After-hours or weekend rehabilitation improves outcomes and increases physical activity but does not affect length of stay: a systematic review

Scrivener, Katharine; Jones, Taryn; Schurr, Karl; Graham, Petra L.; Dean, Catherine M.

doi:10.1016/j.jphys.2015.02.017

Cited by 29 publications

(32 citation statements)

References 40 publications

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“…Previous reports have identified the importance of weekend rehabilitation services, and a meta‐analysis showed moderate evidence for shortened duration of hospital stay in stroke patients after additional weekend rehabilitation therapy . Furthermore, a systematic review described increased physical activity and possible improved activities of daily living with added after‐hours rehabilitation . To our knowledge, the present study is the first to investigate the association between weekend rehabilitation and favorable functional recovery and shortened duration of hospital stay in hip fracture patients.…”

Section: Discussionmentioning

confidence: 55%

“…9 Furthermore, a systematic review described increased physical activity and possible improved activities of daily living with added after-hours rehabilitation. 15 To our knowledge, the present study is the first to investigate the association between weekend rehabilitation and favorable functional recovery and shortened duration of hospital stay in hip fracture patients.…”

Section: Discussionmentioning

confidence: 82%

“…The primary outcome was motor‐FIM efficiency determined with the following equation: (discharge motor FIM score − admission motor FIM score) / length of stay in days . FIM efficiency and length of hospital stay in days were secondary outcomes; the calculation used for FIM efficiency was (discharge FIM score − admission FIM score) / length of stay in days …”

Section: Methodsmentioning

confidence: 99%

“…14 FIM efficiency and length of hospital stay in days were secondary outcomes; the calculation used for FIM efficiency was (discharge FIM score − admission FIM score) / length of stay in days. 15…”

Section: Variables and Outcomesmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of weekend physical rehabilitation for functional recovery in geriatric patients with hip fracture

Hasebe

Momosaki

Sawabe

et al. 2018

Geriatrics Gerontology Int

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show abstract

Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 82%

Section: Methodsmentioning

confidence: 99%

Section: Variables and Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of weekend physical rehabilitation for functional recovery in geriatric patients with hip fracture

Hasebe

Momosaki

Sawabe

et al. 2018

Geriatrics Gerontology Int

View full text Add to dashboard Cite

show abstract

“…Studies have shown that providing additional therapy to stroke survivors during the weekend resulted in improved functional outcomes (Caruana et al, 2017;Kinoshita et al, 2017;Peiris et al, 2013). A small systematic review (n=7 studies) exploring the effect of after-hours rehabilitation (therapy provided on evenings and/ or weekends) showed that additional therapy during after-hours resulted in higher physical activity levels and may improve activities of daily function (Scrivener et al, 2015). However, providing therapy during after-hours and weekends involves additional staffing cost in Australia, as evening or weekend shift allowance makes staffing expenditure expensive.…”

Section: Interventions To Increase Activitymentioning

confidence: 99%

Feasibility of creating an enriched environment and subsequent impact on activity levels for stroke patients in an acute stroke unit

Rosbergen-Wildemors¹

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Individuals with stroke in an acute stroke unit spend the majority of their day inactive and alone.There is strong evidence that greater physical activity, and emerging evidence that greater social and cognitive activity after stroke promotes functional recovery. One approach found to increase activity levels in all these activity domains following stroke is an enriched environment, which is an intervention designed to stimulate physical, social and cognitive activity. The enriched environment is well investigated in animal models post stroke and refers to housing conditions that are designed to stimulate motor and sensory functions, as well as social and cognitive activity. Evidence has shown that rodents recovering within an enriched environment starting 24-hours post stroke showed greater functional recovery than recovery in standard housing conditions. The first clinical translation of an enriched environment was undertaken in the subacute inpatient rehabilitation setting, which showed that individuals with stroke (n=14) undergoing enriched rehabilitation were 1.2 times more engaged in 'any activity' as compared to no enrichment. However, the enriched environment has not yet been explored in an acute stroke unit. Thus, the primary aim of this thesis was to investigate whether an enriched environment embedded in an acute stroke unit could increase activity levels in physical, social, cognitive and combined activity domains across individuals with acute stroke.Study 1 examined the effect of embedding an enriched environment in an acute stroke unit on activity levels using a controlled before-after observational design. Activity levels were observed in a control group receiving usual care, and subsequently in a group who recovered in an enriched acute stroke unit. The enriched environment focused on three key areas: 1) creating a stimulating environment including communal areas for eating, socialising and group activities, and provision of resources throughout the ward and at the patient bedside; 2) involvement of patients and families to increase activity outside therapy hours, and 3) using change management strategies to support staff to implement the enriched environment within existing staffing levels. Behavioural mapping was used to determine the primary outcome measure 'any', physical, social and cognitive activity.Participants were observed every 10-minutes from 7.30am till 7.30pm on weekday and weekends.We found that the enriched group (n=30) spent a significantly greater proportion of their day engaged in 'any activity' (p=0.005), physical (p<0.001), social (p=0.007) and cognitive activity (p=0.002) as compared to the control group (n=30). Furthermore, the enriched group spent a lower proportion in a supine position, in their room and being alone. The secondary aims were to explore the impact of an enriched environment on functional outcomes, adverse events and length of stay.No differences between groups were found for functional outcomes at discharge from the acute Publications during candidature Peer...

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Effects of weekend rehabilitation on vertebral compression fractures in the elderly

Asahi,

Kamo,

Yuguchi

et al. 2023

Physiotherapy Res Intl

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IntroductionThis retrospective cohort study aimed to investigate the effect of rehabilitation and without weekend therapy on Activities of daily living (ADL) and readmission in vertebral fracture patients aged 60 years and older.MethodsThe present study used a hospital‐based database created by JMDC Inc. The JMDC hospital‐based database is an epidemiological database that has been storing medical claims and Diagnosis Procedure Combination survey data. This study included 40,743 admitted patients aged 60 years or older who were admitted for rehabilitation purposes with a diagnosis of compression fracture of the thoracic and/or lumbar spine based on a previous diagnostic survey. We extracted the medical information from the database. Patients who received rehabilitation 7 days a week were classified into two groups: the “weekend rehabilitation group” and “nonweekend rehabilitation group.” To reduce confounding effects related to differences in patient background, we used propensity score with multiple logistic regression models. Analysis of the JMDC database was conducted with the approval of the Institutional Review Board (approval number: 1228‐1). Because all data were anonymized, informed consent was not required.ResultsPropensity score matching resulted in 13,790 cases being included in the analysis. Barthel index (BI) at discharge, change in BI, and readmission were significantly different between the weekend rehabilitation and nonweekend rehabilitation groups. Multiple logistic regression analysis suggested a reduced odds of readmission with weekend rehabilitation (odds ratio = 0.907, 95% confidence interval [CI] = 0.843–0.975, p‐value = 0.008). Furthermore, greater changes in BI and BI at discharge were associated with the effect of weekend rehabilitation (unstandardized [B] = 3.922, 95% CI = 2.925–4.919), (unstandardized [B] = 3.512, 9% CI = 2.424–4.6), respectively.ConclusionsWeekend rehabilitation was considered as an important part of the treatment program to acquire ADL and to prevent readmission.

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After-hours or weekend rehabilitation improves outcomes and increases physical activity but does not affect length of stay: a systematic review

Abstract: PROSPERO CRD42014007648. [Scrivener K, Jones T, Schurr K, Graham PL, Dean CM (2015) After-hours or weekend rehabilitation improves outcomes and increases physical activity but does not affect length of stay: a systematic review.Journal of Physiotherapy61: 61-67].

Cited by 29 publications

References 40 publications

Effectiveness of weekend physical rehabilitation for functional recovery in geriatric patients with hip fracture

Effectiveness of weekend physical rehabilitation for functional recovery in geriatric patients with hip fracture

Feasibility of creating an enriched environment and subsequent impact on activity levels for stroke patients in an acute stroke unit

Effects of weekend rehabilitation on vertebral compression fractures in the elderly

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