Outcomes during and after inpatient rehabilitation: Comparison between adults and older adults
Suzanne Gosselin, Johanne Desrosiers, Hélène Corriveau, Réjean Hébert, Annie Rochette, Véronique Provencher, Sylvie Côté, Michel Tousignant
Objective: To compare changes on biopsychosocial variables between adults (< 65 years) and older adults (≥ 65 years) during and after an inpatient rehabilitation program.
Design: Comparative study.
Participants: A total of 165 people 18 years and over admitted to an inpatient rehabilitation unit.
Methods: The participants were evaluated 3 times: at admission and discharge and 3 months later. Outcome measures were: Functional Autonomy Measurement System (SMAF), Modified Mini-Mental State Examination, Trail Making Test, Motor-Free Visual Perceptual Test, Visual Analogue Scale (VAS), Berg Balance Scale (BBS), Timed Up and Go (TUG), Jamar dynamometer, and General Well-being Schedule (GWBS).
Results: Both groups improved significantly between admission and discharge on the SMAF, BBS, TUG, VAS, Jamar dynamometer and GWBS. Although scores on many of the outcome measures differed at admission, the 2 groups improved similarly during rehabilitation. After 3 months, stability or a slight improvement was observed for both groups; however, younger participants improved more on mobility, balance, walking and grip strength.
Conclusion: Although older participants had more disabilities at admission, they benefited as much as younger people from an intensive rehabilitation program with a comparable length of stay. However, younger participants continued to improve 3 months later.
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