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
| Autor: | Riku Nikander, Katri Turunen, S. Keikkala, Taija Finni, J. Kumpumäki, Sarianna Sipilä, L. Aaltonen, M.-L. Kinnunen, Erja Portegijs |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Counseling
Male Gerontology Aging lcsh:Diseases of the musculoskeletal system medicine.medical_treatment Psychological intervention Poison control physical activity Injury Fear of falling law.invention Study Protocol 0302 clinical medicine Randomized controlled trial law Surveys and Questionnaires sedentary behavior Orthopedics and Sports Medicine Musculoskeletal Diseases 030212 general & internal medicine Mobility Aged 80 and over Rehabilitation clinical trial liikuntarajoitteet Middle Aged Exercise Therapy Clinical trial Hospitalization liikkuvuus Research Design Musculoskeletal injury Female Independent Living medicine.symptom fyysinen aktiivisuus ikääntyneet medicine.medical_specialty injury kotihoito 03 medical and health sciences Rheumatology Injury prevention medicine Humans Mobility Limitation Exercise Life Style Aged musculoskeletal Physical activity business.industry aging medicine.disease Sedentary behavior Mood Musculoskeletal Physical therapy kuntoutus lcsh:RC925-935 business 030217 neurology & neurosurgery |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 18, Iss 1, Pp 1-10 (2017) |
| Popis: | 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 discharge home. Given the importance of an active lifestyle for their recovery and the prevention of future adverse outcomes, there is clearly a need for interventions to increase PA. This article describes the protocol of a randomized controlled trial set up to investigate the effects of a physical activity oriented home rehabilitation program (ProPA) on PA and the restoration of mobility in community-dwelling older people. Men and women aged 60 years or older hospitalized due to a musculoskeletal injury or disorder in the back or lower limbs are recruited. After discharge from hospital to home, participants are randomized into a six-month ProPA program or a standard care (control) group. The ProPA program consists of a motivational interview, goal attainment process, guidance for safe walking, a progressive home exercise program and physical activity counseling. In addition, frail participants who are not able to go outdoors alone receive support from volunteers. Primary outcomes are PA measured using a 3-dimentional accelerometer, and mobility assessed by the Short Physical Performance Battery and self-reports. Secondary outcomes are life space mobility, participation restriction, fear of falling, pain, mood, and grip strength. Information on barriers to and enablers of PA participation are also collected. Data on mortality and use of health services are collected from the national register. In this 6-month intervention, all participants are assessed in their homes at baseline and after three and six months, and at 12 months after randomization they will receive a follow-up questionnaire. This study investigates the effects of a rehabilitation program on PA and mobility among older people at risk for increased sedentary time and mobility problems. If positive effects are observed, the program can be considered for incorporation into the health care system and thereby contribute to the rehabilitation of older people who have recently been discharged from hospital. ISRCTN13461584 . Registered 27 January 2016. |
| Databáze: | OpenAIRE |
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