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Faculty of Medicine >
Department of Physical Therapy >
Student Research and Publications >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/25237

Title: Functional gains and maintenance in residents of complex continuing care: implications for physical therapy
Authors: Chambers, Lisa
Jacques, Tricia
Sandhanwalia, Sharan
Mazzuca, Christa
Malik, Akib
Advisor: Wong, Steve
Nisan, Clara
Huijbregts, Maria
Berg, Katherine
Department: Physical Therapy
Keywords: complex continuing care
minimum data set
continuing care activity measure
physical therapy
physiotherapy
functional mobility
Issue Date: 2009
Abstract: BACKGROUND:There is a lack of evidence to guide clinical physical therapy (PT) intervention and resource allocation in the Complex Continuing Care (CCC) population in Canada. OBJECTIVE: To investigate physical and psychosocial changes in residents receiving PT services for one year in a CCC program. METHODS: Data from nursing notes, the Continuing Care Activity Measure (CCAM) and the Minimum Data Set (MDS) were extracted from Praxia© and Meditech© databases. Residents were divided into groups (increased, stable, and decreased CCAM scores) and average change in total score from admission to one year for pain, depression, and activities of daily living (ADLs) was determined. Descriptive analysis for trajectory of changes in pain, depression, and ADLs over a year, and potential influences of baseline factors was completed. RESULTS: Twenty-five CCC residents receiving PT were included. Significant improvement in CCAM scores occurred from admission to one year (p?0.05). Individuals who improved tended to be younger, have lower CCAM scores, be more socially engaged and be medically stable at admission. Discrepancies existed between functional measurement tools in the MDS and CCAM. CONCLUSION: PT intervention provided to CCC residents may maintain or improve functional mobility over a year.
Description: Affiliated institutions include: Baycrest (M. Huijbregts, C. Nisan, S. Wong), University of Toronto (K. Berg)
URI: http://hdl.handle.net/1807/25237
Appears in Collections:Student Research and Publications

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