Feasibility and effectiveness of an augmented prescribed exercise programme (APEP) on mobility in older medical patients in the acute setting - a randomised pilot study

Not Applicable

• Conditions: older medical patients in acute care; R54; Senility

• Registration Number: DRKS00011262
• Lead Sponsor: Hochschule für Gesundheit, Bochum

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2016-10-27
• Study Completion: 2017-12-19
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

planned acute-geriatric stay of at least 2 weeks in the study hospital
- acute medical care in context of the standard geriatric multi-modal intervention (German Geriatrische Komplexbehandlung”, GFK)
- walking ability (with or without walking aid, independent or with stand-by assistance): Functional Ambulation Categories (FAC) Score =3 (Mehrholz 2007)
- limited mobility: Timed-Up-And-Go Test >9 seconds (Marks 2016)

Exclusion Criteria

- significant cognitive impairment, which exceed slight cognitive impairment ((ICD-10-Code: F06.7) and/or relevant cognitive impairment, which is documented with a validated test of cognition (Mini Mental State Examination <18 points (Folstein 1983) and/or diagnosis of dementia
- severe hearing impairment
- severe visual impairment
- language barrier (German)
- acute psychiatric condition (e.g. delir)
- initiated palliative care
- any medical restriction for physiotherapeutic interventions (e.g. physical training)
- no understanding of simple orders
- baseline-assessment has not taken place in the first 5 days after hospital admission

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Feasibility: Process aspects, resource aspects, management aspects, scientific aspects (Thabane 2010)<br><br>Effectiveness: Mobility assessed with the de Morton Morton Mobility Index (de Morton 2008, Braun 2015) after the intervention (assessed at discharge or a maximum of 3 weeks after the start of the intervention).

Secondary Outcome Measures

Name	Time	Method
Effectiveness: The secondary outcomes are assessed after the intervention (at discharge or after a maximum of 3 weeks after the start of the intervention).<br><br>[1] Mobility/balance, assessed with the Timed Up And Go Test (Podsiadlo 1991, Marks 2016) and the Hierarchical Assessment of Balance and Mobility (Braun 2016). <br><br>[2] Gait speed (Bongers 2015).<br><br>[3] Fear of falling, assessed with the Falls Efficacy Scale International (Yardley 2005). <br><br>[4] Frailty, assessed with the Frailty Index (Searle 2008). <br><br>[5] Ambulation, assessed with the Functional Ambulation Categories (Mehrholz 2007). <br><br>[6] Physical endurance, assessed with the 6 minute walk test (Enright 2003)