OBJECTIVE: We hypothesized that early ambulation with a gutter frame (GF) in elderly @entity1 hospitalized for acute exacerbation of @entity1030 (AECOPD) may reduce @entity717 and allow earlier discharge. DESIGN: Blinded, randomized parallel groups trial. SUBJECTS: One hundred and ten consecutive AECOPD inpatients. INTERVENTIONS: @entity1 were recruited two days post admission and randomly allocated to four groups: GF with supplemental @entity26 (GFSO), GF with supplemental air (GFSA), rollator with supplemental air (RSA) and rollator with supplemental @entity26 (RSO) (air/ @entity26 was double-blinded to @entity1 and investigators). @entity1 exercised three times daily (maximum of 15 minutes per session) with a physiotherapist or nurse. OUTCOME MEASURES: @entity717 measured by Barthel Index and perceived respiratory effort by Borg Scale. RESULTS: After intervention no significant difference was observed between the four groups in length of hospital stay (F= 0.78; p = 0.50), changes in mean Barthel score (F= 2.08; p = 0.11) and Borg score (F= 0.35; p = 0.79). However, improvement in Barthel score (mean 1.22 combined gutter frame group air/ @entity26 ) was greater than the combined rollator group (mean 0.55; p = 0.003). Baseline Barthel score and nurses' assessment of compliance were associated with improvement in Barthel score (p < 0.0001 and p < 0.002). Barthel score was predicted by use of gutter frame (F = 6.17; p = 0.01), not by use of rollator. Use of air/ @entity26 group was not related to improvement in Barthel score. CONCLUSION: Short-term exercise therapy with gutter frame after AECOPD admission reduces @entity717 in older @entity1 but does not affect length of hospital stay. Use of supplemental @entity26 during exercise has no additional benefits.

Early mobilization with walking aids following hospital admission with acute exacerbation of XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'Participants'] @entity717 :: ('MESH:D009069', 'Disease') :: ['physical disability', 'Physical disability'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity1030 :: ('MESH:D029424', 'Disease') :: ['chronic obstructive pulmonary disease']
@entity1030 :: (MESH:D029424,Disease) :: ['chronic obstructive pulmonary disease']
