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This study will help to determine whether frail older medical inpatients will benefit from targeted exercise sessions performed twice daily while in hospital. Half of the patients will complete targeted strengthening, balance and endurance exercises and the other half, stretching and relaxation exercises. The exercise sessions will be assisted and supported by a senior physiotherapist.
It is well known that older medical patients can experience functional decline following an acute hospital admission and this can persist for up to three months. The targeted exercises are designed to prevent this functional decline by maintaining the patients' strength, balance and endurance. To counterbalance the considerable time spent with the physiotherapy services in the intervention arm, the control group will receive stretches and relaxation exercises. Patients' length of stay is the primary outcome measure. Their physical performance and quality of life at discharge and at 3 months post discharge and their readmission rates are the secondary outcome measures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention exercise | Experimental | Twice daily, individual, targeted, strengthening, balance and endurance exercise sessions |
|
| Sham exercise | Sham Comparator | Twice daily, individual, stretching and relaxation exercise sessions |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intervention exercise | Other | Twice daily, individual, targeted, strengthening, balance and endurance exercises for the duration of the hospital stay, prescribed and delivered by a senior physiotherapist. |
| Measure | Description | Time Frame |
|---|---|---|
| Length of Stay | Patients length of hospital stay is recorded at the time of discharge from electronic admissions data | At time of discharge from hospital (an expected average of 8 days post admission) |
| Measure | Description | Time Frame |
|---|---|---|
| Physical Performance | The Short Physical Performance Battery will be completed, which includes a timed 4 m walk. Patients can score 0-12; scoring higher with better physical performance. | At time of discharge from hospital (an expected average of 8 days post admission); and again at 3 months post discharge |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Suzanne Timmons | University College Cork | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mercy University Hospital | Cork | 00 | Ireland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32033532 | Derived | McCullagh R, O'Connell E, O'Meara S, Dahly D, O'Reilly E, O'Connor K, Horgan NF, Timmons S. Augmented exercise in hospital improves physical performance and reduces negative post hospitalization events: a randomized controlled trial. BMC Geriatr. 2020 Feb 7;20(1):46. doi: 10.1186/s12877-020-1436-0. | |
| 27059306 | Derived |
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| ID | Term |
|---|---|
| D000073496 | Frailty |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
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|
| Sham Exercise | Other | Twice daily stretching and relaxation exercises for the duration of the hospital stay, by a senior physiotherapist. |
|
| Quality of Life |
The EQ5D-5L will be completed by the patient. |
| At time of discharge from hospital (an expected average of 8 days post admission); and again at 3 months post discharge |
| Re-admission Rate | The number of admissions within 3 months following the index admission will be recorded from hospital electronic records | From the time of hospital discharge to 3 months post discharge |
| McCullagh R, O'Connell E, O'Meara S, Perry I, Fitzgerald A, O'Connor K, Horgan NF, Timmons S. A study protocol of a randomised controlled trial to measure the effects of an augmented prescribed exercise programme (APEP) for frail older medical patients in the acute setting. BMC Geriatr. 2016 Apr 8;16:79. doi: 10.1186/s12877-016-0252-z. |