Randomized controlled trial of the effect of additional functional exercise during slow-stream rehabilitation in a regional center.

Abstract:

OBJECTIVE:To evaluate whether adding functional exercise training to standard physiotherapy during residential slow-stream rehabilitation (SSR) improves discharge outcomes and functional ability. DESIGN:Randomized controlled trial. SETTING:A regional hospital. PARTICIPANTS:Older people (N=60) admitted to SSR. INTERVENTION:All participants received standard physiotherapy. An individualized functional incidental training (FIT) program was implemented for intervention participants consisting of 4 extra episodes of functional exercise daily for the period of SSR. Research assistants visited twice weekly to practice and progress FIT programs. MAIN OUTCOME MEASURES:Outcome measures included discharge destination, participant-expected discharge destination, and functional tests of the Berg Balance Scale (BBS), de Morton Mobility Index (DEMMI), and 5 times sit-to-stand test (FTSTS) at admission and discharge. RESULTS:Fifty-two participants completed the study. At baseline, the SSR group achieved higher scores on the BBS, DEMMI, and FTSTS. There was no significant difference in discharge destination between groups (P=.305). The difference in functional change between groups from admission to discharge on the BBS, DEMMI, and FTSTS was not significant. Participant-expected discharge destination was significantly associated with eventual discharge destination (χ1(2)=8.40, P=.004). CONCLUSIONS:Adding FIT to standard physiotherapy did not improve discharge outcomes and did not have a statistically significant effect on function, but may have a small effect on balance. Patient expected and actual discharge destinations were associated.

journal_name

Arch Phys Med Rehabil

authors

Parker C,Hill K,Cobden J,Davidson M,McBurney H

doi

10.1016/j.apmr.2014.12.012

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

831-6

issue

5

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(14)01352-5

journal_volume

96

pub_type

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