Effects of fragility fracture integrated rehabilitation management on mobility, activity of daily living and cognitive functioning in elderly with hip fracture

Abstract

Objective: To determine the effectiveness of Fragility Fracture Integrated Rehabilitation Management (FIRM) on mobility, activity of daily living and cognitive functioning in elderly with hip fracture.
 Methods: A randomized control trial was conducted at Seoul National University Bundang Hospital, South Korea from August 2017 to January 2018. Patients of both genders with the age 65-95 years, diagnosed cases of hip fracture specifically fractures neck of femur, intertrochanteric, subtrochantric, patients who got bipolar hemiarthroplasty, total hip replacement arthroplasty, reduction and internal fixation were included in this study. A total of n=39 sample was collected through non probability convenience sampling technique and randomly divided into Fragility Integrated Rehabilitation Management (FIRM) group (n=20) and Conventional Physical therapy (CPT) group (n=19). The data was collected through KOVAL for walking ability, modified barthal index (MBI) for behaviors related to activities of daily living (ADLS) and mini mental status examination (MMSE) for cognitive functions at baseline on 2nd postoperative day and after 10th FIRM session on 15th postoperative day.
 Results: The mean age of study participants was 82.07±6.00 years. The post intervention comparison did not show any significant difference (p>0.05) in walking ability, overall ADLs and cognitive functioning. But FIRM group showed significant improvement in stair climbing {0(5) ver. 2(7.5), p=0.049} and ambulation or walker use {8(5) ver. 2(4), p=0.037}, as compared to CPT group.
 Conclusion: Both groups improved in indoor mobility with walker and crutches as well as activities of daily living. But FIRM showed more improving ambulation with walker and stair climbing. While cognitive functioning was observed only in FIRM group.
 ClinicalTrials.gov Identifier: NCT03430193. https://clinicaltrials.gov/ct2/show/NCT03430193.
 doi: https://doi.org/10.12669/pjms.36.5.2412
 How to cite this:Aftab A, Awan WA, Habibullah S, Lim JY. Effects of fragility fracture integrated rehabilitation management on mobility, activity of daily living and cognitive functioning in elderly with hip fracture. Pak J Med Sci. 2020;36(5):---------. doi: https://doi.org/10.12669/pjms.36.5.2412
 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

A csípőtáji töréseket követő intézményi rehabilitációra utalás gyakorlata és a beutalást befolyásoló tényezők a hazai közfinanszírozási adatok alapján

“…törvény). Számos publikáció támasztja alá a jól szervezett, a beteg állapotához igazodó multidiszciplináris rehabilitációs programok sikerét mind a törést követő túlélés javításában, mind a beteg funkcionális állapotának helyreállításában [5][6][7][8][9][10][11][12][13][14][15][16][17]. Mind a nemzetközi [18,19], mind a hazai traumatológiai és rehabilitációs útmutatók [20][21][22] ajánlják a sérülést követő mihamarabbi mobilizációt, rehabilitációt.…”

Evaluation of the clinical efficacy of 3D Printing technology assisted surgery combined with early postoperative comprehensive rehabilitation in the treatment of Senile Intertrochanteric Fractures

“…3 The accurate surgical reduction is the key to the success of treatment, but certain benefits will be brought about by postoperative comprehensive treatment to improve patients' quality of life. 4 3D printing technology is an emerging surgical method applied in clinical operations in recent years. Stereoscopic models can be printed out by preoperative CT, MRI and other technology imaging as well as later computer 3D imaging, so that the type and location of fracture can be more accurately evaluated, and an intuitive physical model can be provided for formulating a more detailed plan for surgery.…”

“… 3 The accurate surgical reduction is the key to the success of treatment, but certain benefits will be brought about by postoperative comprehensive treatment to improve patients’ quality of life. 4 …”