Bed bridge test predicts return to occupational activities six months after hospital discharge: a longitudinal study

Authors

DOI:

https://doi.org/10.1590/

Keywords:

Disability Evaluation, Hospitalization, Exercise Test

Abstract

Introduction: The bed bridge test (BBT)
assesses the functional capacity of hospitalized patients.
Objective: to evaluate the efficiency of BBT in predicting
clinical and functional outcomes six months after hospital
discharge. Method: this observational longitudinal study
was conducted in two phases. Phase 1: BBT in five
and 10 repetitions (BBT5R and BBT10R) or for 30 and
60 seconds (BBT30s and BBT60s) during hospitalization.
Phase 2: six months after discharge, participants were
phoned and information on occupational return,
readmission, falls, walking, and death were obtained.
Results: of the 92 evaluated participants, 57 remained
in this study after six months. Of these, 28% returned to
work, 26% were readmitted, 7% reported falls, 5% were
unable to walk, and 3% had died. BBT30s and BBT60s
were related to the return to occupational activities
(r=0.28; r=0.37, respectively). In addition to performing BBT60s, factors such as the female sex and lower incidence
of comorbidities explained 40% of the returns to occupational
activities. Conclusion: we concluded that BBT60s can predict the
return to occupational activities after hospital discharge in the
medium term, possibly configuring an indicator to guide hospital
rehabilitation and facilitate the return to occupational activities

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References

Chung J, Demiris G, Thompson HJ. Instruments to Assess

Mobility Limitation in Community-Dwelling Older Adults:

A Systematic Review. J Aging Phys Act. 2015;23(2):298-313.

doi: 10.1123/japa.2013-0181.

Motizuki CS, Maluf EMCP, Simonelli AP, Petterle RR.

A prospective cohort study on the challenge to return to work

after hospitalisation in Brazil. Health Soc Care Community.

;29(4):982-991. doi: 10.1111/hsc.13132.

Zisberg A, Shadmi E, Sinoff G, Gur-Yaish N, Srulovici E,

Admi H. Low Mobility During Hospitalization and Functional

Decline in Older Adults. J Am Geriatr Soc. 2011;59(2):266-73.

doi: 10.1111/j.1532-5415.2010.03276.x.

Mahoney JE, Sager MA, Jalaluddin M. New walking dependence

associated with hospitalization for acute medical illness:

incidence and significance. J Gerontol A Biol Sci Med Sci.

;53(4):307-12. doi: 10.1093/gerona/53a.4.m307.

Ettinger WH. Can hospitalization-associated disability be

prevented? JAMA. 2011;306(16):1800-1. doi: 10.1001/jama.2011.1563.

Greysen SR, Patel MS. Web Exclusive. Annals for Hospitalists

Inpatient Notes – Bedrest Is Toxic-Why Mobility Matters in the

Hospital. Ann Intern Med. 2018;169(2):HO2-HO3. doi: 10.7326/

M18-1427.

Hernández-Luis R, Martín-Ponce E, Monereo-Muñoz M,

Quintero-Platt G, Odeh-Santana S, et al. Prognostic value of

physical function tests and muscle mass in elderly hospitalized

patients: a prospective observational study. Geriatr Gerontol

Int. 2018;18(1):57-64. doi: 10.1111/ggi.13138.

Holland AE, Spruit MA, Troosters T, Puhan MA, Pepin V,

et al. An official European Respiratory Society/American

Thoracic Society technical standard: field walking tests in

chronic respiratory disease. Eur Respir J. 2014;44(6):1428-46.

doi: 10.1183/09031936.00150314.

O’Grady HK, Edbrooke L, Farley C, Berney S, Denehy L, et al.

The sit-to-stand test as a patient-centered functional outcome

for critical care research: a pooled analysis of five international

rehabilitation studies. Crit Care. 2022;26(1):175. doi: 10.1186/

s13054-022-04048-3.

Morton NA, Keating JL, Jeffs K. Exercise for acutely hospitalised

older medical patients. Cochrane Database Syst Rev. 2007.

doi: 10.1002/14651858.CD005955.pub2.

Prestmo A, Hagen G, Sletvold O, Helbostad JL, Thingstad P, et al.

Comprehensive geriatric care for patients with hip fractures:

a prospective, randomised, controlled trial. Lancet.

;385(9978):1623-33. doi: 10.1016/S0140-6736(14)62409-0.

Kovelis D, Gomes ARS, Mazzarin C, Miranda A, Valderramas S.

Association Between the Results of the Timed Up-and-Go Test

Adjusted for Disease Severity and Sarcopenia in Patients with

Chronic Obstructive Pulmonary Disease: a Pilot Study. Clinics.

;74:e839. doi: 10.6061/clinics/2019/e930.

Veronese N, Bolzetta F, Toffanello ED, Zambon S, De Rui M,

et al. Association Between Short Physical Performance Battery

and Falls in Older People: The Progetto Veneto Anziani Study.

Rejuvenation Res. 2014;17(3):276-84. doi: 10.1089/rej.2013.1491.

Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF,

et al. A short physical performance battery assessing lower

extremity function: association with self-reported disability

and prediction of mortality and nursing home admission.

J Gerontol. 1994;49(2):M85-M94. doi: 10.1093/geronj/49.2.m85.

Black C, Sanger H, Battle C, Eden A, Corner E. Feasibility of

mobilisation in ICU: a multi-centre point prevalence study

of mobility practices in the UK. Crit Care. 2023;27(1):217.

doi: 10.1186/s13054-023-04508-4.

Libuy MH, Szita CP, Hermosilla PJ, Arellano SD, Rodríguez-Núñez I

et al. Validez y confiabilidad de las escalas de evaluación funcional

en pacientes críticamente enfermos. Revisión sistemática

[Validity of scales for the functional assessment of critically

ill patients]. Rev Med Chil. 2017;145(9):1137-44. doi: 10.4067/

s0034-98872017000901137.

Kawaguchi YMF, Nawa RK, Figueiredo TB, Martins L, Pires-Neto RC.

Perme IntensiveCare Unit Mobility Score e ICU Mobility Scale:

tradução e adaptação cultural para a língua portuguesa falada

no Brasil. J Bras Pneumol. 2016;42(6):429-34. doi: 10.1590/

S1806-37562015000000301.

Paticcie TMF, José A, Paiva LG, Oliveira TMD, Pacheco CR

et al. The Bed Bridge Test: a new functional test for hospital

inpatients – a feasibility and measurement study. Disabil

Rehabil. 2024;21:1-10. doi: 10.1080/09638288.2024.2367605.

Scheerman K, Raaijmakers K, Otten RHJ, Meskers CGM, Maier AB.

Effect of physical interventions on physical performance and

physical activity in older patients during hospitalization:

a systematic review. BMC Geriatr. 2018;18(1):288. doi: 10.1186/

s12877-018-0965-2.

Park H, Oh D, Kim S. Effects of integrating hip movements into

bridge exercises on electromyographic activities of selected

trunk muscles in healthy individuals. Man Ther. 2014;19(3):246-51.

doi: 10.1016/j.math.2013.11.002.

Callahan CM, Unverzagt FW, Hui SL, Perkins AJ, Hendrie HC. Sixitem

screener to identify cognitive impairment among potential

subjects for clinical research. Med Care 2002;40(9):40(9):771-81.

doi: 10.1097/00005650-200209000-00007.

Cohen J. Statistical power analysis for the behavioral sciences.

Hillsdale: Erlbaum; 1988.

Motizuki CS, Maluf EMCP, Simonelli AP, Petterle RR.

A prospective cohort study on the challenge to return to work

after hospitalisation in Brazil. Health Soc Care Community.

;29(4):982-91. doi: 10.1111/hsc.13132.

Morita AA, Bisca GW, Machado FVC, Hernandes NA, Pitta F, et al.

Best Protocol for the Sit-to-Stand Test in Subjects With COPD.

Respir Care. 2018;63(8):1040-9. DOI 10.4187/respcare.05100.

Rueda S, Chambers L, Wilson M, Mustard C, Rourke SB,

et al. Association of returning to work with better health in

working-aged adults: A systematic review. Am J Public Health.

;102(3):541-56. doi: 10.2105/AJPH.2011.300401.

Takahashi MABC, Iguti AM. As mudanças nas práticas de reabilitação

profissional da Previdência Social no Brasil: modernização ou

enfraquecimento da proteção social? Cad. de Saúde Pública.

;24(11). doi: 10.1590/S0102-311X2008001100021.

Denne J, Kettner G, Ben-Shalom Y. Return to work in the health

care sector: promising practices and success stories.

Mathematica Center for Studying Disability Policy. 2015:1-20.

[cited 2025 Jam 7]. Available from: https://www.mathematica.

org/publications/return-to-work-in-the-health-care-sectorpromising-

practices-and-success-stories

International Labor Organization. Work for a brighter future:

Global Commission on the Future of Work. 2019. [cited 2025

Jan 7]. Available from: https://www.ilo.org/wcmsp5/groups/

public/–-dgreports/–-cabinet/documents/publication/

wcms_662410.pdf

Hill Z. Reducing attrition in panel studies in developing countries.

Int J Epidemiol. 2004;33(3):493-8. doi: 10.1093/ije/dyh060.

Published

2024-12-30

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Section

Original Research

How to Cite

Bed bridge test predicts return to occupational activities six months after hospital discharge: a longitudinal study. (2024). Fisioterapia E Pesquisa, 31(cont), e23014524pt. https://doi.org/10.1590/