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Physiotherapy exercise programmes: are instructional exercise sheets effective?

Jo Smith1, Jeremy Lewis, Diana Prichard

  • 1Medical Rehabilitation Department, Chelsea and Westminster Healthcare NHS Trust, London. josphysio@yahoo.co.uk

Physiotherapy Theory and Practice
|January 6, 2006
PubMed
Summary
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Elderly patients in hospitals struggle to recall physiotherapy exercises, even with written aids. Cognitive function shows a small positive correlation with exercise memory.

Area of Science:

  • Geriatric Medicine
  • Physical Therapy
  • Cognitive Science

Background:

  • Effective physiotherapy adherence relies on accurate patient recall of prescribed exercises.
  • Limited research exists on memory retention of physiotherapy exercises in elderly hospital inpatients.

Purpose of the Study:

  • To evaluate the recall accuracy of simple physiotherapy exercises among elderly inpatients.
  • To compare exercise recall between patients receiving written exercise sheets and those who do not.
  • To investigate the association between exercise memory and cognitive function in this population.

Main Methods:

  • Sixty-four acute hospital inpatients were taught three physiotherapy exercises.
  • Participants were randomized into two groups: one received exercise sheets (Group 1), the other did not (Group 2).

Related Experiment Videos

  • Exercise recall was assessed 2-3 days later using a validated scoring scale; cognitive function was also evaluated.

    • Main Results:

    • No significant difference in exercise recall scores was found between the group with exercise sheets (mean=17.19) and the group without (mean=16.24).
    • A statistically significant, small positive correlation was observed between exercise recall scores and cognitive function (tau = 0.263).
    • Older adult inpatients demonstrated poor recall of physiotherapy exercises after a single teaching session.

    Conclusions:

    • Single-session physiotherapy instruction leads to ineffective memory recall in elderly inpatients.
    • Providing written exercise sheets does not significantly enhance memory retention for physiotherapy exercises in this demographic.
    • Cognitive function is a small but significant factor influencing physiotherapy exercise memory in older adults.