Brusco Natasha K, Kugler Helen, Dufler Fiona, Lee Annemarie L, Walpole Brianna, Morris Meg E, Hill Keith D, Ekegren Christina L, Whittaker Sara L, Taylor Nicholas F
Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Frankston, Australia.
La Trobe University Centre for Sport and Exercise Medicine Research, Bundoora, Australia.
J Rehabil Med Clin Commun. 2022 Jan 13;5:1000076. doi: 10.2340/20030711-1000076. eCollection 2022.
To test the feasibility, safety and effectiveness of the My Therapy programme for inpatients with mild-moderate cognitive impairment.
Observational pilot study.
Rehabilitation inpatients with mild-moderate cognitive impairment.
During their inpatient admission, participants received My Therapy, a programme that can increase the dose of rehabilitation through independent self-practice of exercises, outside of supervised therapy. Outcomes included My Therapy participation, falls, Functional Independence Measure (FIM) and 10-m walk test. Outcomes were compared with those of participants without cognitive impairment from the original My Therapy study ( = 116) using and independent -tests.
Eight participants with mild-moderate cognitive impairment (mean (standard deviation (SD)) age 89.6 years (4.8); 3 women) were included. All participants completed the My Therapy programme on at least one day of their admission, with no associated falls. Participants had an 8.4 s (SD 5.1) reduction in their 10-m walk test and a 21.5 point (SD 11.1) improvement on FIM scores from admission to discharge. There were no significant between-group differences in feasibility, safety or effectiveness for participants with and without cognitive impairment.
This pilot study has shown that including exercise self-management as part of inpatient rehabilitation is feasible, safe and effective for patients with cognitive impairment.
测试“我的治疗”方案对轻中度认知障碍住院患者的可行性、安全性和有效性。
观察性试点研究。
患有轻中度认知障碍的康复住院患者。
在住院期间，参与者接受“我的治疗”方案，该方案可通过在监督治疗之外独立自我练习锻炼来增加康复剂量。结果包括参与“我的治疗”方案的情况、跌倒情况、功能独立性测量（FIM）和10米步行测试。使用t检验和独立样本t检验，将结果与原始“我的治疗”研究中无认知障碍的参与者（n = 116）的结果进行比较。
纳入了8名轻中度认知障碍参与者（平均（标准差（SD））年龄89.6岁（4.8）；3名女性）。所有参与者在入院的至少一天内完成了“我的治疗”方案，且无相关跌倒事件。参与者的10米步行测试时间从入院到出院减少了8.4秒（SD 5.1），FIM评分提高了21.5分（SD 11.1）。有认知障碍和无认知障碍的参与者在可行性、安全性或有效性方面没有显著的组间差异。
这项试点研究表明，将运动自我管理作为住院康复的一部分对认知障碍患者是可行、安全且有效的。
