Efficacy of a Post-Rehabilitation Exercise Intervention

康复后运动干预的功效

• 批准号: 7848230
• 负责人: ALAN Maurice JETTE
• 金额: $ 43.82万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-05 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7848230
• 关键词: Acute; Address; Adherence; Adult; Attention; Behavioral; Blinded; Caring; Clinical Trials; Cognitive; Cognitive Therapy; Control Groups; Counseling; Dietary Intervention; Effectiveness; Elderly; Equilibrium; Exercise; Fracture; Health Personnel; Health Services; Hip Fractures; Home environment; Individual; Intention; Intervention; Life; Measures; Mission; Motivation; Nursing Homes; Outcome; Participant; Patient Self-Report; Patients; Personal Satisfaction; Physical Function; Psychological reinforcement; Psychologist; Public Health; Quality of life; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Recovery of Function; Rehabilitation therapy; Research Personnel; Residual state; Safety; Sampling; Scientist; Self Efficacy; Site; Techniques; Time; Training; Walking; Work; base; cognitive training; cost; design; disability; epidemiology study; experience; fear of falling; follow-up; functional improvement; functional loss; functional outcomes; health related quality of life; improved; improved functioning; innovation; interdisciplinary approach; muscle strength; performance tests; prevent; programs; rehabilitation service

DESCRIPTION (provided by applicant): The overall objective of this project is to determine if the significant functional problems that remain for many hip fracture patients after rehabilitation ends can be reduced or eliminated by a simple, easily disseminated program. The specific aim of this study is to demonstrate if functional improvement can be achieved after formal hip fracture rehabilitation ends through the use of a practical, home-based exercise program, called Strong for Life (SFL). The SFL intervention incorporates cognitive training and behavioral reinforcements with exercise training to achieve high levels of adherence. Relevance to the missions of NIA and NCMMR: This project addresses the missions of these agencies by investigating an innovative, multidisciplinary approach to enhance the independence, well-being and quality of life of older adults with a disability. In previous randomized clinical trials with older adults with functional limitations, the SFL participants have achieved a high level of adherence, and improved strength, mobility and reduced disability with minima contact from a therapist. This proposed study will extend previous work by demonstrating this program's safety and effectiveness in a sample of adults who have received formal rehabilitation services following hip fracture and who display limitations in their physical function at the end of their normal course of rehabilitation. Participants will be randomized either to receive the SFL program for 6 months, or an attention control intervention (nutrition counseling). SFL participants will receive exercise and cognitive training and follow-up behavioral reinforcements from a physical therapist. Blinded outcome assessors will evaluate the program's impact on physical function and disability using physical performance tests and self- report measures at 6- and 9-month follow-up. All analyses will be by intention to treat. Relevance to public health: After rehabilitation for a hip fracture ends, many people continue to have problems walking and doing their daily activities. This study will find out whether an exercise program that people can do in their own home after their rehabilitation ends which includes special techniques to increase people's motivation and confidence helps them to be more independent. This low-cost program could be used by many people after hip fracture, and could potentially help to reduce the number of people who need to move to a nursing home or need long term home help.

描述（由申请人提供）：该项目的总体目标是确定在康复结束后许多髋部骨折患者仍然存在的重大功能问题是否可以通过简单，易于传播的计划来减少或消除。这项研究的具体目的是证明在正式的髋部骨折康复康复结束后，是否可以通过使用一种称为“ Strong for for Life（SFL）”的实用性锻炼计划来实现功能改善。 SFL干预措施将认知训练和行为增援与运动训练结合在一起，以达到高水平的依从性。与NIA和NCMMR的任务相关：该项目通过研究一种创新的，多学科的方法来解决这些机构的任务，以增强残疾老年人的独立性，福祉和生活质量。在具有功能限制的老年人的先前随机临床试验中，SFL参与者的依从性很高，强度，迁移率和降低了治疗师的最小接触的残疾。这项拟议的研究将通过证明该计划在髋部骨折后接受正式康复服务的成年人样本中的安全性和有效性来扩展以前的工作，并在正常康复过程结束时表现出其身体机能的局限性。参与者将被随机接受6个月的SFL计划，或者注意力控制干预措施（营养咨询）。 SFL参与者将获得物理治疗师的运动和认知培训和后续行为增强。盲目结果评估者将使用身体绩效测试和6个月的随访中的身体绩效测试和自我报告措施来评估该计划对身体机能和残疾的影响。所有分析将是出于治疗的意图。与公共卫生相关：康复治疗髋部骨折结束后，许多人继续遇到问题和日常活动。这项研究将找出人们康复结束后人们可以在自己家中进行的锻炼计划，其中包括提高人们的动力和信心的特殊技术，可以帮助他们变得更加独立。髋部骨折后，许多人可以使用该低成本计划，并有可能有助于减少需要搬到疗养院或需要长期家庭帮助的人数。