A Systematic Approach for Prescribing Posthospitalization Home-Based Physical Activity for Mobility in Older Adults: The PATH Study

Exercise for people living with frailty and receiving haemodialysis: a mixed-methods randomised controlled feasibility study

“…Clinical decision support tools have been used in other populations to rationalise exercise prescription, progression and amendment in the presence of varying symptomology and a similar approach may be beneficial for frail HD patients. 35 …”

The Importance of Physical Activity to Care for Frail Older Adults During the COVID-19 Pandemic

“…Thus, to counteract physical and functional declines during COVID-19, safe, efficient, and simple exercises that can be performed unsupervised are needed. We showed that specific physical activity programs adapted for home-based unsupervised use are efficient and safe (no fall reported) to improve functional capacity in older adults posthospitalization 22 (Figure 1). But compared with previous studies, the novelty that facilitates its implementation is that the 27 specific programs are prescribed based on a pragmatic decisional tree.…”

“…But compared with previous studies, the novelty that facilitates its implementation is that the 27 specific programs are prescribed based on a pragmatic decisional tree. 22 Fig. 1.…”

“…Example of 3 unsupervised PATH programs according to an individual's balance and strength profile. 22 Each panel represents a different program; The figure represents reminder sheets that are designed to be placed on the patient's wall or refrigerator.…”

“…In addition, a pilot study tested unsupervised simple exercises in hospitalized older adults and demonstrated that it was not only feasible and acceptable 23 but also an efficient way to improve a patient's functional capacity and physical activity practice (length of stay and discharge orientation). 24 This simple physical activity program has been recently improved and can be easily and automatically prescribed using a pragmatic decisional tree (adapted from Carvalho et al 22 ), 24 and by adjusting simple unsupervised adapted physical activity programs (5 color levels) according to patient and clinician feedbacks. 24 This new physical activity program (MATCH: Maintenance of Autonomy Through exercise Care during Hospitalization), available for notebook with optional and additional training video, has already been tested and implemented during this COVID-19 pandemic in geriatric hospital units and long-term care with no individual Internet access.…”