Outcomes during and after inpatient rehabilitation: comparison between adults and older adults

J Rehabil Med. 2008 Jan;40(1):55-60. doi: 10.2340/16501977-0144.

Abstract

Objective: To compare changes on biopsychosocial variables between adults (< 65 years) and older adults (> or = 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.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Aging* / physiology
  • Aging* / psychology
  • Amputation, Surgical / rehabilitation
  • Female
  • Geriatric Nursing
  • Humans
  • Inpatients
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Nervous System Diseases / rehabilitation
  • Outcome Assessment, Health Care*
  • Recovery of Function
  • Rehabilitation*
  • Socioeconomic Factors
  • Stroke Rehabilitation
  • Wounds and Injuries / rehabilitation