Comparison of Three Types of Bedside Exercise Programs on Physical Functions of Hospitalized Patients
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Barthel Index (BI)
Study Overview
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 .
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 30 Years to 90 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Functional dependence evaluated by Barthel Index
- •Patients needed to rehabilitation program referred by medical doctor during hospitalization
- •Be able to follow command and assessment
Exclusion Criteria
- •Impaired cognition
- •Psychological problem from medical diagnosis
- •Having a potential cardiac risk or severe disease diagnosis from medical doctor
Arms & Interventions
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.
Intervention: video watching (Other)
paper sheet
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.
Intervention: paper group (Other)
oral health 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.
Intervention: oral education group (Other)
Outcomes
Primary Outcomes
Barthel Index (BI)
Time Frame: 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 Outcomes
- Hand-held dynamometer(Up to four weeks)
- Short Physical Performance Battery (SPPB)(four weeks)
- Time Up and Go (TUG)(Up to four weeks)
- de Morton Mobility Index (DEMMI)(Up to four weeks)
Investigators
Jia-Ching Chen
Associate professor, Department of physical therapy
Tzu Chi University