Design of an Early Exercise Program for Hospitalized Patients: "Let's Move".

IF 1.7 Q3 REHABILITATION

Physiotherapy Research International Pub Date : 2026-10-01 DOI:10.1002/pri.70358

Adriana Marcela Jacome Hortua, Luis Felipe Anaya Duarte, Aura M Cáceres, Zully Rocio Rincon, Cristhian López, Alejandra Mendoza-Monsalve, Edgar Fabián Manrique-Hernández, Alexandra Hurtado-Ortiz, Maricel Licht-Ardila

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引用次数: 0

Abstract

Background: Hospital-associated deconditioning (HAD) affects up to 30% of older adults during acute hospitalization, leading to functional and cognitive decline and adverse long-term outcomes.

Purpose: To develop and pilot "Let's Move," an implementation-oriented early exercise program designed to support mobility in hospitalized patients.

Methods: An action-research study was conducted at a tertiary hospital in two stages: (i) program design based on an electronic health record (EHR) needs assessment and targeted protocol review; and (ii) pilot implementation among clinically stable adults aged ≥ 18 years, hospitalized for ≥ 48 h, without physiotherapy referral. Outcomes included Hopkins Highest Level of Mobility (JH-HLM) functional status, adherence, and safety, complemented by qualitative interviews and a focus group.

Results: In Stage 1, 1399 adult inpatients without rehabilitation referral were identified (median age, 65 years [IQR, 46-78]; length of stay, 3 days [IQR, 2-4]) with circulatory diseases predominating (57.18%). Among 26 participants enrolled in the pilot, 17 were evaluable for adherence, with 13 (76.5%) classified as adherent. Walking ≥ 75 m was the most frequent JH-HLM assessment category, no adverse events or in-hospital deaths occurred, and 25/26 participants (96.2%) achieved individualized goals. Qualitative findings supported relevance and feasibility and informed refinements, including sessions every 2 days and standardized educational materials.

Discussion: "Let's Move" is a structured early-mobilization program developed through action research that integrates brief patient education with low-intensity exercise for routine inpatient care. It provides a practical workflow to support early mobility and warrants broader evaluation to assess its effectiveness and scalability.

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住院病人早期运动方案设计：“让我们动起来”。

背景：医院相关的去条件化（HAD）影响多达30%的老年人在急性住院期间，导致功能和认知能力下降和不良的长期结果。目的：开发和试点“让我们动起来”，这是一项面向实施的早期锻炼计划，旨在支持住院患者的行动能力。方法：在一家三级医院开展了一项行动研究，分两个阶段进行：(i)基于电子健康记录（EHR）需求评估和有针对性的方案审查的方案设计；（ii）在临床稳定、年龄≥18岁、住院≥48小时、无物理治疗转诊的成年人中试点实施。结果包括霍普金斯最高活动水平（JH-HLM）功能状态、依从性和安全性，辅以定性访谈和焦点小组。结果：第一阶段，未转介康复的成人住院患者1399例（中位年龄65岁[IQR， 46-78]；住院时间3天[IQR， 2-4]），以循环系统疾病为主（57.18%）。在26名参加试验的参与者中，17名可评估依从性，13名（76.5%）被归类为依从性。步行≥75米是最常见的JH-HLM评估类别，无不良事件或院内死亡发生，25/26名参与者（96.2%）达到个体化目标。定性调查结果支持相关性和可行性以及知情的改进，包括每两天举行一次会议和标准化的教育材料。讨论：“让我们动起来”是一个结构化的早期动员项目，通过行动研究开发，将简短的患者教育与日常住院护理的低强度运动相结合。它提供了一个实用的工作流来支持早期的移动性，并保证了更广泛的评估，以评估其有效性和可伸缩性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.