Katri M Turunen1, Laura Aaltonen-Määttä1,2, Timo Törmäkangas1, Timo Rantalainen1, Erja Portegijs1, Sirkka Keikkala3, Marja-Liisa Kinnunen3,4,5, Taija Finni6, Sarianna Sipilä1, Riku Nikander1,4,7. 1. Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland. 2. Klinik Healthcare Solutions Oy, Helsinki, Finland. 3. Finland Health Centre Hospital, Health Centre of Jyväskylä Cooperation Area, City of Jyväskylä, Finland. 4. Central Hospital of Central Finland, Jyväskylä, Finland. 5. Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland. 6. Neuromuscular Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland. 7. GeroCenter Foundation for Aging Research and Development, Jyväskylä, Finland.
Abstract
OBJECTIVES: The aim of this study is to evaluate the effects of multicomponent rehabilitation on physical activity, sedentary behavior, and mobility in older people recently discharged from hospital. DESIGN: Randomized controlled trial. SETTING: Home and community. PARTICIPANTS: Community-dwelling people aged ⩾60 years recovering from a lower limb or back musculoskeletal injury, surgery, or disorder were recruited from local health center hospitals and randomly assigned into an intervention (n = 59) or a control (standard care, n = 58) group. INTERVENTION: The six-month intervention consisted of a motivational interview, goal attainment process, guidance for safe walking, a progressive home exercise program, physical activity counseling, and standard care. MEASUREMENTS: Physical activity and sedentary time were assessed using an accelerometer and a single question. Mobility was evaluated with the Short Physical Performance Battery, self-reported use of a walking aid, and ability to negotiate stairs and walk outdoors. Intervention effects were analyzed with generalized estimating equations. RESULTS: Daily physical activity was 127 ± 78 minutes/day and 121 ± 70 at baseline and 167 ± 81 and 164 ± 72 at six months in the intervention and control group, respectively; mean difference of 3.4 minutes (95% confidence interval (CI) = -20.3 to 27.1). In addition, no significant between-group differences were shown in physical performance. CONCLUSION: The rehabilitation program was not superior to standard care for increasing physical activity or improving physical performance. Mobility-limited older people who had recently returned home from hospital would have needed a longer and more frequently monitored comprehensive geriatric intervention.
OBJECTIVES: The aim of this study is to evaluate the effects of multicomponent rehabilitation on physical activity, sedentary behavior, and mobility in older people recently discharged from hospital. DESIGN: Randomized controlled trial. SETTING: Home and community. PARTICIPANTS: Community-dwelling people aged ⩾60 years recovering from a lower limb or back musculoskeletal injury, surgery, or disorder were recruited from local health center hospitals and randomly assigned into an intervention (n = 59) or a control (standard care, n = 58) group. INTERVENTION: The six-month intervention consisted of a motivational interview, goal attainment process, guidance for safe walking, a progressive home exercise program, physical activity counseling, and standard care. MEASUREMENTS: Physical activity and sedentary time were assessed using an accelerometer and a single question. Mobility was evaluated with the Short Physical Performance Battery, self-reported use of a walking aid, and ability to negotiate stairs and walk outdoors. Intervention effects were analyzed with generalized estimating equations. RESULTS: Daily physical activity was 127 ± 78 minutes/day and 121 ± 70 at baseline and 167 ± 81 and 164 ± 72 at six months in the intervention and control group, respectively; mean difference of 3.4 minutes (95% confidence interval (CI) = -20.3 to 27.1). In addition, no significant between-group differences were shown in physical performance. CONCLUSION: The rehabilitation program was not superior to standard care for increasing physical activity or improving physical performance. Mobility-limited older people who had recently returned home from hospital would have needed a longer and more frequently monitored comprehensive geriatric intervention.
Authors: Sebastien Chastin; Paul A Gardiner; Juliet A Harvey; Calum F Leask; Javier Jerez-Roig; Dori Rosenberg; Maureen C Ashe; Jorunn L Helbostad; Dawn A Skelton Journal: Cochrane Database Syst Rev Date: 2021-06-25