A Scoping Review of Physical Rehabilitation in Long-Term Care: Interventions, Outcomes, Tools

TitleA Scoping Review of Physical Rehabilitation in Long-Term Care: Interventions, Outcomes, Tools
Publication TypeJournal Article
Year of Publication2017
AuthorsMcArthur C., Gibbs J.C, Patel R., Papaioannou A., Neves P., Killingbeck J., Hirdes J., Milligan J., Berg K., Giangregorio L.
JournalCan J Aging
Date PublishedDec
ISBN Number0714-9808
Accession Number29130428
Keywords*Activities of Daily Living, *Exercise, *Long-Term Care, *Outcome and Process Assessment (Health Care), Affect, Aged, Aged, 80 and over, aging, Cohort Studies, ergotherapie, examen de portee, Exercise Therapy/methods/*statistics & numerical data, Female, Humans, Long-Term Care, Male, occupational therapy, physical therapy, physiotherapie, Quality of Life, Randomized Controlled Trials as Topic, readaptation, rehabilitation, scoping review, soins de longue duree, vieillissment

Residents in long-term care (LTC) often require physical rehabilitation (PR) to maintain/improve physical function. This scoping review described the breadth of literature regarding PR in LTC to date, synthesizing PR interventions that have been evaluated, outcomes used, and tools for determining service eligibility. A structured search, conducted in six licensed databases and grey literature, identified 381 articles for inclusion. Most interventions were delivered and evaluated at the resident level and typically were multicomponent exercise programs. Performance-based measures, activities of daily living, and mood were the most frequently reported outcomes. A key knowledge gap was PR in relation to goals, such as quality of life. Future studies should reflect medically complex residents who live in LTC, and length of residents' stay should be differentiated. Intervention studies should also explore realistic delivery methods; moreover, tool development for determining service eligibility is necessary to ensure equality in rehabilitative care across the LTC sector.



Short TitleCan J Aging
Alternate JournalCanadian journal on aging = La revue canadienne du vieillissement