Effects of a Home-Based Physical Rehabilitation Program on Physical Disability After Hip Fracture: A Randomized Controlled Trial

Edgren, Johanna; Salpakoski, Anu; Sihvonen, Sanna; Portegijs, Erja; Kallinen, Mauri; Arkela, Marja; Jäntti, Pirkko; Vanhatalo, Jukka; Pekkonen, Mika; Rantanen, Taina; Heinonen, Ari; Sipilä, Sarianna

doi:10.1016/j.jamda.2014.12.015

Cited by 60 publications

(58 citation statements)

References 32 publications

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“…programme had no substantial influence on daily activity, instrumental activity, walking outdoors and gait speed in patients treated for hip fracture (17)(18)(19). Considering these inconsistent results, we therefore conducted a systematic review and meta-analysis of RCTs to evaluate the effectiveness of home-based rehabilitation in patients with hip fracture.…”

Section: Main Messagementioning

confidence: 99%

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Effect of home-based rehabilitation for hip fracture: A meta-analysis of randomized controlled trials

Wu¹,

Zhu²,

Zhang³

2018

J Rehabil Med

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Section: Main Messagementioning

confidence: 99%

“…And 3 papers were removed for the subjects not being RCTs. Ultimately, 9 RCTs were included in the meta-analysis (13,(15)(16)(17)(18)(19)(24)(25)(26).…”

Section: Literature Search Study Characteristics and Quality Assessmentmentioning

confidence: 99%

Effect of home-based rehabilitation for hip fracture: A meta-analysis of randomized controlled trials

Wu¹,

Zhu²,

Zhang³

2018

J Rehabil Med

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“…There is a trend of adapting technological innovations to deliver personalized, in-home, interactive PA interventions for individuals with physical disabilities to improve accessibility and addresses participation barriers (e.g. transportation) (26, 29, 33, 35). Telephone and web-based coaching and exercise DVDs are commonly used home-based delivery channels for PA interventions among adults with physical disabilities (15) and innovative approaches such as mobile technology, immediate video feedback (IVF), and gaming systems have also been incorporated into PA interventions for this population.…”

Section: Pa Promotion Among Individuals With Physical Disabilitiesmentioning

confidence: 99%

Promoting Physical Activity among Underserved Populations

Mendoza-Vasconez

Linke

Muñoz

et al. 2016

Curr Sports Med Rep

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Underserved populations, including racial/ethnic minorities, individuals with low socioeconomic status, and individuals with physical disabilities, are less likely to engage in sufficient moderate to vigorous physical activity (MVPA) and are thus at increased risk of morbidity and mortality. These populations face unique challenges to engaging in MVPA. Learning how to overcome these challenges is a necessary first step in achieving health equity through health promotion research. In this review of the literature, we discuss issues and strategies that have been used to promote MVPA among individuals from underserved populations, focusing on recruitment, intervention delivery, and the use of technology in interventions. Physical activity promotion research among these vulnerable populations is scarce. Nevertheless, there is preliminary evidence of efficacy in the use of certain recruitment and intervention strategies including tailoring, cultural adaptation, incorporation of new technologies, and multilevel and community-based approaches for physical activity promotion among different underserved populations.

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“…An advantage of home‐based rehabilitation is that treatment takes place in a familiar environment where the patient feels comfortable and safe. This type of intervention has been found to produce beneficial results for participants (Edgren et al, ; Karlsson et al, ; Salpakoski et al, ). In a systematic review by Donohue, Hoevenaars, McEachern, Zeman, and Mehta (), they concluded that home‐based rehabilitation is as effective as conventional treatments.…”

Section: Discussionmentioning

confidence: 99%

“…In general, length of hospital stay after hip fracture surgery is short and patients usually need more time to recover their pre‐fracture functional level after hospital discharge (Ariza‐Vega et al, ; Shyu, Chen, Liang, & Tseng, ). Consequently, multidisciplinary post‐discharge rehabilitation programs delivered in the home setting are considered highly important (Edgren et al, ; Karlsson et al, ; Salpakoski et al, ).…”

Section: Introductionmentioning

confidence: 99%

A home‐based tele‐rehabilitation protocol for patients with hip fracture called @ctivehip

Ortiz-Piña

Salas-Fariña

Mora‐Traverso

et al. 2018

Research in Nursing & Health

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Home‐based tele‐rehabilitation programs are under development and may be a future option for some patients. The objectives of this non‐randomized clinical trial are to design a home‐based multidisciplinary tele‐rehabilitation protocol for patients with hip fracture, and to compare this protocol versus the home‐based usual outpatient rehabilitation protocol. Seventy patients treated for an acute hip fracture, aged 65 years or older, with a high pre‐fracture functional level (Functional Independence Measure score >90), without severe cognitive impairment, absence of terminal disease, discharged to their own home or a relativés home postoperatively, allowed weight‐bearing, and with signed informed consent, will be allocated into a tele‐rehabilitation group (n = 35) or a control group (n = 35). The inclusion criterion for the intervention group will be to have a caregiver with the ability to access the Internet who is willing to perform exercises and activities with the patient at home. The intervention includes a program of physical exercise and occupational therapy (five weekly sessions during 12 weeks), and recommendations for patients and their caregivers, all delivered through a website. The patient's functional level (Functional Independence Measure), quality of life (Euro‐Qol), physical performance (Timed Up and Go), caregiver burden (Zarit Interview), and other descriptive data will be assessed at hospital discharge, 4 weeks, and 12 weeks. This project will add to the knowledge concerning the feasibility of tele‐rehabilitation as an option to promote recovery of the pre‐fracture functional level for some patients with a hip fracture. http://ClinicalTrials.gov Identifier: NCT02968589NCT.

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Effects of a Home-Based Physical Rehabilitation Program on Physical Disability After Hip Fracture: A Randomized Controlled Trial

Abstract: Background: Less than half of the hip fracture patients will regain the pre-fracture level of

Cited by 60 publications

References 32 publications

Effect of home-based rehabilitation for hip fracture: A meta-analysis of randomized controlled trials

Effect of home-based rehabilitation for hip fracture: A meta-analysis of randomized controlled trials

Promoting Physical Activity among Underserved Populations

A home‐based tele‐rehabilitation protocol for patients with hip fracture called @ctivehip

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