Best Practice for Home Physical Therapy for Older Adults with Heart Failure

Dias, Konrad J.

doi:10.1007/s13670-018-0239-z

Cited by 3 publications

(3 citation statements)

References 40 publications

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“…Independent samples t-test was run to determine if groups were was the same at each facility. The specific content was aimed at informing the therapists on a variety of contemporary PT examination and treatment procedures that may be used in the management of patients with HF (Dias, 2018).…”

Section: Discussionmentioning

confidence: 99%

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Frontloading Home Physical Therapy Visits for Patients With Heart Failure

Dias,

Child,

Blackinton

et al. 2024

Home Healthcare Now

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Frontloading home care visits has been found to be effective in the nursing profession but has not been investigated in physical therapy (PT) practice. This study aimed to examine the impact of frontloading home PT visits on function in persons with heart failure (HF). This was a prospective multi-center randomized controlled trial with blinded raters. A total of 82 ambulatory patients with a primary diagnosis of HF discharged from an acute care facility to home care participated in the study. Subjects were randomly allocated to an experimental frontloaded group (FLG) or control group (CG) for 4 weeks. FLG visit frequencies were five sessions per week for 2 weeks, and three sessions per week for 2 weeks. The CG received two sessions per week for 4 weeks. Functional measures including the 2-minute step test (2MST), 2-minute walk test (2MWT), gait speed (GS), Timed Up and Go (TUG), and 30-second chair rise test (30-CRT) were collected at the onset of care, at the end of 2 weeks and 4 weeks. The groups were statistically similar at baseline for all measures. All subjects significantly improved scores in all functional measures over time, within-subject main effect (p < .01). Significant between-subject effects were noted for 30-CRT (p = .04). Interaction effects were noted for GS (p = .03) and TUG test (p = .02). This is the first study to report meaningful improvements in function in individuals with HF. Significant treatment effect differences between the FLG and CG were found for GS, TUG, and 30-CRT. Future studies should examine the use of a standardized intervention to validate the effectiveness of frontloading home visits on quality of life and readmission rates.

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Section: Discussionmentioning

confidence: 99%

“…However, most of the data reported in the clinical practice guideline relate to people living with stable HF (Dias et al, 2021). Patients treated with PT in the home healthcare setting typically present in a tenuous state that follows acute decompensation as they transition from the hospital setting to their home (Dias, 2018).…”

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confidence: 99%

Frontloading Home Physical Therapy Visits for Patients With Heart Failure

Dias,

Child,

Blackinton

et al. 2024

Home Healthcare Now

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“…8 Common signs and symptoms of HF exacerbation include fatigue, dyspnea, edema (pulmonary and peripheral), weight gain, and chest pain. 13 A comprehensive examination for the recognition of decompensation is not a separate action statement in the CPG but rather a fundamental element of patient management that should be performed before implementing any of the action statements presented in the CPG.…”

Section: Recognition Of Acute Heart Failure Decompensationmentioning

confidence: 99%

An Executive Summary of the Physical Therapist Clinical Practice Guideline for the Management of Individuals With Heart Failure

Dias

Shoemaker

Lefebvre

et al. 2021

Cardiopulm Phys Ther J

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The American Physical Therapy Association (APTA), in conjunction with the Cardiovascular and Pulmonary Section of APTA, published a clinical practice guideline (CPG) in January 2020 in the Physical Therapy journal to assist physical therapists in their clinical decision-making when treating patients with heart failure (HF). The purpose of this executive summary is to briefly describe the major themes of the CPG and provide current recommendations for evidence-based interventions in the management of patients with HF. A summary table of the 9 key action statements along with clinical algorithms guides the physical therapist in appropriate clinical decision-making.

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A Knowledge Translation Framework for Optimizing Physical Therapy in Patients With Heart Failure

et al. 2021

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The American Physical Therapy Association (APTA) has supported the development of clinical practice guidelines to promote and support evidence-based practice and reduce unwarranted practice variation. Essential to the success of this effort is the generation of knowledge translation—a concept that emphasizes the translation of global knowledge to an application that can be effectively integrated into clinical practice. The Physical Therapy Clinical Practice Guideline for the Management of Individuals with Heart Failure published in the Physical Therapy Journal in January 2020 provides a broad base of knowledge related to evidence-based treatment interventions for patients with heart failure. However, the application and integration of this knowledge in clinical practice need further elucidation. Therefore, this perspective paper aims to serve as a complementary knowledge translation resource to the recently published practice guideline to maximize the utilization of contemporary evidence in clinical practice. This resource provides the physical therapist with practical guidance in the management of patients with heart failure by placing research findings in the context of other knowledge and practice norms that can be applied at the point of care and across the continuum of care. We propose a novel ABCDE (Assessment, Behavior, Cardiorespiratory Fitness, Dosage, and Education) practical framework. This clinical paradigm is grounded in ongoing physical therapist assessment throughout the episode of care, along with behavior modification, assessment of cardiorespiratory fitness, appropriate selection and dosing of interventions and patient education. Examples highlighting the use of this model in patients with heart failure across the continuum of care are provided for application in clinical care.

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Best Practice for Home Physical Therapy for Older Adults with Heart Failure

Cited by 3 publications

References 40 publications

Frontloading Home Physical Therapy Visits for Patients With Heart Failure

Frontloading Home Physical Therapy Visits for Patients With Heart Failure

An Executive Summary of the Physical Therapist Clinical Practice Guideline for the Management of Individuals With Heart Failure

A Knowledge Translation Framework for Optimizing Physical Therapy in Patients With Heart Failure

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