ArticleArchives of rehabilitation research and clinical translation2026
Characterization of the Change in Physical Function in Adults From Acute Hospitalization to Home Health Care Across Diagnostic Categories.
Article in Archives of rehabilitation research and clinical translation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Objective: To characterize changes in mobility and activities of daily living (ADLs) from acute hospitalization through home health care across diagnostic categories, and to identify demographic and clinical factors associated with these changes. Design: Retrospective cohort study. Setting: Acute hospitalization and home health care. Participants: A total of 2060 adults in the mobility cohort (67.8±13.6 years old; 53.7% female); 614 adults in the ADL cohort (69.6±12.9 years old; 56.2% female). Interventions: Not applicable. Main Outcome Measures: Physical function was measured using the Activity Measure for Post-Acute Care (AM-PAC) "6-Clicks" Basic Mobility (BM) and Daily Activity (DA) short forms in both hospital and home health settings. Results: Linear mixed-effects models indicated that both AM-PAC BM and DA scores improved significantly over time, with BM and ADL increasing 0.13 and 0.08 Conclusions: Physical function improves from hospital admission through home health care, but recovery trajectories through home health care vary by age, body mass index, and diagnostic category. These findings demonstrate trajectories of change across care settings, highlight the importance of standardized functional assessments across care settings, and suggest a need for individualized prognostic models. This study informs clinicians, patients, and caregivers about expected recovery trajectories in mobility and ADLs that could support discharge planning and goal setting. Future research should explore the role of therapy dosage and timing and develop individualized models to better predict functional recovery.
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