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dc.contributor.authorTurunen, Katri Maria
dc.contributor.authorAaltonen-Määttä, Laura
dc.contributor.authorPortegijs, Erja
dc.contributor.authorRantalainen, Timo
dc.contributor.authorKeikkala, Sirkka
dc.contributor.authorKinnunen, Marja-Liisa
dc.contributor.authorSipilä, Sarianna
dc.contributor.authorNikander, Riku
dc.date.accessioned2021-03-29T06:08:50Z
dc.date.available2021-03-29T06:08:50Z
dc.date.issued2021
dc.identifier.citationTurunen, K. M., Aaltonen-Määttä, L., Portegijs, E., Rantalainen, T., Keikkala, S., Kinnunen, M.-L., Sipilä, S., & Nikander, R. (2021). Effects of a home-based rehabilitation program in community-dwelling older people after discharge from hospital : a subgroup analysis of a randomized controlled trial. <i>Clinical rehabilitation</i>, <i>35</i>(9), 1257-1265. <a href="https://doi.org/10.1177/02692155211001672" target="_blank">https://doi.org/10.1177/02692155211001672</a>
dc.identifier.otherCONVID_52571169
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/74860
dc.description.abstractObjective: 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 analysis of a randomized controlled trial. Setting: Home and community. Participants: Community-dwelling adults aged ⩾60 years recovering from a lower limb or back injury, surgery or other disorder who were randomized to a rehabilitation (n = 59) or standard care control (n = 58) group. They were further classified into subgroups that were not planned a priori: (1) mild, (2) moderate, or (3) severe pre-admission restrictions in community mobility. Interventions: The 6-month intervention consisted of a motivational interview, goal attainment process, guidance for safe walking, a progressive home exercise program, physical activity counselling, and standard care. Measurements: Physical performance was measured with the Short Physical Performance Battery and physical activity with accelerometers and self-reports. Data were analysed by generalized estimating equation models with the interactions of intervention, time, and subgroup. Results: Rehabilitation improved physical performance more in the intervention (n = 30) than in the control group (n = 28) among participants with moderate mobility restriction: score of the Short Physical Performance Battery was 4.4 ± 2.3 and 4.2 ± 2.2 at baseline, and 7.3 ± 2.6 and 5.8 ± 2.9 at 6 months in the intervention and control group, respectively (mean difference 1.6 points, 95% Confidence Interval 0.2 to 3.1). Rehabilitation did not increase accelerometer-based physical activity in the aforementioned subgroup and did not benefit those with either mild or severe mobility restrictions. Conclusions: Pre-admission mobility may determine the response to the largely counselling-based rehabilitation program.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherSAGE Publications
dc.relation.ispartofseriesClinical rehabilitation
dc.rightsCC BY 4.0
dc.subject.otherlife space
dc.subject.otherrecovery
dc.subject.othermusculoskeletal disorder
dc.subject.otheraging
dc.titleEffects of a home-based rehabilitation program in community-dwelling older people after discharge from hospital : a subgroup analysis of a randomized controlled trial
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202103292193
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineBiomekaniikkafi
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineBiomechanicsen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.format.pagerange1257-1265
dc.relation.issn0269-2155
dc.relation.numberinseries9
dc.relation.volume35
dc.type.versionpublishedVersion
dc.rights.copyright© 2021 the Authors
dc.rights.accesslevelopenAccessfi
dc.subject.ysokuntoutus
dc.subject.ysofyysinen aktiivisuus
dc.subject.ysoikääntyneet
dc.subject.ysoliikuntakyky
dc.subject.ysointerventiotutkimus
dc.subject.ysotuki- ja liikuntaelinten taudit
dc.subject.ysofyysinen toimintakyky
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p3320
jyx.subject.urihttp://www.yso.fi/onto/yso/p23102
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p22622
jyx.subject.urihttp://www.yso.fi/onto/yso/p32625
jyx.subject.urihttp://www.yso.fi/onto/yso/p2500
jyx.subject.urihttp://www.yso.fi/onto/yso/p27172
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1177/02692155211001672
jyx.fundinginformationThis 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 the Kuopio University Hospital Catchment Area (Grant Number 108(13.01.02/2015)); and the Finnish Association of Physiotherapists.


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