The aging Veteran population has more frequent inpatient hospitalization than non-Veterans. In addition, older Veterans have an inability to fully recover muscle mass and function after hospital-acquired weakness. The problem of hospital-acquired weakness is greatly increased in at-risk Veteran populations such as those with chronic kidney disease (CKD). The purpose of this collaborative study involving Denver and Baltimore VAMC sites is to improve health through the detection and rehabilitation management of hospital-acquired weakness in those with CKD. The study goals include identifying and monitoring the optimal muscle assessment sites in clinical settings, examining how muscle health impacts length of hospital stay and physical resilience, and determining how home-based and supervised exercise comparatively addresses post-hospitalization physical resilience using performance tests and Veteran feedback.
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Vastus Lateralis Muscle Thickness
Timeframe: 4 month, 10 month
Function
Timeframe: 4 month, 10 month
Lower Extremity Strength - Isometric Strength
Timeframe: 4 month, 10 month
Upper Extremity Strength - Grip Strength
Timeframe: 4 month, 10 month
Michael Harris-Love, DSc MPT BS