Clinical trial NCT03109483: Effectiveness of the Geriatric Activation Program Pellenberg (GAPP) on the Geriatric Rehabilitation Ward
Official title: Effectiveness of the Geriatric Activation Program Pellenberg (GAPP) on the Geriatric Rehabilitation Ward
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Hip Fractures
Abdominal Injury
Chronic Obstructive Pulmonary Disease
Keywords: geriatric patients
elderly
multicomponent physical therapy
Lead sponsor: KU Leuven
Sponsor class: OTHER
Collaborators: name: Universitaire Ziekenhuizen KU Leuven
First posted: 2017-04-12
Enrollment: 111
Sex: ALL
Minimum age (years): 70
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: explorative study
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Independence for activities of daily living
timeFrame: four weeks
measure: Functional Balance
timeFrame: four weeks
Secondary outcomes:
measure: Walking speed
timeFrame: four weeks
measure: Strength of arm Extension
timeFrame: four weeks
measure: Strength of knee extension
timeFrame: four weeks
measure: Cognitive function
timeFrame: four weeks
measure: General state of mind
timeFrame: four weeks
Other outcomes:
Locations:
city: Pellenberg
country: Belgium
facility: Universitaire Ziekenhuizen Leuven, campus Pellenberg
Study officials:
References: