Knee extension, measured with the microFET2 hand held dynamometer. The mean peak force in Newton of three trail will be used.
General state of mind	four weeks	General state of mind measured with the Geriatric Depression Scale 15

Trial Locations

Locations (1)

Universitaire Ziekenhuizen Leuven, campus Pellenberg; 🇧🇪 Pellenberg, Belgium