Home-based rehab for seniors improves quality of life, saves money

Seniors with musculoskeletal disorders, like arthritis or broken bones, who get rehabilitation at home are less likely to need admission to hospital or long-term care homes, say researchers from the University of Waterloo and University of Toronto.

The study, published in the Archives of Physical Medicine and Rehabilitation, also found that older patients who receive physiotherapy and occupational therapy in their own home are more likely to be discharged from home care services altogether after treatment.

"Fewer hospital admissions and a decreased demand for home care services would represent a significant reduction in the government's overall health costs," said Professor Paul Stolee, of the Faculty of Applied Health Sciences at Waterloo.

"The aging of the population is often seen as the biggest cause of increasing health care costs, which is not true," said Professor Stolee. "This study provides evidence that if older people get the right services at the right time, this can actually reduce their cost to the health system, while improving their quality of life."

Study participants who received physiotherapy or occupational therapy were more likely to improve in their ability to look after themselves, to perform necessary household tasks, or to move around independently.

"Many more older people could benefit from physiotherapy or occupational therapy than actually receive these services. Our data shows that rehab services in home care are a worthwhile investment, but despite its benefits, community-based rehabilitation is not adequately funded," said Professor Stolee.

Although access to rehabilitation services has been limited for many older adults, the Ontario Ministry of Health and Long-Term Care recently announced efforts to improve access to physiotherapy, exercise and fall prevention classes for seniors. 

SOURCE: University of Waterloo