title: Additional Saturday allied health services increase habitual physical activity among patients receiving inpatient rehabilitation for lower limb orthopedic conditions: a randomized controlled trial.
abstract: OBJECTIVE
  To determine whether adults with lower limb orthopedic conditions who received additional weekend physical therapy (PT) and occupational therapy (OT) demonstrated increased habitual physical activity.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  Inpatient rehabilitation center.
  
  
  METHODS
  Adults (N=105, 72 women; mean age ± SD, 74±12y) admitted with a lower limb orthopedic condition, cognitively alert and able to walk.
  
  
  METHODS
  The control group received PT and OT Monday to Friday; in addition, the experimental group also received a full Saturday PT and OT service. Participants wore an activity monitor for 7 days.
  
  
  METHODS
  Daily steps and daily upright time (hours).
  
  
  RESULTS
  Overall, participants took a mean of 589±640 steps per day and spent a mean of 1.2±0.9 hours upright per day. Experimental group participants took more than twice as many steps (mean difference, 428 steps; 95% confidence interval [CI], 184-673) and spent 50%±20% more time upright (mean difference, 0.5h; 95% CI, 0.1-0.9) than control group participants on Saturdays. In the days after additional therapy, experimental group participants took 63%±28% more steps (mean difference, 283 steps; 95% CI, 34-532) and spent 40%±17% more time upright (mean difference, 0.4h; 95% CI, 0.1-0.8) per day than participants in the control group.
  
  
  CONCLUSIONS
  Providing additional rehabilitation services on the weekend increased habitual activity, but patients with lower limb orthopedic conditions admitted to rehabilitation remained relatively inactive even with additional therapy.
authors.affiliation: Musculoskeletal Research Centre and Department of Physiotherapy, La Trobe University, Victoria, Australia. Casey.Peiris@easternhealth.org.au
authors.forename: Casey L
authors.initials: CL
authors.lastname: Peiris
authors.forename: Nicholas F
authors.initials: NF
authors.lastname: Taylor
authors.forename: Nora
authors.initials: N
authors.lastname: Shields
mesh_terms: D039602:After-Hours Care; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D015444:Exercise; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000534:rehabilitation; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000458:organization & administration*; D026761:Physical Therapy Specialty / Q000458:organization & administration*; D012046:Rehabilitation / Q000379:methods; D012047:Rehabilitation Centers / Q000458:organization & administration*