Safety and Feasibility of a Novel In--Bed Resistance Training Device in Elderly Inpatients

Not Applicable

Completed

Interventions: Other: In-Bed Resistance Training Device
Other: Standard of Care

Brief Summary: The purpose of this study is to decrease deconditioning of elderly inpatients in acute care institutions and to assess the safety and feasibility of a newly developed resistance training device. Investigators believe this device will help hospitalized seniors maintain their independence by preventing the loss of functionality from deconditioning and improve value of care through decreased length of stay and utilization of care. Current therapy will be complemented with a new in--bed resistance training device to target weak elderly patients and standardize progressive resistance training in facilities.

Recruitment & Eligibility

Inclusion Criteria

Patients greater than or equal to 70 years old
Admitted to acute inpatient medicine unit at NYU Langone Health (17E and 17W) from - - - - - Emergency Department
Receiving Physical Therapy
Initial AMPAC 6 clicks score 11-18
English Speaking

Exclusion Criteria

ICU level care
Acute cardiac risk (including recent acute MI and stroke, unstable arrhythmias, or uncontrolled hypertension)
Exercise-limiting physical disability (ie rotator cuff injury, neurologic impairment)
Severe cognitive impairment (1) No significant dementia or delirium (2) Patient able to accept readiness for PT and comprehend education
Contact Precautions

Arm && Interventions

Group	Intervention	Description
In--Bed Resistance Training Device	In-Bed Resistance Training Device	The present invention provides full body resistance training devices that attach to a planar edge, such as a footboard, headboard, or sideboard of a bed. The devices employ resistance bands for resistance training in both the incursion (force applying) and excursion (force releasing) phase of exercise.
Standard of Care	Standard of Care	No resistance training device

Primary Outcome Measures

Name	Time	Method
AMPAC 6 Clicks Composite PT (range 11-18)	1 Year	The AM - PAC measures 3 functional domains: basic mobility, daily activities and applied cognition . It may be used for assessment in adults with a wide range of diagnoses and levels of performance in the 3 domains . The '6 - Clicks' instruments may have advantages over the instruments previously developed for the acute care setting in that they are simple and quick to complete, provide a transparent measure of patients' capabilities in functional areas important for prioritization of therapy resources , and use Item Response Theory to derive a common metric that can be linked with other short forms derived from the AM - PAC instrument.

Secondary Outcome Measures

Name	Time	Method
Grip Strength using a dynamometer	30 seconds	Quantified by measuring the amount of static force that the hand can squeeze around a dynamometer
Modified 30 second sit to stand	1 Year	Count of the number of times a patient is able to come to a modified standing position in 30 seconds
SF-12	1 Year	Two summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12). The scores may be reported as Z-scores (difference compared to the population average, measured in standard deviations). The United States population average PCS-12 and MCS-12 are both 50 points. The United States population standard deviation is 10 points. So each 10 increment of 10 points above or below 50, corresponds to one standard deviation away from the average.

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