Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial
Questions: Among older people receiving inpatient rehabilitation, does additional supervised physical activity lead to faster self-selected gait speed at discharge? Does additional supervised physical activity lead to better mobility, function and quality of life at discharge and 6 months following...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Journal Article |
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Australian Physiotherapy Association
2018
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| Online Access: | http://hdl.handle.net/20.500.11937/72405 |
| _version_ | 1848762741819441152 |
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| author | Said, C. Morris, M. McGinley, J. Szoeke, C. Workman, B. Liew, D. Hill, Keith Woodward, M. Wittwer, J. Churilov, L. Danoudis, M. Bernhardt, J. |
| author_facet | Said, C. Morris, M. McGinley, J. Szoeke, C. Workman, B. Liew, D. Hill, Keith Woodward, M. Wittwer, J. Churilov, L. Danoudis, M. Bernhardt, J. |
| author_sort | Said, C. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Questions: Among older people receiving inpatient rehabilitation, does additional supervised physical activity lead to faster self-selected gait speed at discharge? Does additional supervised physical activity lead to better mobility, function and quality of life at discharge and 6 months following discharge? Design: Multi-centre, parallel-group, randomised controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants: Older people (age > 60 years) from two Australian hospitals undergoing rehabilitation to improve mobility. Intervention: Participants received multidisciplinary care, including physiotherapy. During hospital rehabilitation, the experimental group (n = 99) spent additional time daily performing physical activities that emphasised upright mobility tasks; the control group (n = 99) spent equal time participating in social activities. Outcome measures: Self-selected gait speed was the primary outcome at discharge and a secondary outcome at the 6-month follow-up. Timed Up and Go, De Morton Mobility Index, Functional Independence Measure and quality of life were secondary outcomes at discharge and tertiary outcomes at the 6-month follow-up. Results: The experimental group received a median of 20 additional minutes per day (IQR 15.0 to 22.5) of upright activities for a median of 16.5 days (IQR 10.0 to 25.0). Gait speed did not differ between groups at discharge. Mean gait speed was 0.51 m/s (SD 0.29) in the experimental group and 0.56 m/s (SD 0.28) in the control group (effect size -0.06 m/s, 95% CI -0.12 to 0.01, p = 0.096). No significant differences were detected in other secondary measures. Conclusion: While substantial gains in mobility were achieved by older people receiving inpatient rehabilitation, additional physical activity sessions did not lead to better walking outcomes at discharge or 6 months. Trial registration: ACTRN12613000884707. [Said CM, Morris ME, McGinley JL, Szoeke C, Workman B, Liew D, Hill KD, Woodward M, Wittwer JE, Churilov L, Danoudis M, Bernhardt J (2018) Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial. Journal of Physiotherapy 64: 237–244] |
| first_indexed | 2025-11-14T10:52:23Z |
| format | Journal Article |
| id | curtin-20.500.11937-72405 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:52:23Z |
| publishDate | 2018 |
| publisher | Australian Physiotherapy Association |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-724052019-02-08T06:06:27Z Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial Said, C. Morris, M. McGinley, J. Szoeke, C. Workman, B. Liew, D. Hill, Keith Woodward, M. Wittwer, J. Churilov, L. Danoudis, M. Bernhardt, J. Questions: Among older people receiving inpatient rehabilitation, does additional supervised physical activity lead to faster self-selected gait speed at discharge? Does additional supervised physical activity lead to better mobility, function and quality of life at discharge and 6 months following discharge? Design: Multi-centre, parallel-group, randomised controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants: Older people (age > 60 years) from two Australian hospitals undergoing rehabilitation to improve mobility. Intervention: Participants received multidisciplinary care, including physiotherapy. During hospital rehabilitation, the experimental group (n = 99) spent additional time daily performing physical activities that emphasised upright mobility tasks; the control group (n = 99) spent equal time participating in social activities. Outcome measures: Self-selected gait speed was the primary outcome at discharge and a secondary outcome at the 6-month follow-up. Timed Up and Go, De Morton Mobility Index, Functional Independence Measure and quality of life were secondary outcomes at discharge and tertiary outcomes at the 6-month follow-up. Results: The experimental group received a median of 20 additional minutes per day (IQR 15.0 to 22.5) of upright activities for a median of 16.5 days (IQR 10.0 to 25.0). Gait speed did not differ between groups at discharge. Mean gait speed was 0.51 m/s (SD 0.29) in the experimental group and 0.56 m/s (SD 0.28) in the control group (effect size -0.06 m/s, 95% CI -0.12 to 0.01, p = 0.096). No significant differences were detected in other secondary measures. Conclusion: While substantial gains in mobility were achieved by older people receiving inpatient rehabilitation, additional physical activity sessions did not lead to better walking outcomes at discharge or 6 months. Trial registration: ACTRN12613000884707. [Said CM, Morris ME, McGinley JL, Szoeke C, Workman B, Liew D, Hill KD, Woodward M, Wittwer JE, Churilov L, Danoudis M, Bernhardt J (2018) Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial. Journal of Physiotherapy 64: 237–244] 2018 Journal Article http://hdl.handle.net/20.500.11937/72405 10.1016/j.jphys.2018.08.006 Australian Physiotherapy Association restricted |
| spellingShingle | Said, C. Morris, M. McGinley, J. Szoeke, C. Workman, B. Liew, D. Hill, Keith Woodward, M. Wittwer, J. Churilov, L. Danoudis, M. Bernhardt, J. Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial |
| title | Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial |
| title_full | Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial |
| title_fullStr | Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial |
| title_full_unstemmed | Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial |
| title_short | Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial |
| title_sort | additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial |
| url | http://hdl.handle.net/20.500.11937/72405 |