Two‐Year Effects of Interdisciplinary Intervention for Hip Fracture in Older Taiwanese

Abstract

The interdisciplinary intervention for hip fracture benefited elderly persons with hip fracture by improving clinical outcomes, self-care ability, and physical health-related outcomes and by decreasing depressive symptoms during the first 24 months after hospital discharge.

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

“…Some of the trials included longer follow-up periods after the intervention, but when the effects of the intervention were compared to those of usual care during the intervention period, four studies found better mobility results after the intervention. Latham et al (20014) reported better results in the Short Physical Performance Battery and functional balance, Orvig et al (2011) higher physical activity, Shyu et al (2010) increased quadriceps strength and walking ability, Tinetti et al (1999) better upper extremity strength, and Crotty et al (2002) less fear of falling for the intervention group than for the usual care group. Nevertheless a need for further studies of home-based rehabilitation programs among hip fracture patients is widely acknowledged (Handoll et al 2009, Handoll, Sherrington & Mak 2011, Ftouh et al 2011, Donohue et al 2013.…”

“…Ten previously published multi-component home-based rehabilitation studies after a hip fracture, which investigated the effects of rehabilitation on mobility recovery compared to usual care, were found (Crotty et al 2002, Crotty et al 2003, Latham et al 2014, Shyu et al 2010, Tseng, Shyu & Liang 2012, Tinetti et al 1999, Ziden, Frandin & Kreuter 2008, Ziden, Kreuter & Frandin 2010. The studies include seven different trials, and from those, three trials included two separate papers.…”

“…The studies are summarized in Table 1. Most of the trials started soon after the hip fracture, the earliest in the hospital immediately following a hip fracture (Shyu et al 2010, Tseng, Shyu & Liang 2012 and latest approximately nine months after the fracture (Latham et al 2014). The length of the interventions varied from one month to one year.…”

“…Two of the trials started before discharge from hospital, and included a geriatric consultation and supported discharge (Shyu et al 2010, Ziden, Frandin & Kreuter 2008. The multi-component home rehabilitations included physical therapy, usually including strength, balance and stretching exercises, and in a few cases home environmental modifications.…”

“…Ten previous studies on seven different trials have been conducted (Crotty et al 2002, Crotty et al 2003, Latham et al 2014, Shyu et al 2010, Tinetti et al 1999, Tseng, Shyu & Liang 2012, Ziden, Frandin & Kreuter 2008, Ziden, Kreuter & Frandin 2010, but evidence of the effects on mobility limitation and disability remains conflicting.…”