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Table 3 Change in physical performance and physical activity in older patients during hospitalization

From: Effect of physical interventions on physical performance and physical activity in older patients during hospitalization: a systematic review

Author

Yeara

Outcomeb#

Group

Pe

Intervention

Control

Pre

Δcd

Pre

Δcd

BĂ¼rge [21]

2017

Barthel Index

13.4 (4.4)

0 (6.0)

13.3 (4.1)

−0.8 (6.4)

–

Functional Independence Measure

79.7 (21.5)

−0.7 (30.7)

77.7 (19.3)

−3.3 (29.6)

–

Czyzewski [17]

2013

10-Meter Walk Test, sec

NG

4.2

NG

4.6

–

Time Up and Go, sec

NG

2.8

NG

3.7

–

Scale of independent postoperative patient’s activity

NG

36.9 (6.9)f

NG

28.3 (6.7)f

+++

Haines [23]

2011

Falls, falls/1000 patient-days

NG

10.0 - pre

NG

21.2 - pre

+++

Absolute improvement FRTg, cm, median, IQR

10 (6, 14.8)

9.3 (4, 14.9)

10,8 (2.8, 19)

0.3 (2.5, 7.6)

+++

Rate of improvement FRTg, cm, median, IQR

NG

0.4 (0.2, 0.8)

NG

0.0 (0.1, 0.5)

++

Time Up and Go, sec, median, IQR

34 (23, 48)

11.1 (3.7, 22.1)

29 (21, 48)

8.1 (1.9, 14.2)

–

6-Minute Walking Test, m, median, IQR

130 (80, 203)

45 (7.5, 91.3)

140 (85, 204)

65 (23.8, 111.2)

–

Gait velocity, m/s, median, IQR

0.5 (0.3, 0.6)

4.7 (0.7, −10.8)

0.5 (0.3, 0.6)

3 (0.7, 7.8)

–

Step length, cm, median, IQR

35 (22, 43)

0.2 (0.8, 6)

33 (26, 43)

2 (1.1, 12)

–

Step test-left, steps, median, IQR

1.5 (0, 6.8)

2 (0, 5.3)

1 (0, 8)

2 (0. 7)

–

Step test-right, steps, median, IQR

0 (0, 7)

2 (0,5)

2,5 (0, 7.8)

2 (0. 6)

–

Knee extension – right, kg, median, IQR

10 (7, 16)

2 (0, 4)

11 (9, 15)

1 (−1, 3)

–

Knee extension – left kg, median, IQR

10 (8, 15)

1 (−1, 3)

12 (9, 16)

0 (−1, 3)

–

Knee flexion – right kg, median, IQR

8 (6, 11)

1 (0, 4)

8 (6, 11)

1 (−1, 3)

–

Knee flexion – left kg, median, IQR

8 (6, 10)

2 (0, 4)

8 (6, 10)

0 (−1, 3)

–

Hip abduction – right kg, median, IQR

6 (4, 8)

1 (0, 3)

6 (5, 8)

1 (−1, 4)

–

Hip abduction – left kg, median, IQR

5 (3.8, 6)

2 (0, 4)

5 (4, 7)

0.5 (−1, 3.8)

–

Ankle dorsiflexion – right kg, median, IQR

6 (4, 9)

1 (0, 3)

7 (5, 8.8)

0.5 (−1, 2)

–

Ankle dorsiflexion – left kg, median, IQR

6 (4,8)

2 (0, 4)

6 (5, 8)

1 (−0.3, 2)

–

Hegerova [22]

2014

Lean Body Mass, kg

NG

30.6 (9.1) – pre

NG

30.9 (10.9) – pre

–

Barthel Index

NG

93.2 (7.7) – pre

NG

91.3 (10.0) – pre

–

Jones [25]

2006

Modified Barthel Index – median, IQR

71 (51.5, 83.0)

11 (3.2)

61 (40.5, 82.5)

9 (2.2)

–

Time Up and Go, decrease in s, median, IQR

24.2 (15.8,37,3)

5.4 (1.0, 12.4)

21.5 (16.9, 25.9)

1.2 (−0.9, 4.3)

+

Kim [15]

2013

Romberg test (eyes open)

48.9 (11.6)

−3.7 (17.1)

51.4 (15.3)

−13.0 (18.7)

–

Romberg test (eyes closed)

64.2 (21.0)

−18.1 (26.2)

62.3 (20.3)

−20.4 (23.4)

–

Functional Reach Test, cm

14.8 (5.0)

14.0 (7.4)

15.3 (5.0)

6.9 (7.0)

+

Time Up and Go, sec

18.9 (8.2)

−6.1 (9.3)

20.0 (7.1)

−3.5 (8.4)

+

10-Meter Walk Test, sec

13.5 (6.9)

−6.3 (7.2)

12.4 (5.8)

−2.7 (7.4)

+

Laver [24]

2012

Time Up and Go, sec

38.0 (18.8)

−10.1 (33.6)

35.4 (19.1)

−6.6 (22.4)

+

Modified Berg Balance Scale

28.1 (9.6)

4.0 (11.6)

28.7 (9.8)

1.6 (13.2)

+

Short Physical Performance Battery

4.0 (2.9)

−0.7 (4.0)

3.4 (2.4)

−0.2 (3.6)

–

Instrumental Activities of Daily Living Scale, sec

181.0 (110.0)

24.1 (149.1)

141.5 (77.1)

48.1 (120.7)

–

Functional Independence Measure

100.5 (16.7)

8.2 (23.0)

93.9 (21.3)

14.8 (26.1)

–

Activities-patient tailored Balance Confidence scale

41.1 (18.0)

0.6 (25.9)

41.8 (20.2)

4.5 (27.7)

–

Maggioni [37]

2009

Maximal Voluntary Contraction

NG

KT

3.4 (7.0)

ES

7.8 (5.9)

KT + ES

10.5 (7.3)

NG

−0.3 (6.8)

-*

30°/BW quadriceps, N/kg, % of A

Maximal Voluntary Contraction

NG

8.2 (6.7)

25.8 (11.3)

16.3 (5.2)

NG

4.9 (5.9)

-*

60°/BW quadriceps, N/kg, % of A

Maximal Voluntary Contraction, finger flexur. N/kg, % of A

NG

2.7 (3.0)

4.0 (11.1)

7.9 (6.1)

NG

−0.5 (3.0)

-*

6-min Walk Test, m, % of A

NG

14.9 (6.5)

14.0 (4.6)

9.6 (4.3)

NG

8.1 (4.0)

-*

Balance, Tinetti test, % of A

NG

11.3 (4.6)

9.4 (3.7)

11.3 (3.0)

NG

2.0 (4.6)

-*

Gait, Tinetti test, % of A

NG

8.2 (4.2)

9.8 (6.9)

0.8 (3.3)

NG

0.9 (3.2)

-*

de Morton [19]

2007

Time Up and Go, sec

35 (30)

−10 (19)

30 (28)

−5 (10)

–

Barthel Index

66 (26)

12 (16)

68 (26)

10 (14)

–

Functional Ambulation Categories

4.0 (1.5)

0.7 (1.0)

3.9 (1.6)

0.8 (1.3)

–

Oesch [28]

2017

Objective dynamic balance

1.4 (0.2)

−0.0 (95% CI -0.1, 0.1)

1.4 (0.2)

0.0 (95% CI -0.0, 0.1)

–

Parsons [16]

2016

Physiological Profile Assessment Score, Quadriceps strength, kg

28.4 (15.5)

2.6

29.52 (19.1)

2.0

–

Functional Independence Measure

91.7 (14.6)

12.0

93.2 (13.2)

19.7

+

Raymond [26]

2017

Elderly Mobility Scale, median, IQR

11 (7.0, 15)

5

11 (8.0, 15)

5

–

Berg Balance Scale, median, IQR

30 (20, 4)

8

32 (19, 38)

6

+

Gait speed (m/s), median, IQR

0.4 (0.3, 0.6)

0.1

0.5 (0.3, 0.6)

0.1

–

Time Up and Go, sec, median, IQR

29 (20, 42)

−7

29 (23, 42)

−5

–

Functional Reach Test, cm, median, IQR

8.0 (0, 14)

4

10 (1.5, 15)

4

–

Said [20]

2012

de Morton Mobility Index

41.4 (12.9)

9.6 (8.8)

43.2 (16.2)

7.2 (9.2)

–

Elderly Mobility Scale, median, IQR

15 (7, 17)

NG

NG

12 (7,17)

NG

Time up and Go, participants

35.5 (11.8)

NG

NG

31.3 (12.4)

NG

Barthel Index, median, IQR

66 (55, 76)

85.0 (73, 95)

68, (60, 78)

86.5 (68, 98)

–

Tibaek [27]

2013

Time Up and Go, sec

25.8 (11.8)

−6 (14.9)

25.7 (14.6)

4.3 (17.7)

–

30s-chair stand test, n

5.0 (3.3)

2.5 (5.2)

4.5 (3.8)

2.3 (4.9)

–

10-Meter Walk Test, sec

19.1 (7.8)

−5.4 (9.1)

18.6 (12.2)

−4.5 (13.1)

–

Barthel Index transfer

13.1 (3.3)

1.8 (3.4)

13.9 (2.1)

0.3 (3.3)

–

Barthel Index walking

12.0 (4.5)

2.0 (4.9)

12.4 (3.3)

1.2 (5.2)

–

Barthel Index stairs

4.2 (4.2)

3.8 (5.4)

5.9 (4.4)

3.3 (4.9)

+

Modified Functional Ambulatory Categories

11.6 (5.8)

1.6 (9.0)

11.3 (6.8)

3.5 (8.7)

–

Wnuk [18]

2016

6-min Walk Test, m

BW

362.3 (41.7)

FW

338.3 (70.8)

BW

−39.9 (76.9)

FW

−34.0 (101.6)

324.2 (64.0)

−66.2 (88.0)

+**

  1. All variables are presented as mean (SD) unless indicated otherwise. NG Not given, A Hospital admission, #Primary outcomes in bold, IQR Interquartile range, KT Kinesiotherapy, ES Electrical stimulation, a = Year of publication, b = Outcomes included of relevance of this systematic review, c = Difference between two measurement unless indicated otherwise, d = Difference between pre and post intervention, e = Significant difference between intervention and control group: - = p > 0.1, +/− = p < 0.1 and p > 0.05, + = p < 0.05, ++ = p < 0.01 and +++ = p < 0.001, * = no significant difference between all three intervention groups compared with control group, f = measurement only postoperative, g = Functional Reach Test, BW Backward walking, FW Forward walking, ** = significant difference between backward walking group compared with control group