Abstract
<h3>Purpose</h3> As a quality initiative, we evaluated the impact of standardized physical therapy (SPT) for LT recipients, during their admission for LT as measured by change in 6 Minute Walk Test (6MWT), 30 Second Chair Stand Test (30s-CST) and gait speed (GS). <h3>Methods</h3> Evidence-based guidelines (SPT) created by a team of physical therapists consisting of gait training, power and strength exercises, timed endurance activities, hospital exercise programs, and functional outcome measures were implemented with all patients who received LT after March 8, 2021. There were two groups, a control group (CG) with routine care and intervention group (IG) where SPT was implemented. 6MWT, 30s-CST, and GS were measured during the outpatient PT evaluation following discharge from the inpatient setting. Demographic data was obtained via an electronic medical record (EMR). Descriptive statistics were used for analysis. <h3>Results</h3> Total of 33 patients were enrolled in the study. Control group (CG) had 21 patients. Intervention group (IG) had 13 patients. (Table 1). The CG had a mean 6MWT of 859 feet, mean 30s-CST of 5 repetitions and mean GS of 0.72 meters/second. IG had a mean 6MWT of 1,128 feet (p = 0.01), mean 30s-CST of 9 repetitions (p = 0.07) and mean GS of 0.95 meters/second (p = 0.01). <h3>Conclusion</h3> All physical function outcome measures improved with the 6MWT and gait speed being statistically significant. Standardized PT guidelines with LT recipients in the acute hospital setting may improve functional outcome measures indicative of activity tolerance, power, strength, and functional endurance, however limited conclusions can be made at this time. These preliminary findings need to be confirmed with larger sample size and longer follow up.
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