A randomized controlled trial on early physiotherapy intervention versus usual care in acute car unit for elderly: Potential benefits in light of dietary intakes

Blanc-Bisson, C.; Dechamps, Arnaud; Gouspillou, Gilles; Dehail, Patrick; Bourdel-Marchasson, I.

doi:10.1007/bf02982673

Cited by 32 publications

(71 citation statements)

References 27 publications

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“…Some studies have reported minor changes in handgrip strength (Englund et al, 2005;Figueroa et al, 2011;Geirsdottir et al, 2012;Pereira et al, 2012;Sarti et al, 2013;Skelton et al, 1995;Straight et al, 2012;Tsourlou et al, 2006), but the majority of studies have not been able to detect significant differences in handgrip strength in response to traditional whole-body resistance-type exercise training programs in older people (Blanc-Bisson et al, 2008;Bunout et al, 2004;de Vreede et al, 2005;Gudlaugsson et al, 2012;Leenders et al, 2013;Park et al, 2012;Rhodes et al, 2000;Seco et al, 2013;SerraRexach et al, 2011;Winters-Stone et al, 2012;Woo et al, 2007. An overview of these studies is given in Table 3. The apparent discrepancy among those studies might be due to variety in designs.…”

Section: Discussionmentioning

confidence: 95%

Handgrip Strength Does Not Represent an Appropriate Measure to Evaluate Changes in Muscle Strength During an Exercise Intervention Program in Frail Older People

Tieland¹,

Verdijk²,

Groot³

et al. 2015

International Journal of Sport Nutrition and Exercise Metabolism

100

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Section: Discussionmentioning

confidence: 95%

Handgrip Strength Does Not Represent an Appropriate Measure to Evaluate Changes in Muscle Strength During an Exercise Intervention Program in Frail Older People

Tieland¹,

Verdijk²,

Groot³

et al. 2015

International Journal of Sport Nutrition and Exercise Metabolism

100

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“…The living situation of the patients before they were admitted to the hospital varied, patients came from nursing homes and other types of institutionalised care or from the community where they lived alone or with family. However, the studies did not include all patients in the intervention, reasons for exclusion were medical instability [18,22,23], need for specialized care [17,19,22,24], living in nursing homes [19,20,22,23,25,26,28], small survival chance or need for palliative care [18,22,23,25,28], and being diagnosed with an illness causing functional impairment [18,23,28]. Overall, there was a great heterogeneity among the participants between the different studies.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness and feasibility of early physical rehabilitation programs for geriatric hospitalized patients: a systematic review

et al. 2013

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BackgroundOld adults admitted to the hospital are at severe risk of functional loss during hospitalization. Early in-hospital physical rehabilitation programs appear to prevent functional loss in geriatric patients. The first aim of this review was to investigate the effect of early physical rehabilitation programs on physical functioning among geriatric patients acutely admitted to the hospital. The second aim was to evaluate the feasibility of early physical rehabilitation programs.MethodsTwo searches, one for physical functioning and one for feasibility, were conducted in PubMed, CINAHL, and EMBASE. Additional studies were identified through reference and citation tracking. To be included articles had to report on in-hospital early physical rehabilitation of patients aged 65 years and older with an outcome measure of physical functioning. Studies were excluded when the treatment was performed on specialized units other than geriatric units. Randomized controlled trials were included to examine the effect of early physical rehabilitation on physical functioning, length of stay and discharge destination. To investigate feasibility also non randomized controlled trials were added.ResultsFifteen articles, reporting on 13 studies, described the effect on physical functioning. The early physical rehabilitation programs were classified in multidisciplinary programs with an exercise component and usual care with an exercise component. Multidisciplinary programs focussed more on facilitating discharge home and independent ADL, whereas exercise programs aimed at improving functional outcomes. At time of discharge patients who had participated in a multidisciplinary program or exercise program improved more on physical functional tests and were less likely to be discharged to a nursing home compared to patients receiving only usual care. In addition, multidisciplinary programs reduced the length of hospital stay significantly. Follow-up interventions improved physical functioning after discharge. The feasibility search yielded four articles. The feasibility results showed that early physical rehabilitation for acutely hospitalized old adults was safe. Adherence rates differed between studies and the recruitment of patients was sometimes challenging.ConclusionsEarly physical rehabilitation care for acutely hospitalized old adults leads to functional benefits and can be safely executed. Further research is needed to specifically quantify the physical component in early physical rehabilitation programs.

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“…45 Early physiotherapy during hospitalization for acute disease has been shown to improve ADL recovery in older patients who were bed-ridden at admission. 46 The intervention tested in the randomized controlled trial by Blanc-Bisson et al, 46 consisted of physiotherapy sessions compared with usual care, started at day 1 or 2, in half-hour sessions twice daily, until patient walking abilities were recovered. Lower limb strength was reinforced in the bed using dynamic work, against the foot of the bed or the hand of the physiotherapist, with the knee flexed at 30°, and moving the pelvis to the left and to the right with 10 repetitions for each movement.…”

Section: Prevention Of Functional Loss In Hospital and Loss Of Autonomentioning

confidence: 99%

Elderly Patients With Type 2 Diabetes Mellitus-the Need for High-Quality, Inpatient Diabetes Care

Bourdel-Marchasson

Sinclair

2013

Hospital Practice

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Elderly patients (aged > 70 years) with diabetes are at high risk of -hospitalization. We provide a detailed commentary about recent international clinical guidelines and a consensus statement devoted to elderly patients with type 2 diabetes mellitus in the context of hospitalization. In emergency departments, the 4 medication agents associated with the greatest number of patient adverse drug events are warfarin, oral glucose-lowering medications, insulin, and antiplatelet agents, all of which are commonly prescribed in older patients with diabetes. Comprehensive gerontological assessment, including review and, if indicated, discontinuation of all potentially unsafe or inappropriate patient medications should be done upstream to reduce the likelihood of adverse drugs events. Severe infections and ischemic heart disease are also frequent causes of acute admission into hospital in patients aged > 75 years. These patients are also likely to be malnourished and nutritional status should be monitored. Nutritional support, combined with specific products to avoid uncontrolled hyperglycemia must be implemented in patients at risk of malnutrition. Early exercise prescription may help patients maintain physical function and prevent the risk of falling. Clinical guidelines should be applied to achieve safe and effective patient target glucose levels. Insulin should be used earlier for its anabolic properties and patients closely monitored to reduce the risk of hypoglycemia and excessive hyperglycemia. The discharge plan needs to address full medical and social needs along with suitable follow-up to ensure a high level of patient safety.

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A randomized controlled trial on early physiotherapy intervention versus usual care in acute car unit for elderly: Potential benefits in light of dietary intakes

Abstract: Physical intervention programs should be proposed according to nutritional intakes with the aim of preventing illness induced disability.

Cited by 32 publications

References 27 publications

Handgrip Strength Does Not Represent an Appropriate Measure to Evaluate Changes in Muscle Strength During an Exercise Intervention Program in Frail Older People

Handgrip Strength Does Not Represent an Appropriate Measure to Evaluate Changes in Muscle Strength During an Exercise Intervention Program in Frail Older People

Effectiveness and feasibility of early physical rehabilitation programs for geriatric hospitalized patients: a systematic review

Elderly Patients With Type 2 Diabetes Mellitus-the Need for High-Quality, Inpatient Diabetes Care

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