The impact of mobility limitations on geriatric rehabilitation outcomes: Positive effects of resistance exercise training (RESORT): Positive effects of resistance exercise training (RESORT)
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| Název: | The impact of mobility limitations on geriatric rehabilitation outcomes: Positive effects of resistance exercise training (RESORT): Positive effects of resistance exercise training (RESORT) |
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| Autoři: | Laure M. G. Verstraeten, Esmee M. Reijnierse, Thom Spoelstra, Carel G. M. Meskers, Andrea B. Maier |
| Zdroj: | J Cachexia Sarcopenia Muscle Journal of Cachexia, Sarcopenia and Muscle, Vol 15, Iss 5, Pp 2094-2103 (2024) |
| Informace o vydavateli: | Wiley, 2024. |
| Rok vydání: | 2024 |
| Témata: | Male, Aged, 80 and over, Rehabilitation, QM1-695, Resistance Training, Diseases of the musculoskeletal system, Walking, Resistance Training/methods, Resistance training, Treatment Outcome, RC925-935, Geriatric Assessment/methods, Physical functional performance, Human anatomy, Activities of Daily Living, 80 and over, Dependent ambulation, Humans, Original Article, Female, Mobility Limitation, Geriatric Assessment, Aged |
| Popis: | BackgroundRegaining walking ability is a key target in geriatric rehabilitation. This study evaluated the prevalence of walking ability at (pre‐)admission and related clinical characteristics in a cohort of geriatric rehabilitation inpatients; in inpatients without walking ability, feasibility and effectiveness of progressive resistance exercise training (PRT) were assessed.MethodsInpatients within RESORT, an observational, longitudinal cohort of geriatric rehabilitation inpatients, were stratified in those with and without ability to walk independently (defined by Functional Ambulation Classification (FAC) score ≤ 2) at admission; further subdivision was performed by pre‐admission walking ability. Clinical characteristics at admission, length of stay, and changes in physical and functional performance throughout admission were compared depending on (pre‐)admission walking ability. Feasibility (relative number of PRT sessions given and dropout rate) and effectiveness [change in Short Physical Performance Battery, FAC, independence in (instrumental) activities of daily living (ADL/IADL)] of PRT (n = 11) in a subset of inpatients without ability to walk independently at admission (able to walk pre‐admission) were investigated compared with usual care (n = 11) (LIFT‐UP study).ResultsOut of 710 inpatients (median age 83.5 years; 58.0% female), 52.2% were not able to walk independently at admission, and 7.6% were not able to walk pre‐admission. Inpatients who were not able to walk independently at admission, had a longer length of stay, higher prevalence of cognitive impairment and frailty and malnutrition risk scores, and a lower improvement in independence in (I)ADL compared with inpatients who were able to walk at both admission and pre‐admission. In LIFT‐UP, the relative median number of PRT sessions given compared with the protocol (twice per weekday) was 11 out of 44. There were no dropouts. PRT improved FAC (P = 0.028) and ADL (P = 0.034) compared with usual care.ConclusionsHigh prevalence of inpatients who are not able to walk independently and its negative impact on independence in (I)ADL during geriatric rehabilitation highlights the importance of tailored interventions such as PRT, which resulted in improvement in FAC and ADL. |
| Druh dokumentu: | Article Other literature type |
| Jazyk: | English |
| ISSN: | 2190-6009 2190-5991 |
| DOI: | 10.1002/jcsm.13557 |
| Přístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/39236305 https://doaj.org/article/c3d7cd0ee30e4a1e8e18dad22f373467 https://hdl.handle.net/1871.1/29c883ed-f1ff-4b3c-a8cf-c7c41ca75ca4 https://doi.org/10.1002/jcsm.13557 https://research.vu.nl/en/publications/29c883ed-f1ff-4b3c-a8cf-c7c41ca75ca4 https://research.hva.nl/en/publications/858e4127-cf8c-45f3-9ee6-0544731054eb https://doi.org/10.1002/jcsm.13557 https://hdl.handle.net/20.500.11884/858e4127-cf8c-45f3-9ee6-0544731054eb |
| Rights: | CC BY |
| Přístupové číslo: | edsair.doi.dedup.....88bbc6d7e5abfdc0319c1e102274e0d6 |
| Databáze: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | BackgroundRegaining walking ability is a key target in geriatric rehabilitation. This study evaluated the prevalence of walking ability at (pre‐)admission and related clinical characteristics in a cohort of geriatric rehabilitation inpatients; in inpatients without walking ability, feasibility and effectiveness of progressive resistance exercise training (PRT) were assessed.MethodsInpatients within RESORT, an observational, longitudinal cohort of geriatric rehabilitation inpatients, were stratified in those with and without ability to walk independently (defined by Functional Ambulation Classification (FAC) score ≤ 2) at admission; further subdivision was performed by pre‐admission walking ability. Clinical characteristics at admission, length of stay, and changes in physical and functional performance throughout admission were compared depending on (pre‐)admission walking ability. Feasibility (relative number of PRT sessions given and dropout rate) and effectiveness [change in Short Physical Performance Battery, FAC, independence in (instrumental) activities of daily living (ADL/IADL)] of PRT (n = 11) in a subset of inpatients without ability to walk independently at admission (able to walk pre‐admission) were investigated compared with usual care (n = 11) (LIFT‐UP study).ResultsOut of 710 inpatients (median age 83.5 years; 58.0% female), 52.2% were not able to walk independently at admission, and 7.6% were not able to walk pre‐admission. Inpatients who were not able to walk independently at admission, had a longer length of stay, higher prevalence of cognitive impairment and frailty and malnutrition risk scores, and a lower improvement in independence in (I)ADL compared with inpatients who were able to walk at both admission and pre‐admission. In LIFT‐UP, the relative median number of PRT sessions given compared with the protocol (twice per weekday) was 11 out of 44. There were no dropouts. PRT improved FAC (P = 0.028) and ADL (P = 0.034) compared with usual care.ConclusionsHigh prevalence of inpatients who are not able to walk independently and its negative impact on independence in (I)ADL during geriatric rehabilitation highlights the importance of tailored interventions such as PRT, which resulted in improvement in FAC and ADL. |
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| ISSN: | 21906009 21905991 |
| DOI: | 10.1002/jcsm.13557 |