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Exercise program implementation proves not feasible during acute care hospitalization.

Cynthia J Brown1, Claire Peel, Marcas M Bamman

  • 1Birmingham/Atlanta Department of Veterans Affairs Geriatric Research, Education, and Clinical Center, Birmingham, AL, USA. cbrownmd@uab.edu

Journal of Rehabilitation Research and Development
|April 17, 2007
PubMed
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Implementing an inpatient exercise program for hospitalized older adults with mobility issues proved unfeasible. An at-home program showed some promise but faced adherence challenges, indicating a need for refined criteria for future studies.

Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Clinical Feasibility Studies

Background:

  • Functional decline is common in hospitalized older adults, affecting up to 65% of this population.
  • Limited ambulatory ability on hospital admission is a significant concern for geriatric patients.
  • Effective interventions are needed to mitigate functional decline and improve outcomes for older adults post-hospitalization.

Purpose of the Study:

  • To assess the feasibility of a combined inpatient and in-home exercise program for older adults with limited mobility.
  • To identify barriers and facilitators to participation in a structured exercise regimen for this demographic.
  • To evaluate the adherence and outcomes of an exercise intervention initiated during hospitalization and continued post-discharge.

Main Methods:

Related Experiment Videos

  • A feasibility study involving patients aged 60 years and older admitted with acute medical illness and limited ambulatory ability.
  • Recruitment of 76 eligible patients, with 10 ultimately enrolled in the study.
  • A 24-week exercise program comprising an inpatient component followed by an in-home phase, with adherence and outcomes monitored.

Main Results:

  • Low recruitment rates (10 of 76 eligible patients) were observed due to factors like illness severity and short hospital stays.
  • Only one patient completed the full 24-week program; adherence was a significant issue.
  • Three participants in the exercise group were readmitted to the hospital during the in-home phase; four participated for at least 3 weeks post-discharge.

Conclusions:

  • An inpatient exercise program was not feasible for the studied population of older adults with acute medical conditions.
  • The in-home exercise component demonstrated greater feasibility but requires refinement of target criteria for better adherence.
  • Despite perceived benefits, patient adherence to the exercise protocol was poor, highlighting the need for tailored approaches to geriatric rehabilitation.