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  • Walking activity of older patients in rehabilitation: a prospective study

    Author(s)
    Peel, N.
    Kuys, Suzanne
    Griffith University Author(s)
    Kuys, Suzanne S.
    Year published
    2013
    Metadata
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    Abstract
    Objectives: To quantify, using accelerometry, walking activity of older rehabilitation inpatients and to examine the relationship between walking activity and functional outcomes. Design: Prospective cohort study. Setting: Inpatient geriatric rehabilitation unit. Participants: Of 74 consecutive eligible patients, aged 60 years or older and able to walk independently or with assistance, 60 participants (32 males, 28 females) with a mean (SD) length of stay of 37 (26) days completed the study. Intervention Measures: An accelerometer was worn in daytime hours from study recruitment until discharge to monitor daily walking ...
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    Objectives: To quantify, using accelerometry, walking activity of older rehabilitation inpatients and to examine the relationship between walking activity and functional outcomes. Design: Prospective cohort study. Setting: Inpatient geriatric rehabilitation unit. Participants: Of 74 consecutive eligible patients, aged 60 years or older and able to walk independently or with assistance, 60 participants (32 males, 28 females) with a mean (SD) length of stay of 37 (26) days completed the study. Intervention Measures: An accelerometer was worn in daytime hours from study recruitment until discharge to monitor daily walking minutes. Results: On study entry, patients spent a median (IQR) of 33 (20 to 48) minutes (7%) of the daily monitored eight hour period walking. By discharge, this had increased to 43 (30 to 56) minutes (9%) (p< 0.001). Average daily walking activity over the week prior to discharge correlated with change in gait speed from admission to discharge (p<0.05). Walking activity prior to discharge was significantly different (p<0.05) between the slowest gait speed group (=0.4 m/s) and the fastest gait speed group (=0.8 m/s). Those with discharge gait speeds =0.8 m/s (associated with ability to be ambulant in the community) had median (IQR) daily walking times at discharge of 51 (33 to 78) minutes. Conclusion: Activity monitoring has the potential to assist clinicians and patients set goals around activity levels to achieve better outcomes.
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    Journal Title
    Journal of Frailty and Aging
    Volume
    2
    Issue
    1
    Publisher URI
    https://www.jfrailtyaging.com/all-issues.html?article=76
    Subject
    Medical and Health Sciences not elsewhere classified
    Clinical Sciences
    Public Health and Health Services
    Sociology
    Publication URI
    http://hdl.handle.net/10072/56806
    Collection
    • Journal articles

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