Effects of an individually targeted multicomponent counseling and home-based rehabilitation program on physical activity and mobility in community-dwelling older people after discharge from hospital : a randomized controlled trial
Turunen, K. M., Aaltonen-Määttä, L., Törmäkangas, T., Rantalainen, T., Portegijs, E., Keikkala, S., Kinnunen, M.-L., Finni, T., Sipilä, S., & Nikander, R. (2020). Effects of an individually targeted multicomponent counseling and home-based rehabilitation program on physical activity and mobility in community-dwelling older people after discharge from hospital : a randomized controlled trial. Clinical Rehabilitation, 34(4), 491-503. https://doi.org/10.1177/0269215519901155
Julkaistu sarjassa
Clinical RehabilitationTekijät
Päivämäärä
2020Oppiaine
BiomekaniikkaGerontologia ja kansanterveysGerontologian tutkimuskeskusHyvinvoinnin tutkimuksen yhteisöBiomechanicsGerontology and Public HealthGerontology Research CenterSchool of WellbeingTekijänoikeudet
© 2020 SAGE Publications
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 ⩾60years 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±78minutes/day and 121±70 at baseline and 167±81 and
164±72 at sixmonths in the intervention and control group, respectively; mean difference of 3.4minutes
(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.
...
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0269-2155Asiasanat
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https://converis.jyu.fi/converis/portal/detail/Publication/34428031
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This study was supported by the Finnish Ministry of Social Affairs and Health, National Institute for Health and Welfare (THL) (Grant Number 201510222); the Social Insurance Institution of Finland (Kela), Dnro 113/331/2014; the Ministry of Social Affairs and Health (for Kuopio University Hospital Catchment Area (Grant Number 108(13.01.02/2015)); and the Finnish Association of Physiotherapists.Lisenssi
Samankaltainen aineisto
Näytetään aineistoja, joilla on samankaltainen nimeke tai asiasanat.
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Effects of a home-based rehabilitation program in community-dwelling older people after discharge from hospital : a subgroup analysis of a randomized controlled trial
Turunen, Katri Maria; Aaltonen-Määttä, Laura; Portegijs, Erja; Rantalainen, Timo; Keikkala, Sirkka; Kinnunen, Marja-Liisa; Sipilä, Sarianna; Nikander, Riku (SAGE Publications, 2021)Objective: To examine whether pre-admission community mobility explains the effects of a rehabilitation program on physical performance and activity in older adults recently discharged from hospital. Design: A secondary ... -
Mobility recovery after hip fracture and effects of a multi-component home-based rehabilitation program
Salpakoski, Anu (University of Jyväskylä, 2014) -
Physical activity after a hip fracture : effect of a multicomponent home-based rehabilitation program - a secondary analysis of a randomized controlled trial
Turunen, Katri; Salpakoski, Anu; Edgren, Johanna; Törmäkangas, Timo; Arkela, Marja; Kallinen, Mauri; Pesola, Maija; Hartikainen, Sirpa; Nikander, Riku; Sipilä, Sarianna (W.B. Saunders Co., 2017)Objectives To investigate the effect of a yearlong multicomponent rehabilitation program on the level of physical activity (PA) and the maintenance of the level of PA over 1-year follow-up among older people recovering ... -
Physical disability in community-dwelling older people after hip fracture : randomized controlled trials with physical rehabilitation
Edgren, Johanna (University of Jyväskylä, 2013) -
A tailored counseling and home-based rehabilitation program to increase physical activity and improve mobility among community-dwelling older people after hospitalization: protocol of a randomized controlled trial
Turunen, Katri; Aaltonen, L.; Kumpumäki, J.; Portegijs, Erja; Keikkala, S.; Kinnunen, M.-L.; Finni Juutinen, Taija; Sipilä, Sarianna; Nikander, Riku (BioMed Central, 2017)Background: Physical activity (PA) decreases during hospitalization. In particular, the amount of PA engaged in by older people who are hospitalized following musculoskeletal injury is likely to be limited for months after ...
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