Dataset Information

The effectiveness of functional task exercise and physical therapy as prevention of functional decline in community dwelling older people with complex health problems.

ABSTRACT:

Background

A physically active lifestyle in older people contributes to the preservation of good health. We assessed the influence of physiotherapy on daily functioning among community dwelling older people (75+) with complex health problems identified with screening, versus usual care. We also compared functional task exercise (FTE), with problems prioritized by older people, trained in the home environment, versus usual preventive physical therapy (PPT).

Methods

Design: FTE and PPT were compared in a randomized controlled trial (RCT). Both interventions were compared with daily functioning in an observational study: control group.

Setting/participants

Community-dwelling persons aged ?75 years with daily activity limitations enlisted in 83 general practices (n?=?155).

Interventions

Both intervention groups (FTE, n?=?76 and PPT, n?=?79) received individual, 30 min treatments. The control group (n?=?228) did not get any experimental intervention offered.

Measurements

Groningen Activities of Daily Living Restriction Scale (GARS).

Statistical analyses

Linear Mixed Model analysis, correcting for age, sex, baseline scores and clustering by physiotherapist were used to compare the different groups.

Results

At baseline, 74% percent of the intervention trial group was female vs 79% in the control group. Median ages were 83.9 and 84.7 respectively. The median baseline GARS-score for the control group was 41.0 (25 and 75 percentile): 35.0; 48.0) and 40.0 (25 and 75 percentile: 32.3; 46.0) for the intervention group (FTE?+?PPT). The mean change over time was 3.3 (2.5; 4.1) for the control group. Mean difference in change over time between the intervention (FTE?+?PPT) and the control group was -?2.5 (-?4.3; -?0.6) (p?=?.009). Between FTE and PPT the difference in change was -?0.4 (95% CI: -2.3; 3.0, p?=?0.795).

Conclusion

An exercise intervention led by physiotherapists may slow down decline in self-reported daily functioning in older persons with daily activity limitations, identified by pro-active case finding.

Trial registration

Netherlands trial register ( NTR2407 ). Registered 6th of July 2010.

SUBMITTER: Siemonsma PC

PROVIDER: S-EPMC6050649 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Publications

The effectiveness of functional task exercise and physical therapy as prevention of functional decline in community dwelling older people with complex health problems.

Siemonsma Petra C PC Blom Jeanet W JW Hofstetter Hedwig H van Hespen Ariëtte T H ATH Gussekloo Jacobijn J Drewes Yvonne M YM van Meeteren Nico L U NLU

BMC geriatrics 20180717 1

<h4>Background</h4>A physically active lifestyle in older people contributes to the preservation of good health. We assessed the influence of physiotherapy on daily functioning among community dwelling older people (75+) with complex health problems identified with screening, versus usual care. We also compared functional task exercise (FTE), with problems prioritized by older people, trained in the home environment, versus usual preventive physical therapy (PPT).<h4>Methods</h4>Design: FTE and ...[more]

PMID: 30016948

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Dataset Information

The effectiveness of functional task exercise and physical therapy as prevention of functional decline in community dwelling older people with complex health problems.

Background

Methods

Setting/participants

Interventions

Measurements

Statistical analyses

Results

Conclusion

Trial registration

Publications

The effectiveness of functional task exercise and physical therapy as prevention of functional decline in community dwelling older people with complex health problems.

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