On average, people become physically weaker during even a short stay in hospital. This study is a feasibility/pilot study to see if additional physiotherapy exercises undertaken in hospital is feasible and acceptable to patients. The study will compare two different types of physiotherapy exercise. Both exercise programmes involve twice-daily physiotherapy provided by one of the hospital's physiotherapy assistants, but only one of the two exercise programmes expected to provide benefit. This is on top of the care that people would normally receive, and will last for the first 7 days of their hospital admission (or until they are discharged if this is earlier). Patients will be asked to consent to the study during the first 36 hours of their hospital admission. If patients provide consent, they will undergo a baseline assessment of their functional ability (including testing of their muscle strength) before being randomly assigned to one of the two exercise programmes. The study aims to recruit 15 patients to each group (30 in total). Once randomised patients will be seen twice a day by a physiotherapy assistant who will supervise the exercise programme. On the day that participants are discharged (or day 7 of their admission if earlier) the assessor will repeat measures of the participants functional ability. Following these measures participants will be invited to be interviewed to discuss their experience of taking part in the study. Approximately one month after discharge, a researcher will visit the participant to repeat measures of their functional ability at their home.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
15
The intervention group will receive 2 supervised exercise sessions a day. The exercise consists of progressive resistance training based around the movement of standing up/sitting down.
The intervention group will receive 2 supervised exercise sessions a day. The exercise consists of gentle stretching of upper limbs and lower limbs.
Cambridge University Hospital NHS Foundation Trust
Cambridge, Cambridgeshire, United Kingdom
Topic-guided interview of participants at discharge from hospital
Time frame: At day 7 of hospitalisation (or at discharge if earlier)
Topic-guided semi-structured interview of the group of physiotherapy assistants who delivered the intervention
Time frame: At day 7 of hospitalisation (or at discharge if earlier)
Hand held dynamometry (Knee extension + grip strength)
Time frame: At day 7 of hospitalisation (or at discharge if earlier), follow up 6 weeks after discharge
de Morton Mobility Index
Scale from 0-100, 100 representing highest functional ability
Time frame: At day 7 of hospitalisation (or at discharge if earlier), follow up 6 weeks after discharge
Barthel Index
Scale from 0-100, 100 representing highest functional ability
Time frame: 6 weeks after discharge
Falls Efficacy Scale International
Scale from 16-64, 16 representing highest perceived self efficacy of avoiding falling
Time frame: 6 weeks after discharge
Confidence measured on a visual analogue scale
Scale from 0-100, 100 representing highest level of confidence.
Time frame: 6 weeks after discharge
Mini-Addenbrookes Cognitive Examination
Scale from 0-30, 30 representing highest cognitive ability.
Time frame: 6 weeks after discharge
Survey of Health, Ageing and Retirement in Europe (SHARE) Frailty Instrument
A continuous scale, with a higher number representing a higher degree of frailty
Time frame: 6 weeks after discharge
Physical activity in hospital
Measured with accelerometers
Time frame: 6 weeks after discharge
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