Exercise Strategies for Bedside Cases During Hospitalization

Buddhist Tzu Chi General Hospital

Status: Unknown

Conditions: Hospitalization; Disability Physical

Treatments: Other: paper group; Other: oral education group; Other: video watching

Study type: Interventional

Funder types: Other

Identifiers

NCT05252286

IRB110-193-A

Details and patient eligibility

About

Patients after hospital admission would experience the functional decline, so-called Hospital-Associated Disability. This condition could not only impact the patient health function but pose a burden on the family, even more consuming of medical resource in the country. Therefore, in addition to routine rehabilitation program, various bedside exercise programs are provided as an adjunct therapy to prevent functional declination and improve physical mobility for a patient after hospital admission. The aims of the study are conducted to compare the effect of three various bedside exercise programs (exercise based on watching video, oral education and paper sheet) on physical mobility among the hospitalized patients.

This is single-blind randomized control study and patients recruited from Tzu-Chi medical center in eastern Taiwan are ranged from 30 to 90 years old. All participants are randomly assigned to three groups (watching video, oral education and paper sheet). Patients in watching video group are provided with theirs 3 to 5 poor physical performance video recorded on the tablet or mobile phone during the rehabilitation program. The other two groups are provided oral education and paper sheet exercise program, respectively. All three groups patients conduct their bedside exercise programs when they return their ward.

Physical performance tests are evaluated before the intervention and one or two days before discharge by a physical therapist blinded the groups of patient .

Enrollment: 30 estimated patients

Sex: All

Ages: 30 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Functional dependence evaluated by Barthel Index
2. Patients needed to rehabilitation program referred by medical doctor during hospitalization
3. Be able to follow command and assessment

Exclusion criteria

1. Impaired cognition
2. Psychological problem from medical diagnosis
3. Having a potential cardiac risk or severe disease diagnosis from medical doctor

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 3 patient groups, including a placebo group

video watching

Experimental group

Description:

In the video-watching group, a patient will follow the exercise instructions from watching the video. The exercise content in video are set during the patient conducting the rehabilitation program. Then, the therapist will select 3 to 5 groups of movements pattern needed to be enhanced catching from the video for the patient to practice when returning the bedside after the rehabilitation programs.

Treatment:

Other: video watching

paper sheet

Active Comparator group

Description:

For the paper sheet group, the therapist will prepare the exercise leaflet, suitable for the patients, in advance, and select three to five groups of movement exercises on the leaflet that his/her therapist deem the patients needed to be enhanced. When the patients ends his/her rehabilitation program, they can practice following the instructions on the leaflet for them-self in bedside.

Treatment:

Other: paper group

oral health education group

Placebo Comparator group

Description:

In the oral health education group, the program is similar to the paper sheet group without providing any exercise paper sheet the patient but oral education.

Treatment:

Other: oral education group