• Clinical rehabilitation · Jun 2008

    Randomized Controlled Trial

    Group exercise can improve participants' mobility in an outpatient rehabilitation setting: a randomized controlled trial.

    • Catherine Sherrington, Patricia I Pamphlett, Jennifer A Jacka, Lynnette M Olivetti, Julie A Nugent, Jillian M Hall, Simone Dorsch, Marcella Mun-San Kwan, and Stephen R Lord.
    • School of Physiotherapy, University of Sydney and Prince of Wales Medical Research Institute, UNSW, Sydney, Australia. c.sherrington@usyd.edu.au
    • Clin Rehabil. 2008 Jun 1;22(6):493-502.

    ObjectiveTo establish the effects of group exercise on mobility and strength.DesignRandomized controlled trial.SettingTwo public hospital outpatient rehabilitation services.ParticipantsOne hundred and seventy-three people (mean age 74.9 years, SD 10.8) with impaired mobility were randomized and 159 people (92%) completed the trial.InterventionsFive-week, twice-weekly ;circuit-style' group exercise programme run by a physiotherapist (n = 85) and a no-intervention waiting list control group (n = 88).Main Outcome MeasuresThree aspects of mobility: balance while standing and stepping (Step Test, semi-tandem and tandem stance times); sit-to-stand ability (rate and minimum height) and gait (6-metre and 6-minute walk tests). Lower limb muscle strength (knee flexion and extension).ResultsAt retest, exercise participants had improved significantly more than their control counterparts on measures of balance while stepping, sit to stand and gait. Exercise participants averaged 1.6 more steps on the 15-second Step Test (95% confidence interval (CI) 0.5 to 2.8, P=0.005), walked an average of 0.12 m/s faster (95% CI 0.05 to 0.2, P=0.002) and took 2.5 fewer steps in 6 metres (95% CI -4.2 to -0.8, P=0.004). Exercise participants also averaged 0.04 more sit-to-stands/second, (95% CI 0.003 to 0.08, P=0.037) and walked an average of 30.9 metres further in 6 minutes (95% CI 9.4 to 52.4, P=0.005). There were no clinically important or statistically significant between-group differences at retest for the measures of strength (knee extension and flexion), balance while standing or minimal sit-to-stand height.ConclusionThis short-duration circuit class programme improved mobility, but not strength.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…