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 .
Use of an interactive video gaming program compared with conventional physiotherapy for hospitalised older adults: a feasibility trial
Purpose : To assess the feasibility of a physiotherapy intervention using an interactive gaming program compared with conventional physiotherapy for hospitalised older people . Methods : R and omised controlled pilot study in a geriatric rehabilitation unit within an acute public hospital . Participants were r and omly allocated to  physiotherapy using an interactive gaming program ( n = 22 ) or conventional physiotherapy in a ward-based gym ( n = 22 ) . Feasibility was assessed by comparing the effects of the intervention on clinical outcome measures ( primary outcome : mobility as assessed by the Timed Up and Go test , secondary outcomes : safety , adherence levels , eligibility and consent rates ) . Results : Participants ( n = 44 ) had a mean age of 85 years ( SD 4.5 ) and the majority ( 80 % ) were women . Univariable analyses showed no significant difference between groups following intervention . However , multivariable analyses suggested that participants using the interactive gaming program improved more on the Timed Up and Go test ( p = 0.048 ) than participants receiving conventional physiotherapy . There were no serious adverse events and high levels of adherence to therapy were evident in both groups . Only a small proportion of patients screened were recruited to the study . Conclusions : In this feasibility study , the use of a commercially available interactive gaming program by physiotherapists with older people in a hospital setting was safe and adherence levels were comparable with conventional therapy . Preliminary results suggest that further exploration of approaches using games as therapy for older people could include commonly used measures of balance and function . Implication s for Rehabilitation The use of an interactive gaming program by physiotherapists with hospitalised older people appeared to be safe and result ed in improvements in balance and mobility . Use of these programs may be limited to a relatively small proportion of older people , only those able to use and interested in this technological approach to therapy
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 .