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A comparative study of organized class-based exercise programs versus individual home-based exercise programs for elderly patients following hip surgery.
Disabil Rehabil. 2006 Aug 30; 28(16):997-1005.DR

Abstract

PURPOSE

To evaluate and compare the effectiveness of supervised and non-supervised exercise programs for improving health and rehabilitation outcomes for elderly persons following hip surgery.

METHOD

Prospective, descriptive and quantitative study involving two groups: The class-based program (group A, n = 34: 21 females, 13 males, mean age 79.2 years +/- 5.23) was directed and administered in the outpatient clinic, and a home-based program (group B, n = 29, 17 females, 12 males, mean age 80.3 years +/- 5.74) which administered in the patient's home. Sixty three elderly patients began at a period of 2 weeks post hip surgery for open reduction with internal fixation. The training period took place for 14 consecutive weeks. The main outcome measures include results from physical performance test, functional reach test and short form-36 health survey questionnaire.

RESULTS

Fifty five patients completed the exercise program. No significant difference according to gender or Body Mass Index was found between the groups. At the conclusion of 14 weeks of exercise training both groups demonstrated improvement in physical function. However, only 4 of 6 total tasks of a physical performance test were improved in the home-based group compared to improvement in all 6 tasks for the class-based group. The SF-36 scores and the functional reach test indicated that the class-based subjects also presented significant gains in contrast to no significant changes in the home exercise group.

CONCLUSIONS

Both groups demonstrated improvement in a number of issues. However, there appears to be more positive health outcomes presented by the participants in the supervised/class-based group when compared to the non-supervised/home-based group. And therefore, patients may select to participate to either a home-based or class-based regime. The clinical relevance is the significant of the necessity for close supervision by a professional therapist. In addition, the results could have some political and economical implications on the healthcare system.

Authors+Show Affiliations

Department of Physical Therapy, Sackler Faculty of Medicine, Stanley Steyer School of Health Professions, Tel Aviv University, Ramat Aviv, Israel. elie@post.tau.ac.ilNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16882639

Citation

Carmeli, Eli, et al. "A Comparative Study of Organized Class-based Exercise Programs Versus Individual Home-based Exercise Programs for Elderly Patients Following Hip Surgery." Disability and Rehabilitation, vol. 28, no. 16, 2006, pp. 997-1005.
Carmeli E, Sheklow SL, Coleman R. A comparative study of organized class-based exercise programs versus individual home-based exercise programs for elderly patients following hip surgery. Disabil Rehabil. 2006;28(16):997-1005.
Carmeli, E., Sheklow, S. L., & Coleman, R. (2006). A comparative study of organized class-based exercise programs versus individual home-based exercise programs for elderly patients following hip surgery. Disability and Rehabilitation, 28(16), 997-1005.
Carmeli E, Sheklow SL, Coleman R. A Comparative Study of Organized Class-based Exercise Programs Versus Individual Home-based Exercise Programs for Elderly Patients Following Hip Surgery. Disabil Rehabil. 2006 Aug 30;28(16):997-1005. PubMed PMID: 16882639.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A comparative study of organized class-based exercise programs versus individual home-based exercise programs for elderly patients following hip surgery. AU - Carmeli,Eli, AU - Sheklow,Sandford L, AU - Coleman,Raymond, PY - 2006/8/3/pubmed PY - 2006/12/13/medline PY - 2006/8/3/entrez SP - 997 EP - 1005 JF - Disability and rehabilitation JO - Disabil Rehabil VL - 28 IS - 16 N2 - PURPOSE: To evaluate and compare the effectiveness of supervised and non-supervised exercise programs for improving health and rehabilitation outcomes for elderly persons following hip surgery. METHOD: Prospective, descriptive and quantitative study involving two groups: The class-based program (group A, n = 34: 21 females, 13 males, mean age 79.2 years +/- 5.23) was directed and administered in the outpatient clinic, and a home-based program (group B, n = 29, 17 females, 12 males, mean age 80.3 years +/- 5.74) which administered in the patient's home. Sixty three elderly patients began at a period of 2 weeks post hip surgery for open reduction with internal fixation. The training period took place for 14 consecutive weeks. The main outcome measures include results from physical performance test, functional reach test and short form-36 health survey questionnaire. RESULTS: Fifty five patients completed the exercise program. No significant difference according to gender or Body Mass Index was found between the groups. At the conclusion of 14 weeks of exercise training both groups demonstrated improvement in physical function. However, only 4 of 6 total tasks of a physical performance test were improved in the home-based group compared to improvement in all 6 tasks for the class-based group. The SF-36 scores and the functional reach test indicated that the class-based subjects also presented significant gains in contrast to no significant changes in the home exercise group. CONCLUSIONS: Both groups demonstrated improvement in a number of issues. However, there appears to be more positive health outcomes presented by the participants in the supervised/class-based group when compared to the non-supervised/home-based group. And therefore, patients may select to participate to either a home-based or class-based regime. The clinical relevance is the significant of the necessity for close supervision by a professional therapist. In addition, the results could have some political and economical implications on the healthcare system. SN - 0963-8288 UR - https://www.unboundmedicine.com/medline/citation/16882639/A_comparative_study_of_organized_class_based_exercise_programs_versus_individual_home_based_exercise_programs_for_elderly_patients_following_hip_surgery_ L2 - http://www.tandfonline.com/doi/abs/10.1080/09638280500476154 DB - PRIME DP - Unbound Medicine ER -