Feasibility Study of a Post-hospitalization Self-rehabilitation Program for Elderly Suffering of Sarcopenia

Overview

Loss of autonomy among elderly during and after hospitalisation is a well-known problem. Patient suffering of sarcopenia (decreasing in muscle mass and function) are more likely not to recover their previous autonomy.

Studies have shown that physical exercise, especially resistance exercises, is the most efficient known treatment of sarcopenia. Several institution-based rehabilitation programs had been implemented in this purpose.

On the other hand, some studies have shown that home-based self-rehabilitation can be as efficient as institution-based rehabilitation, for example in stroke, cardiac failure and COPD rehabilitation.

The investigators propose to set up a home-based self-rehabilitation program to fight against sarcopenia and hence increasing autonomy among elderly. This study aimed to establish the feasibility of such a program.

Study Type

  • Study Type: Interventional
  • Study Design
    • Intervention Model: Single Group Assignment
    • Primary Purpose: Treatment
    • Masking: None (Open Label)
  • Study Primary Completion Date: March 2019

Interventions

  • Behavioral: Self-rehabilitation program and protein supplement
    • Participants follow a home-based self-rehabilitation program consisting of the realisation of a set of physical exercises using an elastic band. The exercises have to be performed 3 times a week, and are associated with a protein supplementation. The rehabilitation follow-up by the physician is planned once a week, by phone, and with face-to-face appointments at inclusion, 6 weeks and 3 months follow-up.

Arms, Groups and Cohorts

  • Other: Arm 1: Self-rehabilitation arm
    • Self-rehabilitation arm

Clinical Trial Outcome Measures

Primary Measures

  • Feasability of a post-hospitalization self-rehabilitation program for sarcopenic elderly patients
    • Time Frame: 3 months
    • Measured from program adherence using a patient notebook
  • Feasability of a post-hospitalization self-rehabilitation program for sarcopenic elderly patients
    • Time Frame: 3 months
    • Measured from patient satisfaction using a satisfaction scale
  • Feasability of a post-hospitalization self-rehabilitation program for sarcopenic elderly patients
    • Time Frame: 3 months
    • Measured from medical time required by phone call

Secondary Measures

  • Muscular status evaluation
    • Time Frame: 3 months
    • Change in muscle mass measured with Bio-Impedance analysis
  • Muscular status evaluation
    • Time Frame: 3 months
    • Performance in muscle mass measured with Short Physical Performance Battery
  • Muscular status evaluation
    • Time Frame: 3 months
    • Force in muscle mass measured with Grip test
  • Autonomy degree evaluation
    • Time Frame: 3 months
    • Change in autonomy measured with Barthel Index
  • Quality of life evaluation
    • Time Frame: 3 months
    • Change in quality of life measured with M├ędical Outcomes Study Short Form 36

Participating in This Clinical Trial

Inclusion Criteria

  • Patients aged 70 or older
  • Non-institutionnalised patients
  • Patients suffering of sarcopenia during hospitalisation (assessed by the Short Physical Performance Battery, Bio-Impedance analysis and griptest)
  • Patients hospitalised in the service of Internal Medicine of Institut Mutualiste Montsouris
  • Patients returning at home after hospitalisation
  • Patients who gave their written consent
  • Patients who benefits from a social security coverage

Exclusion Criteria

  • Patients suffering from a severe medical condition not allowing them to follow a physical exercise program
  • Palliative care patients
  • Patients without the musculo-squelettic capacity to follow the program : 4/4 on seated postural stability scale ; no motor deficit on lower limb muscular testing ; quadricipital locking when standing
  • Patients with severe cognitive disorders (according to MMSE score adapted to socio-cultural level and age)
  • Patients who live more than 150 km away
  • Patients following specific physiotherapy

Gender Eligibility: All

Minimum Age: 70 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Institut Mutualiste Montsouris
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Contact(s)
    • Isabelle SAURET, +33 1 56 61 67 05, isabelle.sauret@imm.fr

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