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 .
Enhancing physical activity in older adults receiving hospital based rehabilitation: a phase II feasibility study
Background Older adults receiving inpatient rehabilitation have low activity levels and poor mobility outcomes . Increased physical activity may improve mobility . The objective of this Phase II study was to evaluate the feasibility of a r and omized controlled trial ( RCT ) of enhanced physical activity in older adults receiving rehabilitation . Methods Patients admitted to aged care rehabilitation with reduced mobility were r and omized to receive usual care or usual care plus additional physical activity  , which was delivered by a physiotherapist or physiotherapy assistant . The feasibility and safety of the proposed RCT protocol was evaluated . The primary clinical outcome was mobility , which was assessed on hospital admission and discharge by an assessor blinded to group assignment . To determine the most appropriate measure of mobility , three measures were trialled ; the Timed Up and Go , the Elderly Mobility Scale and the de Morton Mobility Index . Results The protocol was feasible . Thirty-four percent of people admitted to the ward were recruited , with 47 participants r and omised to a control ( n = 25 ) or intervention group ( n = 22 ) . The rates of adverse events ( death , falls and readmission to an acute service ) did not differ between the groups . Usual care therapists remained blind to group allocation , with no change in usual practice . Physical activity targets were met on weekdays but not weekends and the intervention was acceptable to participants . The de Morton Mobility Index was the most appropriate measure of mobility . Conclusions The proposed RCT of enhanced physical activity in older adults receiving rehabilitation was feasible . A larger multi-centre RCT to establish whether this intervention is cost effective and improves mobility is warranted . Trial registration The trial was registered with the ANZTCR ( ACTRN12608000427370 )
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 .