Evidence map›Paper›PMID 28705187›Full record

Observational studyBMC geriatrics2017

Analysis of home-based rehabilitation in patients with motor impairment in primary care: a prospective observational study.

Francisco Antonio Vega-Ramírez, Remedios López-Liria, Genoveva Granados-Gámez, Jose Manuel Aguilar-Parra, David Padilla-Góngora

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02715245 (A Home-based Rehabilitation Program in Multiple Chronic Diseases), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02715245 nacompletednot on this map

A Home-based Rehabilitation Program in Multiple Chronic Diseases: the RITH Trial

TypeinterventionalSponsorUniversidad de AlmeriaRan2013 to 2016Enrolled300ConditionsMultiple Chronic DiseasesArmsHome-based rehabilitation
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Effects of home-based neurostimulation on outcomes after stroke: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  2. Review
  3. Article
  4. Evaluation of the Effectiveness of a Nursing/Physiotherapy Program in Chronic Patients.International journal of environmental research and public health · 2019
    Observational
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

5 authors.

Francisco Antonio Vega-RamírezComplejo Hospitalario Torrecárdenas. Servicio Andaluz de Salud, Carretera del Sacramento s/n. La Cañada de San Urbano, 04250, Almería, Spain.
Remedios López-LiriaDepartment of Nursing, Physiotherapy and Medicine, CERNEP. University of Almería, Carretera del Sacramento s/n. La Cañada de San Urbano, 04250, Almería, Spain. rll040@ual.es.ORCID 0000-0002-3416-2791
Genoveva Granados-GámezDepartment of Nursing, Physiotherapy and Medicine University of Almería, Carretera del Sacramento s/n. La Cañada de San Urbano, 04250, Almería, Spain.
Jose Manuel Aguilar-ParraDepartment of Psychology, University of Almería, Carretera del Sacramento s/n. La Cañada de San Urbano, 04250, Almería, Spain.
David Padilla-GóngoraDepartment of Psychology, University of Almería, Carretera del Sacramento s/n. La Cañada de San Urbano, 04250, Almería, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of health and social policies is to encourage older people more longevity, remain free of disability and experience quality of life while living in their homes. The aim of this study was to describe the characteristics of 473 patients diagnosed with motor impairment in primary care, the objectives of home-based rehabilitation and its functional impact.

methodsThis prospective observational study was conducted in the Almería Health District. The analysed variables included age, gender, secondary diagnosis, Barthel Index (BI), physiotherapeutic objectives and techniques, and number of sessions.

resultsThe sample had a mean age of 83 years, and 59% were women. The assessed conditions with a high prevalence included osteoarticular pathology (55%), Alzheimer's disease (15.1%), cardiovascular disease (13.7%) and stroke (6.5%). The techniques applied mainly consisted of functional exercises (57.1%), caregiver education (13.8%), and technical assistance (5.7%). There were statistically significant differences (t = -15.79; p < 0.001) between initial (X = 34.8) and final BI (X = 48.1), with an improvement of 13.4 points in patients' functional capacity (95% confidence interval [CI]: -15.0 to -11.7). An equation was constructed to predict patients' final BI as a function of the initial BI using a multiple linear regression model. The regression model explained 78% of the variance in patients with motor impairment.

conclusionsImportant improvements were obtained in terms of functional capacity with a mean of ten sessions of physiotherapy. Lower patient age was correlated with higher initial and final functional capacities in primary care. This study aimed to present a useful starting point for decision making among management and health administration regarding this population group by approaching the process from the reality of practice and in relation to the rehabilitation provided.

trial registrationClinicalTrials.gov identifier: NCT02715245 ; Date of registration: 18 January 2016.

Indexed as

AgedAged, 80 and overExercise TherapyFemaleHome Care ServicesHumansMaleMiddle AgedMotor Skills DisordersPhysical Therapy ModalitiesPrimary Health CareProspective StudiesQuality of LifeStrokeStroke RehabilitationGeriatricsHome based rehabilitationHome careMultimorbidityPhysiotherapyPrimary health care

Identifiers

PMID28705187
PMCPMC5513088

What OpenQuestion holds

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Registered trials

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.