Rehabilitation of Hip Fractures Across the Continuum of Care

Residual Disability, Mortality, and Nursing Home Placement After Hip Fracture Over 2 Decades

“…The lack of improvement in patient disability over time is consistent with recent reviews concluding that although the current state of rehabilitation for hip fracture patients is beneficial, usual rehabilitation practices are still not fully returning patients to their prefracture level of function. 10,34 Rehabilitation, in general, aims to improve mobility and independence in patients and can include strength training, mobility training (potentially with assistive devices), and pain management. 34 However, "usual care" for hip fracture patients at all phases of rehabilitation (acute, post-acute setting, community) is not standardized and often based on provider experience and local protocols.…”

“…10,34 Rehabilitation, in general, aims to improve mobility and independence in patients and can include strength training, mobility training (potentially with assistive devices), and pain management. 34 However, "usual care" for hip fracture patients at all phases of rehabilitation (acute, post-acute setting, community) is not standardized and often based on provider experience and local protocols. 34 Rehabilitation intervention studies also provide insufficient detail on the care that control groups received, making the assessment of outcomes across studies difficult.…”

“…34 However, "usual care" for hip fracture patients at all phases of rehabilitation (acute, post-acute setting, community) is not standardized and often based on provider experience and local protocols. 34 Rehabilitation intervention studies also provide insufficient detail on the care that control groups received, making the assessment of outcomes across studies difficult. 20 Despite many years of extensive research on hip fracture outcomes, the most effective interventions to improve mobilization, physical function, and psychosocial function after hip fracture remain elusive.…”

“…7 Outcomes may also differ by where rehabilitation takes place. 34,[43][44][45] . The use of proxies in the cohort studies may also be problematic.…”

Making Decisions about Service Provision for Clients with Low Back Pain: Perspectives of Canadian Physiotherapy Professionals

“…PT outpatient departments typically assign the highest priority to patients with acute or traumatic conditions 1 -5 and the lowest priority to patients with chronic conditions. 1 -3,6 However, non-clinical factors are also taken into consideration; 7 -15 patients' characteristics and support networks play an important role in decisions about service provision: the preferences and objectives of patients, their families, or both; 14,16,17 patients' personality; 4,18 their co-operation with their treatment; 14,17,19,20 and their ability to navigate the system. 21,22 Yet, it is not clear to what extent these non-clinical factors are related to professional decision making.…”