Original articleEffects on Function and Quality of Life of Postoperative Home-Based Physical Therapy for Patients With Hip Fracture
Section snippets
Participants
Patients with hip fracture having surgery in our hospital from October 1, 2000, to September 30, 2001, were recruited with the agreement of each patient and his/her surgeon. The exclusion criteria included (1) patient or family rejected further treatment and follow-up after discharge, (2) patient was unable to complete the entire follow-up because of transportation problems (this study recruited patients who lived in the neighborhood of our hospital), (3) patient was unable to cooperate because
Patient Flow
A total of 54 patients were recruited in this study. Twenty-eight were in the home-based PT group, and 26 were in the control group. Because of the loss of follow-up and poor exercise compliance, there were ultimately only 13 patients in the home-based PT group and 12 in the control group (fig 1).
Participants’ Baseline Data
Table 1 lists the basic demographic and medical data of both groups. The preadmission parameters (age, sex, prefracture function, causes and types of fracture, waiting time for operation), length of
Discussion
The functional outcome and HRQOL were significantly better in the home-based PT group at follow-up. Patients in the home-based PT group recovered earlier and most of their recovery was found between 1 and 3 months after discharge, but patients in the control group recovered mostly between 3 and 6 months after discharge.
The study by Meeds and Pryor13 investigated the speed and degree of recovery of preinjury independence and returning to residence, and their home rehabilitation group recovered
Conclusions
The home-based PT program is associated with earlier functional recovery and HRQOL than usual care in Taiwan. These findings may have implications not only for clinical practice but also for public health and insurance policy.
Acknowledgment
We appreciate the kind help from the Department of Orthopaedics, National Taiwan University Hospital, for their referral of patients.
References (20)
- et al.
Early home rehabilitation for the elderly patient with hip fracture
Physiotherapy
(1990) - et al.
Home exercise to improve strength and walking velocity after hip fracturea randomized controlled trial
Arch Phys Med Rehabil
(1997) - et al.
Systematic home-based physical and functional therapy for older persons after hip fracture
Arch Phys Med Rehabil
(1997) - et al.
Home-based multicomponent rehabilitation program for older persons after hip fracturea randomized trial
Arch Phys Med Rehabil
(1999) Health and vital statistical annual, 2003
(2003)A review of factors affecting the occurrence and outcome of hip fracture, with special reference to psychosocial issues
J Am Geriatr Soc
(1983)- et al.
Hip fracture mortality and morbidity—can we do better?
N Z Med J
(2001) The crippling consequences of fractures and their impact on quality of life
Am J Med
(1997)- et al.
Functional recovery after fracture of the hip
J Bone Joint Surg Am
(1994) - et al.
Functional recovery after hip fracture
Arch Phys Med Rehabil
(1987)
Cited by (82)
Efficacy and cost-effectiveness analysis of post-acute care for elderly patients with hip fractures
2022, Journal of the Formosan Medical AssociationCitation Excerpt :PAC aimed to maximize functional recovery after acute crisis through intense rehabilitation. Both PAC settings had positive effects on the functional recovery that were consistent with previous studies.7–14 Shyu et al.11 found that the patients in the interdisciplinary home rehabilitation had higher scores than those in usual care by 8–10 BI points at 1 month after discharge.
Genotype, resilience and function and physical activity post hip fracture
2019, International Journal of Orthopaedic and Trauma NursingCitation Excerpt :Engaging in functional tasks and exercise post hip fracture has been shown to improve recovery and prevent or reduce the functional decline that can otherwise occur (Chudyk et al., 2009; Moayyeri, 2008; Pahikanti and Von Ah, 2012; Pedersen et al., 2013). It has been repeatedly shown that strength training and walking programs improve function, enhance strength and aerobic capacity, and prevent disability among those who sustained hip fractures (Binder et al., 2004; Latham et al., 2014; Tsauo et al., 2005). Although known to be beneficial, there are many challenges to engaging older adults in functional tasks or exercise (Benedetti et al., 2009; Browning et al., 2009).
Effect of 800 IU Versus 2000 IU Vitamin D3 With or Without a Simple Home Exercise Program on Functional Recovery After Hip Fracture: A Randomized Controlled Trial
2019, Journal of the American Medical Directors AssociationEvaluation of mobility recovery after hip fracture: a scoping review of randomized controlled studies
2024, Osteoporosis InternationalEfficacy of telerehabilitation for patients after hip fracture surgery: A systematic review and meta-analysis
2023, Journal of Telemedicine and Telecare
Supported by the National Science Council (grant nos. NSC-89-2320-B-002-051-M5, NSC-90-2320-B-002-012-M56).
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.