• Clinical rehabilitation · Nov 2009

    Randomized Controlled Trial

    Effectiveness of a video-based exercise programme to reduce falls and improve health-related quality of life among older adults discharged from hospital: a pilot randomized controlled trial.

    • Terry P Haines, Trevor Russell, Sandra G Brauer, Sheree Erwin, Paul Lane, Stephen Urry, Jan Jasiewicz, and Peter Condie.
    • Physiotherapy Department, Allied Health Research Unit, Southern Physiotherapy School, Monash University, Cnr Warrigal and Kingston Roads, Cheltenham, Victoria 3192, Australia. terrence.haines@med.monash.edu.au
    • Clin Rehabil. 2009 Nov 1;23(11):973-85.

    ObjectiveFalls, loss of health-related quality of life and physical capacity, reduced participation in activities of daily living, and increased fear of falling are all potential outcomes for older adults discharged from hospital. A low-cost video based exercise programme may address this.DesignThis study was a randomized controlled trial with blinded outcomes assessment and a six-month follow-up.Subjects And SettingParticipants were older adults (>65 years) using a mobility aid discharged from a tertiary hospital in Brisbane, Australia, without referral for community-based rehabilitation services.InterventionA digital video disk-based programme encompassing six exercise types each with six levels of difficulty. A home visit from a project physiotherapist was conducted to ensure patient safety. Control group patients received usual care.Main MeasuresFalls, health-related quality of life, participation in activities of daily living, physical capacity and fear of falling.ResultsStudy participants (n = 53, 19 intervention, 34 control) experienced decreasing health-related quality of life, several falls (72), and lower levels of participation in activities of daily living over the six-month follow-up. The intervention group did not differ significantly from the control group in terms of the outcomes examined, though a non-significant reduction in the rate of falls was observed. Intervention group participants complied with the exercise programme well during the first two weeks following discharge from hospital but then reduced their compliance levels thereafter.ConclusionsThe intervention may be beneficial for reducing the rate of falls in this patient population though further research with a larger sample size is indicated.

      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…