None listed
Conditions
Brief summary
The purpose of this study was to compare the relative efficacy of the traditional one-on-one physiotherapy format (control group) with a combined one-on-one/group-circuit physiotherapy format (experimental group) during post-acute lower-limb orthopaedic inpatient rehabilitation. The study’s research questions were, for post-acute lower-limb orthopaedic in-patient rehabilitation: 1. Does a combined one-on-one/group-circuit physiotherapy format offer ‘cost-savings’relative to a traditional one-on-one model of physiotherapy service-delivery? 2. Is a combined one-on-one/group-circuit physiotherapy format as clinically effective as the traditional one-on-one model of physiotherapy service-delivery? 3. Are there any specific measures of recovery particularly influenced by the model of service-delivery? 4. How do the discharge scores for key functional mobility measures compare with normative data?
Interventions
All participants received physiotherapy twice daily as per the standard treatment regime in the Rehabilitation Ward. Group B participants (experimental group) received a one-on-one physiotherapy session in the morning and a group-circuit session in the afternoon (both 30 minutes duration, 5 days a week, for the length of the particpants admission). The non-physiotherapy components of multidisciplinary care, including occupational therapy, dietetics and pain management, were provided as require
All participants received physiotherapy twice daily as per the standard treatment regime in the Rehabilitation Ward. Group B participants (experimental group) received a one-on-one physiotherapy session in the morning and a group-circuit session in the afternoon (both 30 minutes duration, 5 days a week, for the length of the particpants admission). The non-physiotherapy components of multidisciplinary care, including occupational therapy, dietetics and pain management, were provided as required to both groups as part of standard practice within the Rehabilitation Ward. The Group B participants' morning session, that is one-on-one physiotherapy sessions. Were conducted under the direct and constant supervision of a physiotherapist from the Rehabilitation Ward, with a 1:1 therapist-to-patient ratio maintained at all times.These sessions were conducted as per usual care and were not based on any particular treatment protocol; rather, they were tailored to the individual patient based on the clinical decisions of the treating physiotherapist. In the afternoon Group B participants' group-circuit physiotherapy sessions included a maximum of six participants at any one time, with each class supervised by one physiotherapist and one physiotherapist-assistant working on the Rehabilitation Ward. These sessions included a set of core exercises that targeted flexibility/range of motion, functional strength, balance, mobility and endurance. Each participant worked at each station for 2 minutes before rotation to the next station.
Sponsors
John Flynn Private Hosptial
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
(i) age of 50 years or over; and, (ii) admission for post-acute phase lower-limb orthopaedic in-patient rehabilitation, specifically following knee or hip arthroplasty, pelvic fracture and/or lower-limb open-reduction-internal-fixation (ORIF) surgery. In cases involving athroplasty, patients were included whether the surgical prothesis was a total- or hemi-arthroplasty and, whether the surgery was a primary or revision procedure.
Exclusion criteria
(i)under postoperative non-weight-bearing orders and/or if they had received surgery to both lower-limbs (ii) age of less than 50 years; (iii) non-orthopaedic reason for admission; (iv) orthopaedic day patients; (v) concomitant neurological, autoimmune or unstable cardiovascular condition; and, (vi) those with cognitive impairment as specified by a MMSE score of less than 24/30.
Outcome results
None listed