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Mobile geriatric rehabilitation in functionally severely impaired patients : Investigations on effectiveness.
MedLine Citation:
PMID:  23615897     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: Mobile geriatric rehabilitation is an outpatient rehabilitative treatment in which a multidisciplinary team treats elderly patients at home. This kind of treatment has been performed in rare cases in Germany but there are no data available on the effectiveness in patients with severe cognitive and functional impairment. MATERIAL AND METHODS: In a retrospective study design the data of all patients who had participated in mobile geriatric rehabilitation between 1 September 2009 and 23 May 2011 were evaluated. Before treatment a comprehensive geriatric assessment was performed and after treatment an assessment of mobility and activities of daily living (ADL). After 6 months a random sample of 20 patients were contacted by telephone to check the ADL. RESULTS: A total of 87 patients were treated between 1 September 2009 and 23 May 2011. The median age was 83 years and 56 % of the patients lived in nursing homes. Only 24 % of the patients had MMSE scores > 23 points, 77 patients completed the treatment with an assessment and in these patients the ADL could be improved significantly (Barthel index at the beginning 36.2 points and on completion 50.9 points, p < 0.001). The Barthel index 6 months after treatment was only 1.25 points lower compared to the assessment at the end of the treatment. Significant improvement after therapy could also be demonstrated in the mobility assessment (timed up and go test, Tinetti mobility score and Esslinger transfer scale). CONCLUSION: The results of this non-randomized and non-blinded trial indicated the efficacy of mobile geriatric rehabilitation. In functionally and cognitively impaired elderly patients ADL and mobility can be improved. These effects seem to persist for at least for 6 months.
Authors:
R Schulz; W Knauf; R Püllen
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-4-26
Journal Detail:
Title:  Zeitschrift fur Gerontologie und Geriatrie     Volume:  -     ISSN:  1435-1269     ISO Abbreviation:  Z Gerontol Geriatr     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-4-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506215     Medline TA:  Z Gerontol Geriatr     Country:  -    
Other Details:
Languages:  GER     Pagination:  -     Citation Subset:  -    
Affiliation:
Zentrum für Internistische und Geriatrische Medizin (ZIGM), Asklepios Paulinen Klinik Wiesbaden, Geisenheimerstr. 10, 65197, Wiesbaden, Deutschland.
Vernacular Title:
Mobile geriatrische Rehabilitation bei funktionell schwer beeinträchtigten Patienten : Untersuchungen zur Effektivität.
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