YOOMI: Effect of Gamified Physical Therapy Exercise Software on Inpatient Mobility

Rutgers, The State University of New Jersey30 enrolled

Overview

Patients admitted to the hospital often develop functional impairments due to being in bed most of the day. Each day of bedrest leads to significant muscle loss. As a result, many patients become dependent on others or require rehabilitation at a facility to improve mobility and function prior to returning home. Staff in the hospital is limited and often unable to mobilize patients every day while hospitalized. The investigators are testing a new experimental gamified physical therapy exercise software to see if it can be a fun, enjoyable way to help mobilize patients without the assistance of staff. The primary aim of this pilot/proof of concept study is to determine whether gamified physical therapy software can help inpatients exercise within the safety of their own beds and preserve pre-hospitalization function.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Weakness, Muscle Delirium in Old Age Muscle Atrophy or Weakness Muscle Loss

Interventions

Yoomi Physical Therapy SoftwareDEVICE

Physical Therapy software via a computer/monitor will be set up for the patient. It will begin with a tutorial video for different exercises in the form of games and then ask patients to perform in sequence with prompting and motion tracking. Exercises include Frontal Bicep Curls, Arm Crosses, Press Ups, Arm Rotations, and Basketball Shots.

Eligibility

Sex: ALLMin age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * \>= 65 years of age * English-fluency in reading and speaking * Capacity to consent * Enrolled in HELP program * Attending physician confirms there are no medical contraindications to in-bed exercises Exclusion Criteria: * Unstable Psychiatric Illness * Unstable/Critically Ill Patients requiring ICU-level of care * Surgical tube present (e.g. JP drains) * Surgery during the hospitalization * Bed Rest Activity Order

Outcomes

Primary Outcomes

% of Participants Who Reported "Yes" to Enjoying Their Work Out and Believing They Benefited From the Activity for Intervention Group Questionnaire.

% Of participants who reported "yes" to enjoying their work out and believed they benefited from the activity. These are two questions from the survey that were combined. Scale includes "Yes", "Maybe", "No" as possible responses.

Time frame: Collected daily at the end of each workout. Survey responses were averaged for each participant.

Mean Software Utilization Time for Intervention Group (Change is Being Assessed)

Mean Software Utilization Time for Intervention Group was calculated by taking the mean of daily minutes per exercise session per participant, and then calculating the mean minutes utilization time for all participants.

Time frame: Collected daily throughout duration of patient hospitalization, usually 1-2 weeks, Daily minutes were averaged over sessions

Average Exercise Repetitions Completed for Intervention Group

Completed exercise repetitions per patient were calculated by taking the mean of each participant's daily exercise repetitions and then calculating a mean of all participants.

Time frame: Collected daily throughout duration of patient hospitalization, usually 1-2 weeks

Secondary Outcomes

Average Change in Activity Measure for Post Acute Care (AMPAC) Scores

Activity Measure for Post Acute Care (AMPAC) scores done by nurses twice daily (Score ranging from 0 to 24 with higher being better)

Time frame: Collected daily throughout duration of patient hospitalization, usually 1-2 weeks, Daily scores were averaged

Length of Hospital Stay

Time frame: Collected at the time of discharge of patient hospitalization, usually 1-2 weeks

Discharged Home

Number of Participants with discharged home (as opposed to rehab, SNF)

Time frame: Collected at time of discharge, usually 1-2 weeks