Effectiveness of a Rehabilitation Program for Hip Fracture Surgery Patients at Lampang Hospital
Keywords:
hip fracture, physical therapy, rehabilitation, hip fracture rehabilitation programAbstract
Objective : To compare the effectiveness of the ReHabHip 2022 program and routine physical therapy.
Methods : A quasi-experimental study was conducted among 58 elderly patients with hip fractures who underwent surgery and received rehabilitation services at Lampang Hospital. The participants were divided into two groups of 29 each: an experimental group receiving the ReHabHip 2022 rehabilitation program and a control group receiving routine physical therapy. Both groups were evaluated by a physical therapist before surgery, after surgery, and one month after discharge.
Results : The experimental group showed statistically significant improvement in clinical outcomes compared with the control group (pain and mobility outcomes: CAS (p < 0.001), BI (p < 0.001), NMS (p < 0.001, r = 0.76), TUG (p = 0.001, r = 0.42), gait speed (p < 0.001, r = 0.55), and knee extensor strength), including a positive trend in fear of falling (Thai FES-17).
Conclusion : The ReHabHip 2022 program was more effective than routine physical therapy in improving rehabilitation outcomes among hip fracture patients in terms of activities of daily living, mobility status, hospital stay length, fear of falling, walking ability, gait speed, and knee extensor muscle strength after hip surgery.
References
Senserrick C, Lawler K, Scroggie GD, Williams K, Taylor NF. Three short sessions of physiotherapy during rehabilitation after hip fracture were no more effective in improving mobility than a single longer session: a randomised controlled trial. Physiotherapy. 2021;112:87-95. DOI: 10.1016/j.physio.2020.12.002.
Kimmel LA, Liew SM, Sayer JM, Holland AE. HIP4Hips (High Intensity Physiotherapy for Hip fractures in the acute hospital setting): a randomised controlled trial. Med J Aust. 2016;205(2):73–78. DOI: 10.5694/mja16.00091.
ชุติมา ชลายนเดชะ. คัดกรองการล้มด้วย Timed Up and Go Test (TUG). วารสารเทคนิคการแพทย์และกายภาพบาบัด. 2557; 26(1):6-13.
Kristensen MT, Foss NB, Kehlet H. Timed "up & go" test as a predictor of falls within 6 months after hip fracture surgery. Phys Ther 2007; 87(1):24-30.
doi: 10.2522/ptj.20050271.
Kristensen, M. T., Bandholm, T., & Bencke, J.. The effect of physical therapy on functional outcome after hip fracture surgery. Journal of Geriatric Physical Therap. 2016; 39(3), 141-150.
Kristensen, M. T., Foss, N. B., Ekdahl, C., & Kehlet, H.. "Preoperative functional level and ability to predict outcome after hip fracture surgery in elderly patients: The Cumulated Ambulation Score". Clinical Rehabilitation. 2010; 24(8):789-798.
Kronborg L, Bandholm T, Palm H, Kehlet H, Kristensen MT. Effectiveness of acute in hospital physiotherapy with knee-extension strength training in reducing strength deficits in patients with a hip fracture arandomisedcontrolled trial PLoS One 2017;12: doi:10.1371/journal.pone.0179867.
Parker MJ, Palmer CR. A new mobility score for predicting mortality after hip fracture. J Bone Joint Surg Br. 1993;75:797-798. doi:10.1302/0301-620X.75B5.8376443.
Bech RD, Lauritsen J, Ovesen O, Overgaard S. The verbal rating scale is reliable for assessment of postoperative pain in hip fracture patients. PainRes Treat. 2015;2015:676-212. DOI/10.1155/2015/676212
Thiamwong L. Psychometric testing of the Falls Efficacy Scale-International (FES-I) in Thai older adults. Songklanagarind Med J 2011;29(6):277-87.
Hjelle, K. M., Skutle, O., Førland, O., & Alvsvåg, H.. "The use of Barthel Index in older adults with hip fractures: A literature review. 2020;
Alley DE, Hicks GE, Shardell M, et al. Meaningful improvement in gait speed in hip fracture recovery. J Am Geriatr Soc. 2011;59:1650-1657. DOI:10.1111/j.1532-5415.2011.03560.x.
Katoh, M., & Yamasaki, H.. Reliability of isometric knee extension muscle strength measurements using a handheld dynamometer with a belt. Journal of Physical Therapy Science 2009; 21(3), 239-243. doi:10.1589/jpts.21.239.
Bohannon RW. Test-retest reliability of hand-held dynamometry during a single session of strength assessment. Physical Therapy in Sport 2011; 12(2), 103-106. DOI: 10.1093/ptj/66.2.206
Kristensen MT, Kehlet H. Early mobilization after hip fracture surgery: a critical review. Clin Rehabil. 2019;33(8):1238–1247. doi: 10.1177/2151459319826431
Handoll HH, Cameron ID, Mak JC. Rehabilitation after hip fracture. Cochrane Database Syst Rev. 2021;2021(11):CD007125. doi: 10.1002/14651858.CD007125.pub4.
Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility. J Am Geriatr Soc. 1991;39(2):142–148. DOI: 10.1111/j.1532-5415.1991.tb01616.x
Perera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc. 2006;54(5):743–749. DOI: 10.1111/j.1532-5415.2006.00701.x
Beaupre LA, Carson JL, Latham NK. Rehabilitation for hip fracture after surgery. BMJ. 2015;350:813. DOI: 10.1136/bmj.h813
Latham NK, Harris BA, Bean JF. Effect of physical therapy and progressive resistance training after hip fracture. N Engl J Med. 2020;383(2):142–152. DOI: 10.1056/NEJMoa1916229
Galea MP, Levinger P, Lythgo N. Recovery of muscle strength following hip fracture: a prospective study. Age Ageing. 2018;47(2):227–233. DOI: 10.1093/ageing/afx176
Minoda Y, Kinugasa K, Sakawa M, Kondo I, Kawamura H, Ohta Y, et al. Efficacy of continuous local cryotherapy following total hip arthroplasty. BMC Musculoskelet Disord. 2019;20:199. DOI: 10.1186/s12891-019-2558-X
Hauer K, Becker C, Lindemann U. Effect of early mobility training on functional recovery after hip fracture. Age Ageing. 2020;49(3):435–442. DOI: 10.1093/ageing/afz166
Taraldsen K, Thingstad P, Døhl Ø, et al. Short-term effects of functional training after hip fracture. Phys Ther. 2019;99(4):389–398. DOI: 10.1093/ptj/pzz023
American Physical Therapy Association. Physical therapy management of older adults with hip fracture. Alexandria (VA): American Physic Association; 2021.
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