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Improved Functional Performance in Geriatric Patients During Hospital Stay.
- Source :
-
American Journal of Physical Medicine & Rehabilitation . May2017, Vol. 96 Issue 5, pe78-e84. 7p. - Publication Year :
- 2017
-
Abstract
- Objective: The aim of this work was to evaluate the time course of changes in strength and functional performance in elderly hospitalized medical patients. Design: This was a prospective observational study in elderly medical patients of age 65 years or older at a geriatric department. Measurements were obtained on days 2 to 4, day 5 to 8, and days 9 to 13. Functional performance was measured with De Morton Mobility Index (DEMMI) test and a 30-second chair stand test (30-s CST). Muscular strength was measured with handgrip strength. Activity level was determined with accelerometry (ActivPAL). Results: Results in DEMMI and 30-s CST gradually improved (P < 0.05), whereas handgrip strength remained unchanged (P > 0.05). Larger functional improvements were observed in patients with "high" compared to "low" and "moderate" activity level (P < 0.05). Changes in DEMMI score correlated with changes in 30-s CST (P < 0.05); however, changes in DEMMI score and 30-s CST were more likely to occur in patients with a low versus high functional level, respectively. Conclusions: Functional performance of the lower extremities in geriatric patients improves moderately over the time of a hospital stay of less than 14 days, with larger improvements in patients with high activity level. The DEMMI test and the 30-s CST seem to be complementary to each other when evaluating functional changes in a geriatric hospital population. [ABSTRACT FROM AUTHOR]
- Subjects :
- *GERIATRIC assessment
*HOSPITAL care of older people
*GRIP strength
*LIFE skills
*LONGITUDINAL method
*MUSCLE strength
*SCIENTIFIC observation
*REGRESSION analysis
*STATISTICS
*T-test (Statistics)
*TIME
*DATA analysis
*BODY movement
*ACCELEROMETRY
*CONTINUING education units
*REPEATED measures design
*PHYSICAL activity
*DATA analysis software
*DESCRIPTIVE statistics
*MANN Whitney U Test
*KRUSKAL-Wallis Test
*ONE-way analysis of variance
*FRIEDMAN test (Statistics)
Subjects
Details
- Language :
- English
- ISSN :
- 08949115
- Volume :
- 96
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- American Journal of Physical Medicine & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 122564550
- Full Text :
- https://doi.org/10.1097/PHM.0000000000000671