Patient discharge
Conditions
Interventions
Telerehabilitation group (n=115):
The participants will use a mobile app to perform the exercise program. The program consists of exercises that include resistance training of major muscle groups of t
they will follow the usual flow of patients waiting for outpatient physical therapy treatment in the public health system. They will be monitored only by weekly calls.
Other
E02.760.169.063.500.387
Sponsors
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Fundação de Amparo à Pesquisa do Estado de Minas Gerais
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Universidade Federal de Minas Gerais
Eligibility
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: Individuals who are 60 years or older who are discharged from hospital with physical therapy referral; able to walk independently or with a walking device or another person help; allowed to do weight bearing with the lower limbs; able to sit and stand from a chair; have a stable clinical condition; able to understand instructions and answer examiner commands during the tests; have a smartphone with internet access (of their own or of their companion/caregiver); have a companion/caregiver who will be present during exercises.
Exclusion criteria
Exclusion criteria: Individuals who present clinical complication that makes physical exercise prohibited; present neurological health conditions such as Parkinson Disease and Stroke; Mini Mental Examination scores lower than proposed by Bertolucci et al (2014); and inability to understand or complete the proposed tests.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Timed up and Go (TUG): The participant stands up from a chair, walks three meters alone, or with a walking device at a comfortable and safely pace, turns, and comes back to sit down in the same chair. The time taken will be recorded. Assess at baseline; at call for physical therapy treatment; and at the discharge from physical therapy treatment or after 6 months for those still in physical therapy treatment. ;Sit-to-stand test (30CST): The participant sits in a chair with the arms crossed against the chest and then must stand and sit repeatedly for 30 seconds. The number of stands will be recorded. Assess at baseline; at call for physical therapy treatment; at the discharge from physical therapy treatment or after 6 months for those still in physical therapy treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| The physical functioning scale of the Brazilian version of the Medical Outcomes Short-Form Health Survey (SF-36): This scale includes ten questions, each one scoring 1 to 3 according to perceived limitations. Assess at baseline; at call for physical therapy treatment; at the discharge from physical therapy treatment or 6 months for those still in physical therapy treatment. ;Pain: Visual Analogue Scale with number graduation (0-10) and color graduation. Assess at baseline; at call for physical therapy treatment; at the discharge from physical therapy treatment or 6 months for those still in physical therapy treatment. ;Canadian Occupational Performance Measure (COPM): In this study only the self-care area are will be used. The participant rate the current self-perception level of performance and satisfaction with performance on a 0-10 scale. Assess at baseline; at call for physical therapy treatment; at the discharge from physical therapy treatment or 6 months for those still in physical therapy treatment. ;The Brazilian version of EuroQol-5D (EQ-5D-3L): This instrument is based on current health status in five domains (mobility, self-care, usual activity, pain/discomfort, and anxiety/depression) each one with a question with three possible answer levels. Assess at baseline; at call for physical therapy treatment; at the discharge from physical therapy treatment or 6 months for those still in physical therapy treatment. ;Cost-consequence: To assess the cost-consequence relationship, the results obtained by the patients in the clinical outcomes (TUG, 30CST, dor, COPM, physical functioning scale of the SF-36, EQ-5D-3L) will be compared with the costs for the perspectives of the Unified Health System, patient, and companion/caregiver. Assess at baseline; at call for physical therapy treatment; at the discharge from physical therapy treatment or 6 months for those still in physical therapy treatment. ;Cost-utility: To assess the cost-utility, the cost | — |
Countries
Brazil
Contacts
Public ContactRenan Resende
Universidade Federal de Minas Gerais
Outcome results
None listed