Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/19570
Title: Additional structured physical activity does not improve walking in older people (>60years) undergoing inpatient rehabilitation: a randomised trial.
Authors: Said, Catherine M;Morris, Meg E;McGinley, Jennifer L;Szoeke, Cassandra;Workman, Barbara;Liew, Danny;Hill, Keith D;Woodward, Michael M;Wittwer, Joanne E;Churilov, Leonid;Danoudis, Mary;Bernhardt, Julie
Affiliation: Department of Aged Care Services, Austin Health, Heidelberg, Victoria, Australia
Department of Medicine, The University of Melbourne
Department of Physiotherapy, Austin Health, Heidelberg, Victoria, Australia
Physiotherapy, Melbourne School of Health Sciences, The University of Melbourne
La Trobe Centre for Exercise and Sports Medicine Research, School of Allied Health, La Trobe University, Melbourne
Northpark Private Hospital, Healthscope Australia, Melbourne
Healthy Ageing Program, Department of Medicine, The University of Melbourne
Centre for Medical Research, The Royal Melbourne Hospital
Institute for Health and Ageing, Australian Catholic University, Melbourne
Rehabilitation and Aged Care Services, Monash Health, Melbourne; Monash Ageing Research Centre (MONARC), Monash University, Melbourne
School of Public Health and Preventive Medicine, Monash University, Melbourne
School of Physiotherapy and Exercise Science, Curtin University, Perth
Statistics and Decision Analysis Academic Platform, The Florey Institute of Neuroscience & Mental Health, Melbourne; School of Science, RMIT University, Melbourne
Stroke Division, The Florey Institute of Neuroscience and Mental Health, Melbourne, Australia
Issue Date: Oct-2018
EDate: 2018-09-17
Citation: Journal of physiotherapy 2018; 64(4): 237-244
Abstract: Among older people receiving inpatient rehabilitation, does additional supervised physical activity lead to faster self-selected gait speed at discharge? Does additional supervised physical activity lead to better mobility, function and quality of life at discharge and 6 months following discharge? Multi-centre, parallel-group, randomised controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Older people (age>60years) from two Australian hospitals undergoing rehabilitation to improve mobility. Participants received multidisciplinary care, including physiotherapy. During hospital rehabilitation, the experimental group (n=99) spent additional time daily performing physical activities that emphasised upright mobility tasks; the control group (n=99) spent equal time participating in social activities. Self-selected gait speed was the primary outcome at discharge and a secondary outcome at the 6-month follow-up. Timed Up and Go, De Morton Mobility Index, Functional Independence Measure and quality of life were secondary outcomes at discharge and tertiary outcomes at the 6-month follow-up. The experimental group received a median of 20 additional minutes per day (IQR 15.0 to 22.5) of upright activities for a median of 16.5days (IQR 10.0 to 25.0). Gait speed did not differ between groups at discharge. Mean gait speed was 0.51m/s (SD 0.29) in the experimental group and 0.56m/s (SD 0.28) in the control group (effect size -0.06m/s, 95% CI -0.12 to 0.01, p=0.096). No significant differences were detected in other secondary measures. While substantial gains in mobility were achieved by older people receiving inpatient rehabilitation, additional physical activity sessions did not lead to better walking outcomes at discharge or 6 months. ACTRN12613000884707. [Said CM, Morris ME, McGinley JL, Szoeke C, Workman B, Liew D, Hill KD, Woodward M, Wittwer JE, Churilov L, Danoudis M, Bernhardt J (2018) Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial. Journal of Physiotherapy 64: 237-244].
URI: http://ahro.austin.org.au/austinjspui/handle/1/19570
DOI: 10.1016/j.jphys.2018.08.006
ORCID: 0000-0002-8773-9750
PubMed URL: 30236471
Type: Journal Article
Subjects: Exercise therapy
Hospitalisation
Mobility limitation
Randomised controlled trial
Rehabilitation
Appears in Collections:Journal articles

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