Evidence map›Paper›PMID 26337626›Full record

Trial reportClinical rehabilitation2016

Progressive multi-component home-based physical therapy for deconditioned older adults following acute hospitalization: a pilot randomized controlled trial.

Jennifer E Stevens-Lapsley, Brian J Loyd, Jason R Falvey, Greg J Figiel, Andrew J Kittelson, Ethan U Cumbler, Kathleen K Mangione

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  9. Multimodal training protocols on unstable rather than stable surfaces better improve dynamic balance ability in older adults.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024
    Article
  10. Prevalence of cognitive impairment in home health physical therapy.Journal of the American Geriatrics Society · 2024
    Article
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  13. Review
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Jennifer E Stevens-LapsleyPhysical Therapy Program, University of Colorado, Aurora, CO, USA Jennifer.stevens-lapsley@ucdenver.edu.
Brian J LoydPhysical Therapy Program, University of Colorado, Aurora, CO, USA.
Jason R FalveyPhysical Therapy Program, University of Colorado, Aurora, CO, USA.
Greg J FigielPhysical Therapy Program, University of Colorado, Aurora, CO, USA.
Andrew J KittelsonPhysical Therapy Program, University of Colorado, Aurora, CO, USA.
Ethan U CumblerDepartment of Geriatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Kathleen K MangioneDepartment of Physical Therapy, Arcadia University, Glenside, PA, USA.
University of Colorado Anschutz Medical Campus · USArcadia University · USUniversity of Colorado Denver · US

Funding

University of Colorado Aging Training GrantT32AG000279 · NIA · UNIVERSITY OF COLORADO DENVER · PI Kerrie Moreau · 2001 to 2026
$10.1M
Early NMES to Improve Quadriceps Muscle Function After Total Knee ArthroplastyK23AG029978 · NIA · UNIVERSITY OF COLORADO DENVER · PI STEVENS-LAPSLEY, JENNIFER E. · 2008 to 2012
$713k
NIA NIH HHS K23 AG029978NIA NIH HHS T32 AG000279
6 · The paper itself

Abstract

objectiveTo determine whether a progressive multicomponent physical therapy intervention in the home setting can improve functional mobility for deconditioned older adults following acute hospitalization.

designRandomized controlled trial.

settingPatient homes in the Denver, CO, metropolitan area.

participantsA total of 22 homebound older adults age 65 and older (mean ± SD; 85.4 ±7.83); 12 were randomized to intervention group and 10 to the control group.

interventionThe progressive multicomponent intervention consisted of home-based progressive strength, mobility and activities of daily living training. The control group consisted of usual care rehabilitation. MEASUREMENTS: A 4-meter walking speed, modified Physical Performance Test, Short Physical Performance Battery, 6-minute walk test.

resultsAt the 60-day time point, the progressive multicomponent intervention group had significantly greater improvements in walking speed (mean change: 0.36 m/s vs. 0.14 m/s, p = 0.04), modified physical performance test (mean change: 6.18 vs. 0.98, p = 0.02) and Short Physical Performance Battery scores (mean change: 2.94 vs. 0.38, p = 0.02) compared with the usual care group. The progressive multicomponent intervention group also had a trend towards significant improvement in the 6-minute walk test at 60 days (mean change: 119.65 m vs. 19.28 m; p = 0.07). No adverse events associated with intervention were recorded.

conclusionsThe progressive multicomponent intervention improved patient functional mobility following acute hospitalization more than usual care. Results from this study support the safety and feasibility of conducting a larger randomized controlled trial of progressive multicomponent intervention in this population. A more definitive study would require 150 patients to verify these conclusions given the effect sizes observed.

Indexed as

Activities of Daily LivingHomebound PersonsHome Care ServicesPhysical Therapy ModalitiesAgedAged, 80 and overChronic DiseaseFemaleHospitalizationHumansMalePilot Projectsfunctional fitnessHome rehabilitationolder adultsrehabilitation interventions

Identifiers

PMID26337626
PMCPMC8637964
OpenAlexW1277886045

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.