Functional and cognitive impairment prevention through early physical activity for geriatric hospitalized patients: study protocol for a randomized controlled trial
Fecha
2015Autor
Versión
Acceso abierto / Sarbide irekia
Tipo
Artículo / Artikulua
Versión
Versión publicada / Argitaratu den bertsioa
Impacto
|
10.1186/s12877-015-0109-x
Resumen
Background: Frail older adults have reduced functional and physiological reserves, rendering them more vulnerable
to the effects of hospitalization, which frequently results in failure to recover from the pre-hospitalization functional
loss, new disability or even continued functional decline. Alternative care models with an emphasis on multidisciplinary
and continuing care units are currently ...
[++]
Background: Frail older adults have reduced functional and physiological reserves, rendering them more vulnerable
to the effects of hospitalization, which frequently results in failure to recover from the pre-hospitalization functional
loss, new disability or even continued functional decline. Alternative care models with an emphasis on multidisciplinary
and continuing care units are currently being developed. Their main objective, other than the recovery of the
condition that caused admission, is the prevention of functional decline. Many studies on functional decline
have discussed the available evidence regarding the effectiveness of acute geriatric units. Despite the theoretical
support for the idea that mobility improvement in the hospitalized patient carries multiple benefits, this idea
has not been fully translated into clinical practice.
Methods/design: This study is a randomized clinical trial conducted in the Department of Geriatrics of a
tertiary public hospital with 35 beds allocated. Hospitalized patients who meet the inclusion criteria will be
randomly assigned to the intervention or control group. The intervention will consist of a multicomponent
exercise training programme, which will be composed of supervised progressive resistance exercise training,
balance-training, and walking for 5–7 consecutive days. During the training period, patients will be trained in
20 min sessions twice a day (morning and evening).
Discussion: Functional and cognitive impairment after and during acute hospitalization in older adults is a major
determinant of the later need for health resources. If our hypothesis is correct and shows that a multicomponent,
individualized and progressive exercise programme provides effective therapy for improving the functional capacity of
acute elderly patients hospitalized for medical pathology versus conventional care, a change of the current
system of hospitalization of elderly patients with medical conditions may be justified. [--]
Materias
Resistance training,
Functional decline,
Usual care group,
Bench press,
Short physical performance battery
Editor
BioMed Central
Publicado en
BMC Geriatrics (2015) 15:112
Departamento
Universidad Pública de Navarra. Departamento de Ciencias de la Salud /
Nafarroako Unibertsitate Publikoa. Osasun Zientziak Saila
Versión del editor
Entidades Financiadoras
This study has been funded by a Gobierno de Navarra project grant
(Resolución 2186/2014, del 30 de septiembre) and acknowledged with
the “Beca Ortiz de Landázuri” as the best research clinical project in
2014.
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