Effects of Acute Physical Therapy Services on Individuals with Acute Decompensated Heart Failure
| Autor: | Bobby Belarmino, Christina Bickley, Katy Mitchell, Peggy Gleeson |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Acute decompensated heart failure business.industry Rehabilitation Discharge measurements Physical Therapy Sports Therapy and Rehabilitation Timed Up and Go test medicine.disease Activity tolerance Gait training Therapeutic exercise Physical therapy Medicine business Cohort study Balance (ability) |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 102:e98-e99 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2021.07.771 |
| Popis: | Research Objectives 1) To describe the characteristics of patients admitted with acute decompensated heart failure (ADHF) that are referred to Acute Physical Therapy Services (APTS), 2) To determine if there were significant differences in initial and discharge measurements using four functional outcome measures (five minute walk test [5mWT], modified 30 second chair rise test [30CRT], six-minute walk test [6MWT], and timed up and go test [TUG], 3) To determine if patients’ discharge performance could be predicted from initial performance. Design Prospective, pre and post, cohort study. Setting Academic hospital. Participants All subjects (N=102) were admitted patients with admitting diagnosis of acute decompensated heart failure and were refereed to APTS. Interventions The intervention was APTS (therapeutic exercises, transfer training, gait training, balance retraining, and patient education). Each subject received as needed intervention in each session due to limited activity tolerance, lasting between 30 to 60 minutes or as tolerated. Main Outcome Measures 6MWT to measure aerobic capacity; 5mWT to measure gait speed; TUG to assess falls, 30CRT to measure leg strength, and GROC to measure perceived progress at discharge. Results At initial evaluation, all FOM showed marked functional limitations (mean 5mWT=.723 meter/seconds; mean 30CRT= 7.8 repetitions; mean 6MWT=525 feet; mean TUG=22.21 seconds). At discharge evaluation, all FOM showed significant improvement at p≤ .0005 (mean 5mWT=.795 meter/seconds; mean 30CRT=9.35 repetitions; mean 6MWT=635.65 feet; mean TUG=20.694 seconds). Significant mean differences (p≤ .001) were found in 30CRT (1.68 repetitions), in 6MWT (110.45 feet), and in TUG (-2.16 seconds), when compared the initial and discharge measurements. All initial scores were able to significantly predict discharge measurements at p≤ .005. Conclusions This study found profound functional limitations in those admitted with ADHF. During hospitalization, those subjects who received APTS made significant improvements in all four FOM. In addition, FOM at discharge can be predicted using initial admission scores. Lastly, the findings of this study add support to the effectiveness of APTS in maximizing medical management for patients admitted with ADHF. Author(s) Disclosures All authors have no conflict of interest to disclose. |
| Databáze: | OpenAIRE |
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