A comparative study of organized class-based exercise programs versus individual home-based exercise programs for elderly patients following hip surgery

Abstract

Both groups demonstrated improvement in a number of issues. However, there appears to be more positive health outcomes presented by the participants in the supervised/class-based group when compared to the non-supervised/home-based group. And therefore, patients may select to participate to either a home-based or class-based regime. The clinical relevance is the significant of the necessity for close supervision by a professional therapist. In addition, the results could have some political and economical implications on the healthcare system.

The Effectiveness of an Individualized, Home-Based Functional Exercise Program for Patients With Sporadic Inclusion Body Myositis

“…20 Class-based versus home-based exercise rehabilitation therapy has been investigated in a variety of pathological groups, 21 and the cost-effectiveness, compliance rates, and overall results from both strategies have been found to have merit. 22 Home-based programs are easy to implement, are accessible to the patient, and encourage compliance. 19 The impaired mobility that typifies a patient with IBM gives a home-based exercise program obvious advantages over a class-based program-in particular, the safety and familiarity of exercising in their own home, the assistance and encouragement of partners, the flexibility to perform the exercises according to their own schedule, and the avoidance of arranging transport.…”

Supervised exercise reduces cancer-related fatigue: a systematic review

“…15,16 This value of supervision has been attributed to improvements in adherence and intensity, 17 perhaps because of greater encouragement or confidence to work when the help of a health professional is at hand. A supervising health professional may also help to individualise the exercise regimen to the specific condition of the person, such as the complex sequelae of cancer and its treatment.…”

Determining Current Physical Therapist Management of Hip Fracture in an Acute Care Hospital and Physical Therapists' Rationale for This Management

“…Australian hospitals are experiencing increasing demands on bed capacity and pressures to discharge patients as quickly as possible, and all 3 focus groups consistently mentioned that system pressures often influenced their choice of therapy. Although, there is high-quality evidence to support the use of strength and balance training in older adults identified to be at risk of falls [32][33][34] and moderate evidence to support the use of exercise in the acute phase of recovery following hip fracture, [35][36][37] this was not a treatment choice routinely suggested by any of the participants in our study. It is possible that the lack of immediate influence of strength and balance training on functional ability, which is paramount to dictating discharge destination, 38 precludes its use in the acute care setting.…”