Sarcopenia
Conditions
Brief summary
Loss of autonomy among elderly during and after hospitalisation is a well-known problem. Patient suffering of sarcopenia (decreasing in muscle mass and function) are more likely not to recover their previous autonomy. Studies have shown that physical exercise, especially resistance exercises, is the most efficient known treatment of sarcopenia. Several institution-based rehabilitation programs had been implemented in this purpose. On the other hand, some studies have shown that home-based self-rehabilitation can be as efficient as institution-based rehabilitation, for example in stroke, cardiac failure and COPD rehabilitation. The investigators propose to set up a home-based self-rehabilitation program to fight against sarcopenia and hence increasing autonomy among elderly. This study aimed to establish the feasibility of such a program.
Interventions
BEHAVIORALSelf-rehabilitation program and protein supplement
Participants follow a home-based self-rehabilitation program consisting of the realisation of a set of physical exercises using an elastic band. The exercises have to be performed 3 times a week, and are associated with a protein supplementation. The rehabilitation follow-up by the physician is planned once a week, by phone, and with face-to-face appointments at inclusion, 6 weeks and 3 months follow-up.
Sponsors
Institut Mutualiste Montsouris
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients aged 70 or older * Non-institutionnalised patients * Patients suffering of sarcopenia during hospitalisation (assessed by the Short Physical Performance Battery, Bio-Impedance analysis and griptest) * Patients hospitalised in the service of Internal Medicine of Institut Mutualiste Montsouris * Patients returning at home after hospitalisation * Patients who gave their written consent * Patients who benefits from a social security coverage
Exclusion criteria
* Patients suffering from a severe medical condition not allowing them to follow a physical exercise program * Palliative care patients * Patients without the musculo-squelettic capacity to follow the program : 4/4 on seated postural stability scale ; no motor deficit on lower limb muscular testing ; quadricipital locking when standing * Patients with severe cognitive disorders (according to MMSE score adapted to socio-cultural level and age) * Patients who live more than 150 km away * Patients following specific physiotherapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasability of a post-hospitalization self-rehabilitation program for sarcopenic elderly patients | 3 months | Measured from program adherence using a patient notebook |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Muscular status evaluation | 3 months | Change in muscle mass measured with Bio-Impedance analysis |
| Autonomy degree evaluation | 3 months | Change in autonomy measured with Barthel Index |
| Quality of life evaluation | 3 months | Change in quality of life measured with Médical Outcomes Study Short Form 36 |
Countries
France
Contacts
Primary ContactIsabelle SAURET
Backup ContactCaroline RIX
Outcome results
None listed