The Relationship Between Duration of Physical Therapy Services in the Acute Care Setting and Change in Functional Status in Patients With Lower-Extremity Orthopedic Problems

Roach, Kathryn E.; Ally, Deanna; Finnerty, Brian; Watkins, Dennis; Litwin, Bini; Janz-Hoover, Brenda; Watson, Tracilyn; Curtis, Kathleen A.

doi:10.1093/ptj/78.1.19

Cited by 36 publications

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“…This finding is in agreement with those of researchers who found that the number of comorbidities predicts mobility scores at the time of discharge from the hospital, SF-36 physical function scores at completion of rehabilitation, and activities of daily living and walking ability 1 year after discharge. 4,13,15 In contrast to the findings of other studies, age was not a predictor in our model. Age has been found to be a predictor of long-term health outcomes after hip fracture, 12,14 of short-term outcomes after outpatient rehabilitation for knee rehabilitation, 13 and of short-term outcomes of patients who received therapy in acute care for orthopedic conditions.…”

Section: Discussioncontrasting

confidence: 81%

“…Age has been found to be a predictor of long-term health outcomes after hip fracture, 12,14 of short-term outcomes after outpatient rehabilitation for knee rehabilitation, 13 and of short-term outcomes of patients who received therapy in acute care for orthopedic conditions. 4 It is unclear why age was not a predictor of mobility in our group of subjects.…”

Section: Discussionmentioning

confidence: 71%

“…This can be done by decreasing the amount of therapy per day, the days per week that therapy is received, or the length of stay. Several researchers have demonstrated that the amount of therapy a patient receives is related to outcomes such as independence in ambulation and ambulation distance, 2 independence in activities, 3,4 and chances of discharge to home. 3 Several researchers have examined the impact of the amount of therapy on rehabilitation outcomes.…”

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confidence: 99%

“…3 Another study demonstrated that duration of physical therapy in minutes was an important predictor of functional status at discharge as measured by the Acute Care Index of Function when other variables such as age, length of stay, number of diagnoses, and initial functional status were controlled. 4 This was the only study found in the literature that examined the effect of duration of physical therapy in minutes on discharge outcomes.…”

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confidence: 99%

“…The relationship between duration of physical therapy and improved outcomes has been shown to occur in acute care settings, 4 but it is unclear whether this relationship remains after patients are transferred to a comprehensive rehabilitation program. The purpose of our study was to examine the relationship between the total hours of physical therapy and occupational therapy received by patients with orthopedic problems enrolled in a comprehensive rehabilitation facility and their mobility at discharge.…”

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Relationship Between Duration of Therapy Services in a Comprehensive Rehabilitation Program and Mobility at Discharge in Patients With Orthopedic Problems

Kirk-Sanchez

Roach

2001

Physical Therapy

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Background and Purpose. The purpose of this study was to examine the relationship between duration of physical therapy and occupational therapy and mobility at the time of discharge from a comprehensive rehabilitation program in a group of patients with orthopedic diagnoses. Subjects. Subjects were 116 consecutive patients with orthopedic diagnoses (mean ageϭ72.6 years, SDϭ12.0, rangeϭ21-99) who were admitted to a comprehensive inpatient rehabilitation program. Methods. This retrospective cohort study utilized the Uniform Data Set, social service records, and quality assurance records to provide demographic and medical information. The Functional Independence Measure (FIM) provided information regarding mobility at admission and discharge. The duration of physical therapy and occupational therapy was measured in hours. Results. Subjects received an average of 40.8 hours of therapy and showed an average change in FIM mobility subscale scores of 24.5. Multiple linear regression was used to demonstrate that duration of therapy was a predictor of FIM score at the time of discharge (partial correlationϭ.069) after controlling for length of stay, number of diagnoses, FIM cognitive subscale score at admission, and FIM mobility subscale score at admission. Duration of therapy accounted for 6.9% of the variance in the model. Conclusion and Discussion. This study indicates that the amount of physical therapy and occupational therapy that patients with orthopedic diagnoses receive during enrollment in an inpatient comprehensive rehabilitation program is related to the FIM mobility subscale score at the time of discharge. The authors suggest that increasing the hours of therapeutic intervention that a patient receives in inpatient rehabilitation could improve functional outcomes at discharge. [Kirk-Sanchez NJ, Roach KE. Relationship between duration of therapy services in a comprehensive rehabilitation program and mobility at discharge in patients with orthopedic problems. Phys Ther. 2001;81:888 -895.]

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