Exercise Strategies for Bedside Cases During Hospitalization

Not Applicable

• Conditions: Hospitalization; Disability Physical
• Interventions: Other: oral education group; Other: video watching; Other: paper group

• Registration Number: NCT05252286
• Lead Sponsor: Buddhist Tzu Chi General Hospital

Brief Summary

Patients after hospital admission would experience the functional decline, so-called Hospital-Associated Disability. This condition could not only impact the patient health function but pose a burden on the family, even more consuming of medical resource in the country. Therefore, in addition to routine rehabilitation program, various bedside exercise programs are provided as an adjunct therapy to prevent functional declination and improve physical mobility for a patient after hospital admission. The aims of the study are conducted to compare the effect of three various bedside exercise programs (exercise based on watching video, oral education and paper sheet) on physical mobility among the hospitalized patients.

This is single-blind randomized control study and patients recruited from Tzu-Chi medical center in eastern Taiwan are ranged from 30 to 90 years old. All participants are randomly assigned to three groups (watching video, oral education and paper sheet). Patients in watching video group are provided with theirs 3 to 5 poor physical performance video recorded on the tablet or mobile phone during the rehabilitation program. The other two groups are provided oral education and paper sheet exercise program, respectively. All three groups patients conduct their bedside exercise programs when they return their ward.

Physical performance tests are evaluated before the intervention and one or two days before discharge by a physical therapist blinded the groups of patient .

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-01-22
• Study First Submitted QC: 2022-02-11
• Study First Posted: 2022-02-23
• Status Verified: 2022-03
• Study Start: 2022-03-15
• Last Update Submitted: 2022-03-15
• Last Update Posted: 2022-03-16
• Primary Completion: 2023-12
• Study Completion: 2023-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

1. Functional dependence evaluated by Barthel Index
2. Patients needed to rehabilitation program referred by medical doctor during hospitalization
3. Be able to follow command and assessment

Exclusion Criteria

1. Impaired cognition
2. Psychological problem from medical diagnosis
3. Having a potential cardiac risk or severe disease diagnosis from medical doctor

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
oral health education group	oral education group	In the oral health education group, the program is similar to the paper sheet group without providing any exercise paper sheet the patient but oral education.
video watching	video watching	In the video-watching group, a patient will follow the exercise instructions from watching the video. The exercise content in video are set during the patient conducting the rehabilitation program. Then, the therapist will select 3 to 5 groups of movements pattern needed to be enhanced catching from the video for the patient to practice when returning the bedside after the rehabilitation programs.
paper sheet	paper group	For the paper sheet group, the therapist will prepare the exercise leaflet, suitable for the patients, in advance, and select three to five groups of movement exercises on the leaflet that his/her therapist deem the patients needed to be enhanced. When the patients ends his/her rehabilitation program, they can practice following the instructions on the leaflet for them-self in bedside.

Primary Outcome Measures

Name	Time	Method
Barthel Index (BI)	Up to four weeks	The investigators will use the BI as the primary outcome measure in this study to evaluate activity of daily living at baseline before intervention, one week after intervention, and the time at discharge. BI is scored 0 to 100, the higher score and the better functional performance.

Secondary Outcome Measures

Name	Time	Method
Hand-held dynamometer	Up to four weeks	The investigators will use the hand-held dynamometer as the secondary outcome measure in this study to evaluate the muscle strength at baseline before intervention, one week after intervention, and the time at discharge.
Short Physical Performance Battery (SPPB)	four weeks	The investigators will use the SPPB as the secondary outcome measure in this study to evaluate the lower extremity functioning and physical mobility at baseline before intervention, one week after intervention, and the time at discharge. SPPB is scored 0 to 12, the higher score and the better physical mobility.
Time Up and Go (TUG)	Up to four weeks	The investigators will use the TUG as the secondary outcome measure in this study to evaluate the balance mobility at baseline before intervention, one week after intervention, and the time at discharge. TUG is recorded as the seconds, the shorter timing and the better balance function.
de Morton Mobility Index (DEMMI)	Up to four weeks	The investigators will use the DEMMI as the secondary outcome measure in this study to evaluate the physical mobility at baseline before intervention, one week after intervention, and the time at discharge. The DEMMI consists of 15 items with score 0-100, and the higher score, the better performane.

Trial Locations

Locations (1)

Tzu Chi Buddhist General Hospital; 🇨🇳 Hualien City, Taiwan