Effect of Physiotherapy and Rehabilitation Program on Physical Activity Level in the Elderly Inpatient
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 323
- 主要终点
- EQ5D-EQ-5D EuroQool Health Quality Assesment
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Care Provider)
盲法说明
The specific purpose of the clinical staff study not directly involved in the study is not specified in terms of not affecting the participants.
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- 未提供
结局指标
主要结局
EQ5D-EQ-5D EuroQool Health Quality Assesment
时间窗: 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
时间窗: 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
时间窗: 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
次要结局
- Katz Activities of Daily Living Scale(5 DAYS)
- GDS-Geriatric Depression Scale(10 AND 90 DAYS)
研究者
Merve Karapınar
PT, MSc
Hacettepe University