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dc.contributor.authorSaid, C.
dc.contributor.authorMorris, M.
dc.contributor.authorMcGinley, J.
dc.contributor.authorSzoeke, C.
dc.contributor.authorWorkman, B.
dc.contributor.authorLiew, D.
dc.contributor.authorHill, Keith
dc.contributor.authorWoodward, M.
dc.contributor.authorWittwer, J.
dc.contributor.authorChurilov, L.
dc.contributor.authorDanoudis, M.
dc.contributor.authorBernhardt, J.
dc.date.accessioned2018-12-13T09:13:18Z
dc.date.available2018-12-13T09:13:18Z
dc.date.created2018-12-12T02:46:27Z
dc.date.issued2018
dc.identifier.citationSaid, C. and Morris, M. and McGinley, J. and Szoeke, C. and Workman, B. and Liew, D. and Hill, K. et al. 2018. Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial. Journal of Physiotherapy. 64 (4): pp. 237-244.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/72405
dc.identifier.doi10.1016/j.jphys.2018.08.006
dc.description.abstract

Questions: Among older people receiving inpatient rehabilitation, does additional supervised physical activity lead to faster self-selected gait speed at discharge? Does additional supervised physical activity lead to better mobility, function and quality of life at discharge and 6 months following discharge? Design: Multi-centre, parallel-group, randomised controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants: Older people (age > 60 years) from two Australian hospitals undergoing rehabilitation to improve mobility. Intervention: Participants received multidisciplinary care, including physiotherapy. During hospital rehabilitation, the experimental group (n = 99) spent additional time daily performing physical activities that emphasised upright mobility tasks; the control group (n = 99) spent equal time participating in social activities. Outcome measures: Self-selected gait speed was the primary outcome at discharge and a secondary outcome at the 6-month follow-up. Timed Up and Go, De Morton Mobility Index, Functional Independence Measure and quality of life were secondary outcomes at discharge and tertiary outcomes at the 6-month follow-up. Results: The experimental group received a median of 20 additional minutes per day (IQR 15.0 to 22.5) of upright activities for a median of 16.5 days (IQR 10.0 to 25.0). Gait speed did not differ between groups at discharge. Mean gait speed was 0.51 m/s (SD 0.29) in the experimental group and 0.56 m/s (SD 0.28) in the control group (effect size -0.06 m/s, 95% CI -0.12 to 0.01, p = 0.096). No significant differences were detected in other secondary measures. Conclusion: While substantial gains in mobility were achieved by older people receiving inpatient rehabilitation, additional physical activity sessions did not lead to better walking outcomes at discharge or 6 months. Trial registration: ACTRN12613000884707. [Said CM, Morris ME, McGinley JL, Szoeke C, Workman B, Liew D, Hill KD, Woodward M, Wittwer JE, Churilov L, Danoudis M, Bernhardt J (2018) Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial. Journal of Physiotherapy 64: 237–244]

dc.publisherAustralian Physiotherapy Association
dc.titleAdditional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial
dc.typeJournal Article
dcterms.source.volume64
dcterms.source.number4
dcterms.source.startPage237
dcterms.source.endPage244
dcterms.source.issn1836-9553
dcterms.source.titleJournal of Physiotherapy
curtin.accessStatusFulltext not available
curtin.facultyFaculty of Health Sciences


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