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Mobility on discharge from an aged care unit.

Edward Gorgon1, Catherine Said, Mary Galea

  • 1Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines.

Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy
|June 1, 2007
PubMed
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Older adults often achieve independence in transfers and walking after rehabilitation but struggle with stairs and walk slowly. Further rehabilitation is needed to improve mobility and address chronic condition impacts.

Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Independent mobility is vital for older adults' quality of life.
  • Limited understanding exists regarding older patients' mobility at discharge from inpatient rehabilitation.

Purpose of the Study:

  • To describe the mobility status of older individuals upon discharge from an aged care rehabilitation unit.

Main Methods:

  • A descriptive, cross-sectional study involving 95 older patients (mean age 81) with diverse chronic conditions.
  • Assessed functional independence using the Barthel Index and Functional Independence Measure (FIM).
  • Measured gait velocity, cadence, and step length using the GAITRite system.

Main Results:

Related Experiment Videos

  • Most patients achieved independence in transfers (83%) and level-surface walking (74%).
  • Only 31% could climb stairs independently; gait velocity was significantly slow (median 45.96 cm/s).
  • Fewer chronic conditions correlated with better mobility outcomes.

    • Conclusions:

    • Despite functional gains, many older adults exhibit impaired mobility at discharge, particularly in stair negotiation and walking speed.
    • A significant proportion (90.5%) did not achieve adequate walking velocity for street crossing.
    • Ongoing rehabilitation is crucial, and the cumulative effect of chronic conditions on mobility warrants further investigation.