Is Inpatient Rehabilitation Effective for Very Old Patients?

Klinik Valens

Status: Completed

Conditions: Musculoskeletal Diseases; Activity, Motor; Elderly Patients

Treatments: Other: inpatient rehabilitation

Study type: Observational

Funder types: Other

Identifiers

NCT06307210

coreset_2020_2022

Details and patient eligibility

About

The goal of this retrospective longitudinal observational study is to compare the effects of physical and mental performance as well as quality of life in patients with neurological and musculoskeletal disorders.

The main question it aims to answer is: Do very old patients benefit in a similar way from inpatient rehabilitation like younger patients? Data from about 2000 patients will be retrospectively analyzed. Functional Independence Measurement (FIM), Timed Up and Go Test (TUG), EuroQol 5 Dimensions (EQ-5D) and Patient Reported Outcomes Measurement Information System (PROMIS) were recorded on admission and discharge.

Researchers will compare the age group 75 to 84 and 85 to 99 to see if physical and mental performance as well as quality of life will improve.

Full description

Inpatient rehabilitation has been shown to improve exercise capacity and quality of life in patients with neurological and musculoskeletal disorders.

Rehabilitation in Valens includes intensive strength and endurance training. Expectedly improvements in physical and mental performance measured by Functional Independence Measurement (FIM), Timed Up and Go Test (TUG), EuroQol 5 Dimensions (EQ-5D) and Patient Reported Outcomes Measurement Information System (PROMIS) is recognized after inpatient rehabilitation. But is this clinical effect in the same way represented in very old patients?

To the knowledge of the investigators only few studies evaluated changes after rehabilitation in patients with neurological and musculoskeletal disorders in very old patients.

Therefore, the primary goal of this study is to evaluate changes in physical and mental performance in patients with neurological and musculoskeletal disorders after inpatient rehabilitation.

Enrollment: 2,270 patients

Sex: All

Ages: 75 to 100 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• german speaking
• age >74
• patients with neurological and musculoskeletal disorders

Exclusion criteria

• age <75
• patients with pulmonological and internal disorders

Trial design

2,270 participants in 2 patient groups

age group 75-84

Description:

Inpatient rehabilitation included physiotherapy (30-60 min, 5 times/week), strength and endurance training (30-45 min, 3-5 times/week), occupational therapy (30 min, 2-3 times/week), and neuropsychological training (30 min, 2 times/week).

Treatment:

Other: inpatient rehabilitation

age group 85-99

Description:

Inpatient rehabilitation included physiotherapy (30-60 min, 5 times/week), strength and endurance training (30-45 min, 3-5 times/week), occupational therapy (30 min, 2-3 times/week), and neuropsychological training (30 min, 2 times/week).

Treatment:

Other: inpatient rehabilitation