Progressive multi-component home-based physical therapy for deconditioned older adults following acute hospitalization: a pilot randomized controlled trial.

Clinical Rehabilitation
Jennifer E Stevens-LapsleyKathleen K Mangione

Abstract

To determine whether a progressive multicomponent physical therapy intervention in the home setting can improve functional mobility for deconditioned older adults following acute hospitalization. Randomized controlled trial. Patient homes in the Denver, CO, metropolitan area. A total of 22 homebound older adults age 65 and older (mean ± SD; 85.4 ±7.83); 12 were randomized to intervention group and 10 to the control group. The progressive multicomponent intervention consisted of home-based progressive strength, mobility and activities of daily living training. The control group consisted of usual care rehabilitation. A 4-meter walking speed, modified Physical Performance Test, Short Physical Performance Battery, 6-minute walk test. At the 60-day time point, the progressive multicomponent intervention group had significantly greater improvements in walking speed (mean change: 0.36 m/s vs. 0.14 m/s, p = 0.04), modified physical performance test (mean change: 6.18 vs. 0.98, p = 0.02) and Short Physical Performance Battery scores (mean change: 2.94 vs. 0.38, p = 0.02) compared with the usual care group. The progressive multicomponent intervention group also had a trend towards significant improvement in the 6-minute walk test at 60 ...Continue Reading

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Citations

Jan 24, 2020·International Journal of Environmental Research and Public Health·Iñaki EcheverriaAriadna Besga
May 1, 2021·Journal of Clinical Medicine·Robert T MankowskiScott C Brakenridge

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