Four studies including one high strength (Ziden et al 118) and three moderate strength (Tsauo et al 123; Bischoff-Ferrari et al 124; Ziden et al 125) studies establish the beneficial effects of home-based PT on functional outcomes such as physical and social functioning, ADLs, mobility, HRQOL and patient satisfaction. In addition, Bischoff-Ferrari’s et al 119 study showed reduction in falls although Crotty’s study showed no change in fall rates; however, they demonstrated that accelerated discharge to home-based PT improved level of independence and physical functioning at same levels as hospital-based rehabilitation.
Risks and Harms of Implementing These Recommendations
The delivery and implementation of this therapy vary, but the benefits of rehabilitative services are demonstrated in a variety of settings and across the continuum of care. There is no harm associated with implementing this recommendation.
Further studies to establish more precise dosages and durations of rehabilitative therapies, as well as to determine the most appropriate settings would be beneficial. Further nutritional research needs to elucidate which type of protein supplementation is most beneficial and should clarify risks associated with malnutrition and benefits of supplementation, especially in diabetic patients.
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