Interventions Used by Physical Therapists in Home Care for People After Hip Fracture

Abstract

This study provides a detailed description of the physical therapy interventions provided in the home care setting for patients after hip fracture. The sample size and national representation increase our confidence that this description accurately depicts physical therapist practice.

Influence of Upper Extremity Assistance on Lower Extremity Force Application Symmetry in Individuals Post-Hip Fracture During the Sit-to-Stand Task

“…For example, clinical measures, such as the timed upand-go test, are not designed to evaluate unilateral deficits and do not account for compensations such as increased reliance on the uninvolved limb. 17,25,27 Identifying unilateral compensation is important because of its association with sustained functional decline. 11,13,22,23 Further, the consequences of asymmetrical lower extremity force applications may be an increased fall risk.…”

“…1,16,17 With the increase in the number of elders, the management of hip fracture is expected to continue to require significant medical resources, accounting for 5 to 6 billion healthcare dollars per year. 5,16 After hip fracture, functional losses are greater than what would be expected in the normal aging process, particularly in individuals who are community dwelling.…”

“…For this reason, researchers have proposed the use of the STS task as an outcome measure to assess functional status. 9,[16][17][18] When individuals lack adequate lower extremity strength or coordination, success during an STS task often occurs by T T STUDY DESIGN: Controlled laboratory study using a cross-sectional design.…”

Can Bundled Payment Improve Quality and Efficiency of Care for Patients with Hip Fractures?

“…In each setting, health care providers make decisions about the course of treatment and rehabilitation (Hung & Morrison, 2011;Sahota & Currie, 2008;. The vast majority (up to 70%) of patients with hip fracture receive some rehabilitation care, most often at an SNF (Mangione et al, 2008;Harada et al, 2000). High variability exists in post-acute care among hospitals (MedPAC, 2011), physical therapy regimens among providers (Mangione et al, 2008), and Medicare costs by type of post-acute care (SNF versus IRF versus HHA) and geographic region (Mangione et al, 2008).…”

“…The vast majority (up to 70%) of patients with hip fracture receive some rehabilitation care, most often at an SNF (Mangione et al, 2008;Harada et al, 2000). High variability exists in post-acute care among hospitals (MedPAC, 2011), physical therapy regimens among providers (Mangione et al, 2008), and Medicare costs by type of post-acute care (SNF versus IRF versus HHA) and geographic region (Mangione et al, 2008). Rao and Cherukuri (2006) offered a decision tree to guide clinical decisions regarding next steps in hip fracture rehabilitation process.…”