Effect of Physiotherapy and Rehabilitation Program on Physical Activity Level in the Elderly Inpatient
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hospitalism
- Sponsor
- Hacettepe University
- Enrollment
- 323
- Primary Endpoint
- EQ5D-EQ-5D EuroQool Health Quality Assesment
- Status
- Completed
- Last Updated
- 8 years ago
Overview
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.
Investigators
Merve Karapınar
PT, MSc
Hacettepe University
Eligibility Criteria
Inclusion Criteria
- •Aged 65 years or older
- •Mini Mental State Examination score greater than 24;
- •Stayed in the hospital at least 48 hours.
- •Exclusion Criteria :
- •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.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
EQ5D-EQ-5D EuroQool Health Quality Assesment
Time Frame: 5 DAYS
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).
PAIR-Physical Activity in Inpatient Rehabilitation Assessment
Time Frame: 5 DAYS
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
DEMMI-De Morton Mobility Scale
Time Frame: 5 DAYS
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
Secondary Outcomes
- Katz Activities of Daily Living Scale(5 DAYS)
- GDS-Geriatric Depression Scale(10 AND 90 DAYS)