Feasibility Study of a Post-hospitalization Self-rehabilitation Program for Elderly Suffering of Sarcopenia

Not Applicable

• Conditions: Sarcopenia
• Interventions: Behavioral: Self-rehabilitation program and protein supplement

• Registration Number: NCT03834103
• Lead Sponsor: Institut Mutualiste Montsouris

Brief Summary

Loss of autonomy among elderly during and after hospitalisation is a well-known problem. Patient suffering of sarcopenia (decreasing in muscle mass and function) are more likely not to recover their previous autonomy.

Studies have shown that physical exercise, especially resistance exercises, is the most efficient known treatment of sarcopenia. Several institution-based rehabilitation programs had been implemented in this purpose.

On the other hand, some studies have shown that home-based self-rehabilitation can be as efficient as institution-based rehabilitation, for example in stroke, cardiac failure and COPD rehabilitation.

The investigators propose to set up a home-based self-rehabilitation program to fight against sarcopenia and hence increasing autonomy among elderly. This study aimed to establish the feasibility of such a program.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-10-09
• Status Verified: 2019-01
• Study First Submitted: 2019-01-21
• Study First Submitted QC: 2019-02-06
• Last Update Submitted: 2019-02-06
• Study First Posted: 2019-02-07
• Last Update Posted: 2019-02-07
• Primary Completion: 2019-03
• Study Completion: 2019-06

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Patients aged 70 or older
• Non-institutionnalised patients
• Patients suffering of sarcopenia during hospitalisation (assessed by the Short Physical Performance Battery, Bio-Impedance analysis and griptest)
• Patients hospitalised in the service of Internal Medicine of Institut Mutualiste Montsouris
• Patients returning at home after hospitalisation
• Patients who gave their written consent
• Patients who benefits from a social security coverage

Exclusion Criteria

• Patients suffering from a severe medical condition not allowing them to follow a physical exercise program
• Palliative care patients
• Patients without the musculo-squelettic capacity to follow the program : 4/4 on seated postural stability scale ; no motor deficit on lower limb muscular testing ; quadricipital locking when standing
• Patients with severe cognitive disorders (according to MMSE score adapted to socio-cultural level and age)
• Patients who live more than 150 km away
• Patients following specific physiotherapy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Arm 1: Self-rehabilitation arm	Self-rehabilitation program and protein supplement	Self-rehabilitation arm

Primary Outcome Measures

Name	Time	Method
Feasability of a post-hospitalization self-rehabilitation program for sarcopenic elderly patients	3 months	Measured from medical time required by phone call

Secondary Outcome Measures

Name	Time	Method
Quality of life evaluation	3 months	Change in quality of life measured with Médical Outcomes Study Short Form 36
Muscular status evaluation	3 months	Force in muscle mass measured with Grip test
Autonomy degree evaluation	3 months	Change in autonomy measured with Barthel Index

Trial Locations

Locations (1)

Institut Mutualiste Montsouris; 🇫🇷 Paris, France