Effect of accelerometry on the functional mobility of older rehabilitation inpatients as measured by functional independence measure — Locomotion (FIM) gain: A retrospective matched cohort study

Dakin, L.E. and Peel, N.M. (2011) Effect of accelerometry on the functional mobility of older rehabilitation inpatients as measured by functional independence measure — Locomotion (FIM) gain: A retrospective matched cohort study. Journal of Nutrition Health & Aging, 15 5: 382-386. doi:10.1007/s12603-010-0129-3


Author Dakin, L.E.
Peel, N.M.
Title Effect of accelerometry on the functional mobility of older rehabilitation inpatients as measured by functional independence measure — Locomotion (FIM) gain: A retrospective matched cohort study
Journal name Journal of Nutrition Health & Aging   Check publisher's open access policy
ISSN 1279-7707
1760-4788
Publication date 2011-05-01
Year available 2010
Sub-type Article (original research)
DOI 10.1007/s12603-010-0129-3
Open Access Status Not yet assessed
Volume 15
Issue 5
Start page 382
End page 386
Total pages 5
Place of publication Paris, France ; New York, NY, U.S.A.
Publisher Serdi Publisher; Springer Pub. Co.
Language eng
Abstract To examine the effect of wearing an accelerometer (without provision of feedback) on the mobility of older rehabilitation inpatients, using the locomotion component of the FIM at admission and discharge.
Formatted abstract
Objectives:
To examine the effect of wearing an accelerometer (without provision of feedback) on the mobility of older rehabilitation inpatients, using the locomotion component of the FIM at admission and discharge.

Design:
A retrospective matched cohort study of patients aged >60 years admitted to a rehabilitation unit between 1 January 2008 and 1 January 2009.

Participants:

The exposed group was 17 patients who had worn an accelerometer daily during their rehabilitation stay. These patients were matched with 17 controls (the unexposed group) identified from the unit database using the following variables: age (within 5 years), sex, admission Functional Independence Measure (locomotion) score and reason for admission to rehabilitation.

Data analysis:

The median length of stay, median FIM (locomotion) gain and median FIM (locomotion) efficiency for the two groups were compared using the Wilcoxon Signed Ranks Test.

Results:
There were no statistically significant differences between the two groups at baseline. There was a trend towards a greater FIM-locomotion gain in the accelerometer group (mean 2.88+/- 2.12, median 3.00) compared with the no-accelerometer group (mean 2.53+/- 2.07, median 3.00), but this did not reach statistical significance (p=0.08). There was no significant difference in the FIM -locomotion efficiency for the accelerometer group (mean 0.08 +/- 0.07, median 0.05) compared with the no accelerometer group(mean 0.01 +/- 0.09, median 0.06) (p= 0.33).

Conclusion:

In the absence of feedback and goal setting, wearing a monitoring device does not significantly increase physical activity. © 2010 Serdi and Springer Verlag France.
Keyword Mobility
Older people
Outcome measures
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Online 30 July, 2010.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Medicine Publications
 
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Created: Wed, 15 Dec 2010, 19:17:25 EST by Dr Nancye Peel on behalf of Medicine - Princess Alexandra Hospital