None listed
Conditions
Brief summary
Question: Is group work-circuit physiotherapy an effective model for orthopaedic rehabilitation or is individual therapy more beneficial? Design: Randomised control trial, single-blinded. Participants: Twenty-one in-patients with an orthopaedic problem participated in rehabilitation at John Flynn Private Hospital, Tugun, Queensland. Intervention: All participants received physiotherapy twice daily, six days a week for a variable period (one to three weeks) depending on length of stay (LOS). Each participant had an individualised physiotherapy session in the morning for 30 minutes and then were randomly allocated a further 30 minutes of individualised treatment (Group A) or participated in a group work-circuit physiotherapy program (Group B) in the afternoon. Outcome measures: Measures were undertaken at admission/discharge for all patients admitted to the study. Demographics (age, gender, condition, LOS), pain level (Visual Analogue Scale) and the ability to straight leg raise (able/unable) were recorded. Balance and mobility measures included: the Berg Balance Scale, the Modified Elderly Mobility Scale, the 10 metre walk test and the Timed Up and Go test. Results: This pilot study demonstrated that both the individual and group work-circuit interventions are effective treatment options for a mixed group of orthopaedic patients. Participants in individual and group work-circuit interventions improved in all balance and mobility outcome measures (p<0.05), but only the work-circuit group reported less pain (p<0.05). Conclusion: These preliminary results show that both intervention and models are effective for the rehabilitation of people with orthopaedic problems. These results indicated that group work-circuit therapy is a cost-effective model for orthopaedic rehabilitation.
Interventions
Work-circuit group based Physiotherapy for a mixed group of Orthopaedic patients.
-Exercises included balance, mobility, strengthening and range of movement exercises in a group setting. In standing, sitting and lying.
-Exercises were completed at a moderate intensity
-Frequency: Participants completed an individual circuit for 30minutes one-on-one with a Physiotherapist in the morning and a group work-circuit for 30 minutes in the afternoon. Thus 2x30min circuit exercises per day.
-Administere
Work-circuit group based Physiotherapy for a mixed group of Orthopaedic patients. -Exercises included balance, mobility, strengthening and range of movement exercises in a group setting. In standing, sitting and lying. -Exercises were completed at a moderate intensity -Frequency: Participants completed an individual circuit for 30minutes one-on-one with a Physiotherapist in the morning and a group work-circuit for 30 minutes in the afternoon. Thus 2x30min circuit exercises per day. -Administered by a Physiotherapist and Physiotherapist Aid -Monitor of adherence completed via medical records and an exercise sheet. -Duration of the intervention was 12 weeks.
Sponsors
Bond University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Participants were in-patients of the rehabilitation ward of John Flynn Private Hospital. They had to have had a Total Hip Replacement (THR), Total Knee Replacement (TKR) or other hip pathologies/fractures. All participants had to be able to weight bear although full, partial or touch weight bearing were accepted.
Exclusion criteria
Participants were excluded if they had surgery on both limbs, if they were non-weight bearing, if discharged directly home from the orthopaedic ward or to the day patient program, if they had a neurological condition, auto-immune disorders, unstable cardiac or cardiovascular conditions. Participants were also excluded if they werecognitively impaired, presenting with a mini-mental state examination (MMSE) score less than 24/30.
Outcome results
None listed