Sara Morghen1,2, Alessandro Morandi3,4, Andrew A Guccione5, Michela Bozzini1, Fabio Guerini1,2, Roberto Gatti6, Francesco Del Santo1, Simona Gentile1,2, Marco Trabucchi2,7, Giuseppe Bellelli2,8. 1. Department of Rehabilitation and Aged Care "Fondazione Camplani" Hospital, Via Aselli 14, Cremona, Italy. 2. Geriatric Research Group, Brescia, Italy. 3. Department of Rehabilitation and Aged Care "Fondazione Camplani" Hospital, Via Aselli 14, Cremona, Italy. morandi.alessandro@gmail.com. 4. Geriatric Research Group, Brescia, Italy. morandi.alessandro@gmail.com. 5. Department of Rehabilitation Science, Fairfax, VA, USA. 6. Laboratory of Analysis and Rehabilitation of Motor Function, San Raffale Institute, Milan, Italy. 7. Tor Vergata University, Rome, Italy. 8. Department of Health Science, University of Milano-Bicocca, Milan and Geriatric Clinic, "S Gerardo" Hospital, Monza, Italy.
Abstract
OBJECTIVES: To evaluate patients' participation during physical therapy sessions as assessed with the Pittsburgh rehabilitation participation scale (PRPS) as a possible predictor of functional gain after rehabilitation training. METHODS: All patients aged 65 years or older consecutively admitted to a Department of Rehabilitation and Aged Care (DRAC) were evaluated on admission regarding their health, nutritional, functional and cognitive status. Functional status was assessed with the functional independence measure (FIM) on admission and at discharge. Participation during rehabilitation sessions was measured with the PRPS. Functional gain was evaluated using the Montebello rehabilitation factor score (MRFS efficacy), and patients stratified in two groups according to their level of functional gain and their sociodemographic, clinical and functional characteristics were compared. Predictors of poor functional gain were evaluated using a multivariable logistic regression model adjusted for confounding factors. RESULT: A total of 556 subjects were included in this study. Patients with poor functional gain at discharge demonstrated lower participation during physical therapy sessions were significantly older, more cognitively and functionally impaired on admission, more depressed, more comorbid, and more frequently admitted for cardiac disease or immobility syndrome than their counterparts. There was a significant linear association between PRPS scores and MRFS efficacy. In a multivariable logistic regression model, participation was independently associated with functional gain at discharge (odds ratio 1.51, 95 % confidence interval 1.19-1.91). CONCLUSION: This study showed that participation during physical therapy affects the extent of functional gain at discharge in a large population of older patients with multiple diseases receiving in-hospital rehabilitation.
OBJECTIVES: To evaluate patients' participation during physical therapy sessions as assessed with the Pittsburgh rehabilitation participation scale (PRPS) as a possible predictor of functional gain after rehabilitation training. METHODS: All patients aged 65 years or older consecutively admitted to a Department of Rehabilitation and Aged Care (DRAC) were evaluated on admission regarding their health, nutritional, functional and cognitive status. Functional status was assessed with the functional independence measure (FIM) on admission and at discharge. Participation during rehabilitation sessions was measured with the PRPS. Functional gain was evaluated using the Montebello rehabilitation factor score (MRFS efficacy), and patients stratified in two groups according to their level of functional gain and their sociodemographic, clinical and functional characteristics were compared. Predictors of poor functional gain were evaluated using a multivariable logistic regression model adjusted for confounding factors. RESULT: A total of 556 subjects were included in this study. Patients with poor functional gain at discharge demonstrated lower participation during physical therapy sessions were significantly older, more cognitively and functionally impaired on admission, more depressed, more comorbid, and more frequently admitted for cardiac disease or immobility syndrome than their counterparts. There was a significant linear association between PRPS scores and MRFS efficacy. In a multivariable logistic regression model, participation was independently associated with functional gain at discharge (odds ratio 1.51, 95 % confidence interval 1.19-1.91). CONCLUSION: This study showed that participation during physical therapy affects the extent of functional gain at discharge in a large population of older patients with multiple diseases receiving in-hospital rehabilitation.
Authors: A Calle; G Onder; A Morandi; G Bellelli; E Ortolani; L M Pérez; M Mesas; A Sanniti; P Mazzanti; C N Platto; S Gentile; N Martinez; M Roquè; M Inzitari Journal: J Nutr Health Aging Date: 2018 Impact factor: 4.075
Authors: Catherine M Said; Jennifer L McGinley; Cassandra Szoeke; Barbara Workman; Keith D Hill; Joanne E Wittwer; Michael Woodward; Danny Liew; Leonid Churilov; Julie Bernhardt; Meg E Morris Journal: BMC Geriatr Date: 2021-01-31 Impact factor: 3.921
Authors: Baris Ercal; Thomas L Rodebaugh; Marghuretta D Bland; Peggy Barco; Emily Lenard; Catherine E Lang; J Philip Miller; Michael Yingling; Eric J Lenze Journal: Am J Phys Med Rehabil Date: 2021-07-01 Impact factor: 3.412