Rehabilitation outcome of elderly patients with hip fracture and cognitive impairment

Abstract

In spite of cognitive impairment, elderly patients with hip fracture can benefit from participation in rehabilitation programmes.

Rehabilitation in Patients with Dementia Following Hip Fracture: A Systematic Review

“…McGilton and colleagues, 20 also using the FIM as a measure of mobility in relation to cognitive status, found similar results in their longitudinal retrospective study of people undergoing in-patient rehabilitation. Rolland and colleagues 22 found analogous results using the FIM and the Montebello Rehabilitation Factor Score (MRFS). Although cognitively intact patients scored higher on the MRFS than cognitively impaired patients at both admission and discharge, after adjustments, relative functional gain was not significantly different between the two groups.…”

“…13,22,41,47 Moreover, persons with cognitive impairment receiving specialized inpatient interdisciplinary or multidisciplinary rehabilitation demonstrated a higher return to independent living and less decline in ambulation and transfers than those with impaired cognition who received usual postoperative care. 42,43 Multidisciplinary intervention also reduced both fall risk and the incidence of falls in people with dementia.…”

“…Three interventions included PT sessions carried out twice daily 5 days a week. 22,42,43 Interventions specific to PT included strengthening and range-of-motion exercises and instruction to patients in gait and transfer training. 45 Early mobilization within the first 24 hours following surgery was included in two studies.…”

“…Despite these reports, however, there exists a consensus that effective rehabilitation with respect to mobility and function for people who have sustained hip fractures, whether or not they also have dementia, is crucial to their return to their previous dwelling places in the community. [16][17][18][19][20][21][22] Several strategies have been suggested for health care professionals to reduce the negative impact of cognitive and behavioural symptoms, thereby improving prognoses for these patients. 23,24 However, not all health care professionals are aware of strategies for working with patients with dementia or put these strategies into practice.…”

Effect of balneo-physical therapy on quality of life of patients with surgically treated hip

“…Treća po redu po učestalosti su bila obolljenja muskuloseletnog sistema sa 69,5% pacijenata sa pozitivnim nalazom, bez pacijenata u najtežoj kategoriji, sa ocenom 3 je bilo 18,2% lečenih, sa ocenom 2 smo vrednovali 34,1% pacijenata i sa nalazom lakog muskuloskeletnog oboljenja smo našli 36,9% obolelih (Grafikon br.3). Slični podaci o učestalosti hipertenzije i srčanih bolesti u gerijatrijskoj populaciji sa prelomima kuka se mogu sresti i u drugim radovima koji su pratili ovu populaciju (106,107,108), dok se podaci o muskuloskeletnom komorbiditetu sreću znatno ređe.…”