Effectiveness of the Geriatric Activation Program Pellenberg (GAPP) on the Geriatric Rehabilitation Ward

Study Overview
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Brief Summary
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The aim of this study is to investigate the effectiveness of our developed week-treatment program GAPP, on strength, balance, speed, functionality and cognition, with the main goal to achieve a better independence for activities of daily living (ADL). Each day of the week an exercise program of 45 minutes is given assigned to a specific aspect of the rehabilitation; strength, balance, speed, functional training and one day is for testing or group therapy. Participants will be followed for four weeks, with testing on day one, after two weeks and at the last day of the four-week program.

Detailed Description
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The aim of this study is to investigate the effectiveness of our developed week-treatment program GAPP (Geriatric Activation Program Pellenberg), on strength, balance, speed, functionality and cognition, with the main goal to achieve a better independence for ADL. Each day of the week an exercise program of 45 minutes is given assigned to a specific aspect of the rehabilitation. Monday: speed and coordination, including as many repetitions as possible in one minute for: quick arm movements in standing, quick trunk movements in sitting, quick weight transfers in standing, stepping. Tuesday: functional training, including walking stairs, transfers, sitting to lying and reverse, moving objects in the room, functional fit-o-meter. Wednesday: balance, including maximum weight transfers in all directions, exercises with reduced base of support, reaching. Thursday: strength, including sit to stand with a weight belt, lifting a weight bimanual of the table, walking with ankle weights, arm extension with therapy bands. Friday: testing or group activity. One week the following test will be taken: Berg Balance Scale, 10m walking test, Digit Symbol Substitution Test, knee extension and elbow extension strength with the microfet2, Basic-ADL and Geriatric Depression Scale. The other week there will be a group session, this could be in sitting (like moving on music) or standing (like petanque). Walking will be practiced every day of the week and individual needs (like specific hand rehabilitation or pain problems) will be addressed besides the program when needed.

Official Title
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Effectiveness of the Geriatric Activation Program Pellenberg (GAPP) on the Geriatric Rehabilitation Ward

Conditions
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Stroke, Hip Fractures, Abdominal Injury, Chronic Obstructive Pulmonary Disease

Intervention / Treatment
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* Other: Geriatric Activation Program Pellenberg


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: admitted to the geriatric rehabilitation ward of UZ Leuven, campus Pellenberg the ability to walk 10m with help of a person or walking aid an expected stay of at least four weeks a signed informed consent Exclusion Criteria: medically instable not able to understand the questions and tasks of the program or testing

Ages Eligible for Study
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Minimum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: explorative study
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Geriatric Activation Program Pellenberg<br>intensive multicomponent physical therapy week program | Other: Geriatric Activation Program Pellenberg<br>* intensive multicomponent physical therapy week program<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Independence for activities of daily living | Independence for ADL measured with the Basic-ADL | four weeks | 
| Functional Balance | Functional balance measured with the Berg Balance Scale | four weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Walking speed | Walking speed measured with the 10m walking test | four weeks | 
| Strength of arm Extension | Strength of arm extension, measured with the microFET2 hand held dynamometer. The mean peak force in Newton of three trail will be used. | four weeks | 
| Strength of knee extension | Strength of Knee extension, measured with the microFET2 hand held dynamometer. The mean peak force in Newton of three trail will be used. | four weeks | 
| Cognitive function | The Digit Symbol Substitution Test will be used to measure response speed, sustained attention | four weeks | 
| General state of mind | General state of mind measured with the Geriatric Depression Scale 15 | four weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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geriatric patients, elderly, multicomponent physical therapy