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

Stroke Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03109483
• Other study ID #: S59948 / B322201731432
• Status: Completed
• Phase: N/A
• Start date: March 17, 2017
• Est. completion date: March 30, 2019

Study information

• Verified date: July 2019
• Source: KU Leuven
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 111
• Est. completion date: March 30, 2019
• Est. primary completion date: March 30, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 70 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Abdominal Injuries
• Abdominal Injury
• Chronic Obstructive Pulmonary Disease
• Hip Fractures
• Lung Diseases
• Lung Diseases, Obstructive
• Pulmonary Disease, Chronic Obstructive
• Stroke

Intervention

Other:
• Geriatric Activation Program Pellenberg
intensive multicomponent physical therapy week program

Locations

Country	Name	City	State
Belgium	Universitaire Ziekenhuizen Leuven, campus Pellenberg	Pellenberg

Sponsors (2)

Lead Sponsor	Collaborator
KU Leuven	Universitaire Ziekenhuizen Leuven

Country where clinical trial is conducted

Belgium, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Independence for activities of daily living	Independence for ADL measured with the Basic-ADL	four weeks
Primary	Functional Balance	Functional balance measured with the Berg Balance Scale	four weeks
Secondary	Walking speed	Walking speed measured with the 10m walking test	four weeks
Secondary	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
Secondary	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
Secondary	Cognitive function	The Digit Symbol Substitution Test will be used to measure response speed, sustained attention	four weeks
Secondary	General state of mind	General state of mind measured with the Geriatric Depression Scale 15	four weeks