Overall , the effect of physical interventions on physical performance was inconsistent .
Patient tailored interventions , i.e. continuously adapted to the capabilities of the patient were not found to be superior over interventions that were not .
Conclusions Evidence for the effect of physical interventions on physical performance in older patients during hospitalization was found uncertain .
Background To counteract decline in physical performance and physical activity in older patients during hospitalization , multiple physical interventions were developed .
However , it is unknown whether these are effective in this particular population .
This systematic review aim ed to identify the effect of physical interventions on physical performance and physical activity in older patients during hospitalization .
Additional exercise does not change hospital or patient outcomes in older medical patients: a controlled clinical trial.
QUESTION What are the effects of additional exercise on hospital and patient outcomes for acutely-hospitalised older medical patients ? DESIGN Controlled clinical trial . PARTICIPANTS 236 Patients aged 65 or older admitted to an acute care hospital with a medical illness between October 2002 and July 2003 . INTERVENTION The experimental group received usual care plus an individually tailored exercise program administered twice daily from hospital admission to discharge . The control group received usual care only . OUTCOME MEASURES The primary outcome was discharge destination . Secondary outcomes were measures of activity limitation ( Barthel Index , Timed Up and Go , Functional Ambulation Classification ) , length of stay , and adverse events . RESULTS There was no significant effect of the additional exercise program on any outcome . There were no significant differences between groups for the proportion of the patients discharged to home ( RR 0.99 , 95 % CI 0.86 to 1.14 ) or inpatient rehabilitation ( RR 0.76 , 95 % CI 0.30 to 1.51 ) or for measures of activity limitation at hospital discharge . A one day difference in length of stay was identified between groups but this difference was not significant ( p = 0.45 ) . There were no significant differences between groups for adverse events : 28-day readmission ( RR 1.10 , 95 % CI 0.65 to 1.86 ) , patient mortality ( RR 1.15 , 95 % CI 0.16 to 8.0 ) , intensive care admission ( RR 0.16 , 95 % CI 0.01 to 3.13 ) and falls ( RR 0.69 , 95 % CI 0.17 to 2.81 ) . CONCLUSION Additional physiotherapy intervention during hospitalisation did not significantly improve hospital or patient outcomes
Overall , the effect of physical interventions on physical performance was inconsistent .
Patient tailored interventions , i.e. continuously adapted to the capabilities of the patient were not found to be superior over interventions that were not .
Conclusions Evidence for the effect of physical interventions on physical performance in older patients during hospitalization was found uncertain .
Background To counteract decline in physical performance and physical activity in older patients during hospitalization , multiple physical interventions were developed .
However , it is unknown whether these are effective in this particular population .
This systematic review aim ed to identify the effect of physical interventions on physical performance and physical activity in older patients during hospitalization .