![]() ![]() ![]() If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Keywords: Hospice, Disability, Physiotherapy, ADL, Balance, Quality of life, ICF © The Author(s). Registered in the Research Registry ( ) under the number research registry 5264. The results of our research provide evidence of the growing need for physiotherapy in individuals in hospice and for comprehensive assessment by means of ICF. Conclusions: The physiotherapeutic intervention had a significant impact on improving the performance of ADL, as well as the emotional state and quality of life of patients receiving hospice services in the home. After the completion of the intervention program, a significant improvement was found in the ADL (mean 4.0), IADL (mean 13.9), WHOQOL-BREF (mean 52.6), VAS (mean 5.1), risk of falling (Tinetti mean 12.3), and GDS (mean 15.7) scores. Results: The average functional level of the ADL (mean 2.9) and the IADL (mean 11.9), as well as the WHOQOL- BREF (mean 46.4) of the patients before the intervention were low, whereas the intensity of pain (VAS mean 5.8), the risk of falling (Tinetti mean 8.2), and depression (GDS mean 16.7) were recorded as high. To enable comparison of our results worldwide, a set of International Classification of Functioning, Disability and Health (ICF) categories was used. The study used the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scales, the World Health Organization Quality of Life - Bref (WHOQOL- BREF), the Visual Analogue Scale (VAS) pain scale, the Tinetti POMA Scale, and the Geriatric Depression Scale (GDS). The tests were performed before and after the intervention. A model of a physiotherapy program was designed, including breathing, strengthening, transfer, gait, balance, functional, and ergonomic exercises, as well as an adaptation of the patient ’ s living environment to functional needs. ![]() Methods: The study included 60 patients (mean 66.3 years) receiving hospice services in the home. The aim of our study was to assess the impact of a multi-component, individualized physiotherapy program on the functional and emotional conditions and quality of life of patients receiving hospice services in the home. RESEARCH ARTICLE Open Access Assessment of the effects of a multi- component, individualized physiotherapy program in patients receiving hospice services in the home Agnieszka Ć wirlej-Soza ń ska *, Agnieszka Wójcicka, Edyta Kluska, Anna Stacho ń and Anna Ż muda Abstract Background: The interest in physiotherapy programs for individuals in hospice is increasing. ![]()
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