Open AccessEffect of Enhanced Medical Rehabilitation on Functional Recovery in Older Adults Receiving Skilled Nursing Care After Acute Rehabilitation
Author(s) -
Eric J. Lenze,
Emily Lenard,
Marghuretta D. Bland,
Peggy P. Barco,
J. Philip Miller,
Michael Yingling,
Catherine E. Lang,
Nancy MorrowHowell,
Carolyn Baum,
Ellen F. Binder,
Thomas L. Rodebaugh
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.8199
Subject(s) - rehabilitation , medicine , physical therapy , activities of daily living , randomized controlled trial , occupational therapy , acute care , intervention (counseling) , physical medicine and rehabilitation , nursing , health care , surgery , economics , economic growth
Key Points Question Does enhanced medical rehabilitation, a technique for systematically engaging and motivating patients in their physical and occupational therapy, result in better functional outcomes? Findings In this randomized clinical trial of 229 older adults receiving physical and occupational therapy in skilled nursing facilities, those receiving enhanced medical rehabilitation showed a higher percentage of active time during therapy sessions and a 25% greater functional recovery compared with those receiving standard-of-care therapy. Meaning Systematically engaging older adults in their therapy after acute rehabilitation may result in a better functional outcome.
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