Article

OBJECTIVE: To determine whether adults with lower limb orthopedic conditions who
received additional weekend physical therapy (PT) and occupational therapy (OT)
demonstrated increased habitual physical activity. DESIGN: Randomized controlled
trial. SETTING: Inpatient rehabilitation center. PARTICIPANTS:
Adults (N=105, 72
women; mean age +/- SD, 74+/-12y) admitted with a lower limb orthopedic
condition, cognitively alert and able to walk. INTERVENTION: The control group
received PT and OT Monday to Friday; in addition, the experimental group also
received a full Saturday PT and OT service. Participants wore an activity monitor
for 7 days. MAIN OUTCOME MEASURES: Daily steps and daily upright time (hours).
RESULTS: Overall, participants took a mean of 589+/-640 steps per day and spent a
mean of 1.2+/-0.9 hours upright per day. Experimental group participants took
more than twice as many steps (mean difference, 428 steps; 95% confidence
interval [CI], 184-673) and spent 50%+/-20% more time upright (mean difference,
0.5h; 95% CI, 0.1-0.9) than control group participants on Saturdays. In the days
after additional therapy, experimental group participants took 63%+/-28% more
steps (mean difference, 283 steps; 95% CI, 34-532) and spent 40%+/-17% more time
upright (mean difference, 0.4h; 95% CI, 0.1-0.8) per day than participants in the
control group. CONCLUSIONS: Providing additional rehabilitation services on the
weekend increased habitual activity, but patients with lower limb orthopedic
conditions admitted to rehabilitation remained relatively inactive even with
additional therapy.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS