in Projekten blättern
Angaben zum Forschungsprojekt
Modell zur Entwicklung von Messmethoden zur Beurteilung der Rehabilitation
Bezug des Projekts zur internationalen Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF):
Die ICF ist kein ausdrücklicher Forschungsgegenstand, wird aber im Vorhaben genutzt, z.B. durch den Einsatz ICF-basierter Instrumente / Skalen zur Beschreibung von Untersuchungsvariablen, Verlaufsdokumentation, Ergebnismessung etc.
Gefördertes Projekt / Wissenschaftliche Arbeit
Bundesministerium für Arbeit und Soziales (BMAS)
Development of an Assessment Protocol to Evaluate Geriatric Inpatient Rehabilitation
The increase of the number of geriatric patients in need of inpatient rehabilitation provides necessity to evaluate, who needs inpatient rehabilitation (indication), how long the rehabilitation is appropriate (duration), and what kind of success can be reached sustainable (post-rehabilitation outcome). The aim of the project was to develop an assessment protocol to answer these questions.
After admission to the Clinic for Geriatric Rehabilitation of the Robert-Bosch-Hospital in Stuttgart, 192 patients (median age 82.5 years, n=93 after hip replacement, n=99 after stroke) underwent a motor and psycho-social assessment of capacity, including functional tests, such as static balance, chair rise, gait speed, 2-minute-walk, and "Timed Up & Go test, biomechanical tests, such as gait analysis and chair rise, as well as a sensor-based activity monitoring. Questionnaires were filled out to assess cognition, pain, fear of falling, depressive symptoms, quality of life, activities of daily living, and self-rated mobility. The assessment was repeated 2 weeks after admission and 4 months after admission (home setting, post-rehabilitation outcome).
Changes in the rehabilitation process and in post-rehabilitation outcome were observed for both patient groups and for most assessment parameters. Changes were more pronounced for results in the group of patients after hip replacement and were more pronounced for the activity monitoring than for parameters of physical capacity. Prediction of post-rehabilitation outcome was possible.
Besides the baseline assessment (admission), a follow up assessment after 2 weeks is recommended. Assessment of physical activity (activity monitoring), 2-minute-walk, static balance, chair rise, gait speed, activities of daily living, and self-rated mobility are recommended to document progress of rehabilitation and to predict post-rehabilitation outcome.