Abdominal Injury, Chronic Obstructive Pulmonary Disease, Hip Fractures, Stroke
Conditions
Keywords
geriatric patients, elderly, multicomponent physical therapy
Brief summary
The aim of this study is to investigate the effectiveness of our developed week-treatment program GAPP, on strength, balance, speed, functionality and cognition, with the main goal to achieve a better independence for activities of daily living (ADL). Each day of the week an exercise program of 45 minutes is given assigned to a specific aspect of the rehabilitation; strength, balance, speed, functional training and one day is for testing or group therapy. Participants will be followed for four weeks, with testing on day one, after two weeks and at the last day of the four-week program.
Detailed description
The aim of this study is to investigate the effectiveness of our developed week-treatment program GAPP (Geriatric Activation Program Pellenberg), on strength, balance, speed, functionality and cognition, with the main goal to achieve a better independence for ADL. Each day of the week an exercise program of 45 minutes is given assigned to a specific aspect of the rehabilitation. Monday: speed and coordination, including as many repetitions as possible in one minute for: quick arm movements in standing, quick trunk movements in sitting, quick weight transfers in standing, stepping. Tuesday: functional training, including walking stairs, transfers, sitting to lying and reverse, moving objects in the room, functional fit-o-meter. Wednesday: balance, including maximum weight transfers in all directions, exercises with reduced base of support, reaching. Thursday: strength, including sit to stand with a weight belt, lifting a weight bimanual of the table, walking with ankle weights, arm extension with therapy bands. Friday: testing or group activity. One week the following test will be taken: Berg Balance Scale, 10m walking test, Digit Symbol Substitution Test, knee extension and elbow extension strength with the microfet2, Basic-ADL and Geriatric Depression Scale. The other week there will be a group session, this could be in sitting (like moving on music) or standing (like petanque). Walking will be practiced every day of the week and individual needs (like specific hand rehabilitation or pain problems) will be addressed besides the program when needed.
Interventions
OTHERGeriatric Activation Program Pellenberg
intensive multicomponent physical therapy week program
Sponsors
Universitaire Ziekenhuizen KU Leuven
KU Leuven
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
explorative study
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* admitted to the geriatric rehabilitation ward of UZ Leuven, campus Pellenberg * the ability to walk 10m with help of a person or walking aid * an expected stay of at least four weeks * a signed informed consent
Exclusion criteria
* medically instable * not able to understand the questions and tasks of the program or testing
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Independence for activities of daily living | four weeks | Independence for ADL measured with the Basic-ADL |
| Functional Balance | four weeks | Functional balance measured with the Berg Balance Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Walking speed | four weeks | Walking speed measured with the 10m walking test |
| Strength of arm Extension | four weeks | Strength of arm extension, measured with the microFET2 hand held dynamometer. The mean peak force in Newton of three trail will be used. |
| Strength of knee extension | four weeks | Strength of Knee extension, measured with the microFET2 hand held dynamometer. The mean peak force in Newton of three trail will be used. |
| Cognitive function | four weeks | The Digit Symbol Substitution Test will be used to measure response speed, sustained attention |
| General state of mind | four weeks | General state of mind measured with the Geriatric Depression Scale 15 |
Countries
Belgium
Outcome results
None listed