Comparison of Three Types of Bedside Exercise Programs on Physical Functions of Hospitalized Patients
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Barthel Index (BI)
研究概览
简要总结
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 .
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Functional dependence evaluated by Barthel Index
- •Patients needed to rehabilitation program referred by medical doctor during hospitalization
- •Be able to follow command and assessment
排除标准
- •Impaired cognition
- •Psychological problem from medical diagnosis
- •Having a potential cardiac risk or severe disease diagnosis from medical doctor
研究组 & 干预措施
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.
干预措施: 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.
干预措施: 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.
干预措施: oral education group (Other)
结局指标
主要结局
Barthel Index (BI)
时间窗: 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.
次要结局
- 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)
研究者
Jia-Ching Chen
Associate professor, Department of physical therapy
Tzu Chi University