Effectiveness of the Geriatric Activation Program Pellenberg (GAPP) on the Geriatric Rehabilitation Ward

The aim of this study is to investigate the effectiveness of our developed week-treatment program GAPP, on strength, balance, speed, functionality and cognition, with the main goal to achieve a better independence for activities of daily living (ADL).

Each day of the week an exercise program of 45 minutes is given assigned to a specific aspect of the rehabilitation; strength, balance, speed, functional training and one day is for testing or group therapy.

Participants will be followed for four weeks, with testing on day one, after two weeks and at the last day of the four-week program.

Study Overview

• Status: Completed
• Conditions: Stroke; Chronic Obstructive Pulmonary Disease; Hip Fractures; Abdominal Injury
• Intervention / Treatment: Other: Geriatric Activation Program Pellenberg

Detailed Description

The aim of this study is to investigate the effectiveness of our developed week-treatment program GAPP (Geriatric Activation Program Pellenberg), on strength, balance, speed, functionality and cognition, with the main goal to achieve a better independence for ADL.

Each day of the week an exercise program of 45 minutes is given assigned to a specific aspect of the rehabilitation.

Monday: speed and coordination, including as many repetitions as possible in one minute for: quick arm movements in standing, quick trunk movements in sitting, quick weight transfers in standing, stepping.

Tuesday: functional training, including walking stairs, transfers, sitting to lying and reverse, moving objects in the room, functional fit-o-meter.

Wednesday: balance, including maximum weight transfers in all directions, exercises with reduced base of support, reaching.

Thursday: strength, including sit to stand with a weight belt, lifting a weight bimanual of the table, walking with ankle weights, arm extension with therapy bands.

Friday: testing or group activity. One week the following test will be taken: Berg Balance Scale, 10m walking test, Digit Symbol Substitution Test, knee extension and elbow extension strength with the microfet2, Basic-ADL and Geriatric Depression Scale.

The other week there will be a group session, this could be in sitting (like moving on music) or standing (like petanque).

Walking will be practiced every day of the week and individual needs (like specific hand rehabilitation or pain problems) will be addressed besides the program when needed.

• Study Type: Interventional
• Enrollment (Actual): 111
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Belgium
  • Pellenberg, Belgium, 3212
    • Universitaire Ziekenhuizen Leuven, campus Pellenberg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 66 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• admitted to the geriatric rehabilitation ward of UZ Leuven, campus Pellenberg
• the ability to walk 10m with help of a person or walking aid
• an expected stay of at least four weeks
• a signed informed consent

Exclusion Criteria:

• medically instable
• not able to understand the questions and tasks of the program or testing

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Geriatric Activation Program Pellenberg; intensive multicomponent physical therapy week program	Other: Geriatric Activation Program Pellenberg; intensive multicomponent physical therapy week program

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Independence for activities of daily living	Independence for ADL measured with the Basic-ADL	four weeks
Functional Balance	Functional balance measured with the Berg Balance Scale	four weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Walking speed	Walking speed measured with the 10m walking test	four weeks
Strength of arm Extension	Strength of arm extension, measured with the microFET2 hand held dynamometer. The mean peak force in Newton of three trail will be used.	four weeks
Strength of knee extension	Strength of Knee extension, measured with the microFET2 hand held dynamometer. The mean peak force in Newton of three trail will be used.	four weeks
Cognitive function	The Digit Symbol Substitution Test will be used to measure response speed, sustained attention	four weeks
General state of mind	General state of mind measured with the Geriatric Depression Scale 15	four weeks

Collaborators and Investigators

• Sponsor: KU Leuven
• Collaborators: Universitaire Ziekenhuizen KU Leuven

Study record dates

Study Major Dates

• Study Start (Actual): March 17, 2017
• Primary Completion (Actual): March 30, 2019
• Study Completion (Actual): March 30, 2019

Study Registration Dates

• First Submitted: April 3, 2017
• First Submitted That Met QC Criteria: April 11, 2017
• First Posted (Actual): April 12, 2017

Study Record Updates

• Last Update Posted (Actual): July 23, 2019
• Last Update Submitted That Met QC Criteria: July 22, 2019
• Last Verified: July 1, 2019

More Information

Terms related to this study

• Keywords: elderly; geriatric patients; multicomponent physical therapy
• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Lung Diseases; Fractures, Bone; Wounds and Injuries; Leg Injuries; Femoral Fractures; Hip Injuries; Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive; Hip Fractures; Abdominal Injuries
• Other Study ID Numbers: S59948 / B322201731432

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No