Foijer, Melle

Hobbelen, Hans

Krijnen, Wim

Lakke, S.E.

AimThis study aims to investigate the additional value of elderly-therapist communication on the effect of physical therapy treatment to increase the physical activity level of elderly.ConclusionAlthough the level of evidence is low, in older adults, it is recommended to repeat easy tasks and improve elder adult’s confidence of performing physical activities above setting behavioral goals

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AimThis study aims to investigate the additional value of elderly-therapist communication on the effect of physical therapy treatment to increase the physical activity level of elderly.ConclusionAlthough the level of evidence is low, in older adults, it is recommended to repeat easy tasks and improve elder adult’s confidence of performing physical activities above setting behavioral goals. BackgroundThe prevalence of elderly visiting a physical therapist is high. One of the reasons to visit a physical therapist may be to increase physical activity. 1Previous studies showed a positive effect of a diversity of types of exercise therapies to increase physical activity levels. To enhance the effect of these therapies it is interesting to look at the so-called common parts of a physical therapy treatment. One of the common factors is patient-therapist communication.Results12 Studies included(n= 1101); 10 musculo-skeletaldysfunction, 1 stroke, 1 COPD.Pedroscores 3-8High-quality evidence outcome measure:Very small effect on self-reported physical activity; No effect on performance-based physical activity (walking, TUG, muscle strength) (fig.1) Low-quality evidence intervention: Repetition to improve confidence showed a small effect that favors other behavioral techniques such as goal setting (fig. 2). MethodsA systematic review of RCT´s and CCT´s. Pubmed, Embase, Cinahl, Cochrane Trial, Psychinfo, Amed, and PedroBetween January 1980 and August 2016Elder adults were at least 60 years oldControl group must comprise exerciseInterventions group comparable exercise   plus elderly-therapeutic communication. Interventions were classified to Behavior Change Technique TaxonomyQuality assessments PEDro-scaleLevel of evidence GRADE approachReferences1.RegnauxJP, et al. High-intensityversus low-intensityphysicalactivityorexercisein peoplewithhip orkneeosteoarthritis. CochraneDatabase SystRev. 2015;29:CD010203Does patient-therapist communication change the effect of physical therapy treatment in elder adults? A systematic reviewSandra Lakke1, Melle Foijer 1, Wim Krijnen1, Hans Hobbelen1,21.Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, TheNetherlands2.Department of General Practice and Elderly Care Medicine University of Groningen, University Medical Center Groningen, The NetherlandsHealthyageingContact Details  Sandra Lakkea.e.jorna-lakke@pl.hanze.nlFig 2. Forest plot. The overall effect of specific Behavioral Change Techniques above exercise compared to exercise alone on physical activity. *pooled treatment effectsFig. 1 Forest plot. The overall effect of all included additional communication interventions above exercise compared to exercise alone on performed physical activity. *pooled treatment effectsInterventionOutcomemeasureDiscussionSensitivityto change of self-performedagainstperformance-basedoutcomesClinicalrelevanceof small effect sizesRecommendedto studyeffectsof specificBehaviorChange Techniques

Does patient-therapist communication change the effect of physical therapy treatment in elder adults? A systematic review

https://research.hanze.nl/ws/files/16355809/poster_WCPT_Juli_2017_Sandra_Lakke_4.pdf

Does patient-therapist communication change the effect of physical therapy treatment in elder adults? A systematic review

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