Increasing the dose of acute rehabilitation: Is there a benefit?

Research output: Contribution to journalEditorialpeer-review

Abstract

Rehabilitation interventions, including physiotherapy and occupational therapy, can improve patient outcomes; however, the optimal duration and frequency of inpatient rehabilitation interventions is uncertain. In a recent randomized controlled trial published in BMC Medicine, 996 patients in two publicly-funded Australian metropolitan rehabilitation facilities were assigned to physiotherapy and occupational therapy delivered Monday through Friday (five days/week control group) versus Monday through Saturday (six days/week intervention group). This increased dose of rehabilitation in the intervention group resulted in greater functional independence and quality of life at discharge, with a trend towards significant improvement at six-month follow-up. Moreover, the length of stay for the intervention group was shorter by two days (95% CI 0 to 4, P = 0.10). Hence, in the acute inpatient rehabilitation setting, a larger dose of physiotherapy and occupational therapy, via six versus five days/week treatment, improves patient outcomes and potentially reduces overall length of stay and costs. Please see related research: http://www.biomedcentral.com/1741-7015/11/198.

Original languageEnglish (US)
Article number199
JournalBMC medicine
Volume11
Issue number1
DOIs
StatePublished - Sep 10 2013

Keywords

  • Activities of daily living
  • Length of stay
  • Mobility limitation
  • Occupational therapy
  • Physical therapy modalities
  • Quality of life
  • Rehabilitation

ASJC Scopus subject areas

  • Medicine(all)

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