Impact of 12 weeks of physiotherapy-led integrated care of older people on intrinsic capacity and quality of life among community-dwelling older adults: a randomised controlled trial
A recent study has demonstrated the efficacy of a Physiotherapy-led, Person-Centred Integrated Care (PTICOPE) program in enhancing intrinsic capacity (IC) and quality of life (QoL) among community-dwelling older adults. In a randomized controlled trial involving 71 participants, those in the PTICOPE group (n = 35) engaged in a 12-week intervention that included both center-based physiotherapy and home-based multidomain activities targeting various aspects of IC, including locomotion, vitality, psychological well-being, cognition, vision, and hearing. The control group (n = 36) received standard health education.
The findings highlight significant improvements in locomotion (effect size 0.87, P = .030), vitality (effect size 0.67, P = .014), and cognition (effect size 1.09, P = .035). Notably, the PTICOPE program also led to substantial enhancements in QoL across all measured domains, with physical health, psychological well-being, social relationships, and environmental factors showing increases of 6.2, 4.9, 4.0, and 4.1 points, respectively (all P < .001). These results underscore the potential of PTICOPE as a comprehensive strategy for promoting healthy aging, as it effectively targets multiple domains of intrinsic capacity while also improving overall quality of life.
The implications of this study are significant for the field of aging research and therapeutic interventions. By establishing the effectiveness of a multidomain physiotherapy approach, this research supports a shift towards more integrated, person-centered care models in community settings. Such findings may influence future clinical practices and guide the development of interventions aimed at enhancing longevity and healthspan in older populations, ultimately contributing to improved aging outcomes.
Source: academic.oup.com