Group exercise can improve participants' mobility in an outpatient rehabilitation setting: A randomized controlled trial
Journal article
Sherrington, Catherine, Pamphlett, Patricia I., Jacka, Jennifer A., Olivetti, Lynnette M., Nugent, Julie A., Hall, Jillian M., Dorsch, Simone Lise, Kwan, Marcella Mun-San and Lord, Stephen R.. (2008). Group exercise can improve participants' mobility in an outpatient rehabilitation setting: A randomized controlled trial. Clinical Rehabilitation. 22(6), pp. 493 - 502. https://doi.org/10.1177/0269215508087994
Authors | Sherrington, Catherine, Pamphlett, Patricia I., Jacka, Jennifer A., Olivetti, Lynnette M., Nugent, Julie A., Hall, Jillian M., Dorsch, Simone Lise, Kwan, Marcella Mun-San and Lord, Stephen R. |
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Abstract | Objective: To establish the effects of group exercise on mobility and strength. Design: Randomized controlled trial. Setting: Two public hospital outpatient rehabilitation services. Participants: One hundred and seventy-three people (mean age 74.9 years, SD 10.8) with impaired mobility were randomized and 159 people (92%) completed the trial. Interventions: Five-week, twice-weekly `circuit-style' group exercise programme run by a physiotherapist (n = 85) and a no-intervention waiting list control group (n = 88). Main outcome measures: Three aspects of mobility: balance while standing and stepping (Step Test, semi-tandem and tandem stance times); sit-to-stand ability (rate and minimum height) and gait (6-metre and 6-minute walk tests). Lower limb muscle strength (knee flexion and extension). Results: At retest, exercise participants had improved significantly more than their control counterparts on measures of balance while stepping, sit to stand and gait. Exercise participants averaged 1.6 more steps on the 15-second Step Test (95% confidence interval (CI) 0.5 to 2.8, P=0.005), walked an average of 0.12 m/s faster (95% CI 0.05 to 0.2, P=0.002) and took 2.5 fewer steps in 6 metres (95% CI —4.2 to —0.8, P=0.004). Exercise participants also averaged 0.04 more sit-to-stands/second, (95% CI 0.003 to 0.08, P=0.037) and walked an average of 30.9 metres further in 6 minutes (95% CI 9.4 to 52.4, P=0.005). There were no clinically important or statistically significant between-group differences at retest for the measures of strength (knee extension and flexion), balance while standing or minimal sit-to-stand height. Conclusion: This short-duration circuit class programme improved mobility, but not strength. |
Year | 2008 |
Journal | Clinical Rehabilitation |
Journal citation | 22 (6), pp. 493 - 502 |
Publisher | Sage Publications Ltd. |
ISSN | 0269-2155 |
Digital Object Identifier (DOI) | https://doi.org/10.1177/0269215508087994 |
Page range | 493 - 502 |
Research Group | School of Allied Health |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/89572/group-exercise-can-improve-participants-mobility-in-an-outpatient-rehabilitation-setting-a-randomized-controlled-trial
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