TY - CHAP
T1 - Rehabilitation Following Hip Fracture
AU - Dyer, Suzanne
AU - Diong, Joanna
AU - Crotty, Maria
AU - Sherrington, Catherine
PY - 2017
Y1 - 2017
N2 - After a hip fracture operation an older person’s recovery is enhanced if they are provided with an optimistic, well-coordinated rehabilitation programme. A rehabilitation approach involves a team of various disciplines (physiotherapy, occupational therapy, nutrition, social work, psychology, medicine) who meet regularly, set goals, provide appropriate treatments, review progress towards these goals with the patient and assess outcomes. Where teams are not available elements of this approach can be included in a care pathway developed with patients and families. Cohort studies suggest that following hip fracture only 40–60 % of people who survive are likely to recover their pre-fracture level of mobility or ability to perform instrumental activities of daily living (ADLs). The time for recovery of different functional abilities varies widely; from within 4 months for upper limb ADLs to much longer for balance and gait and walking ability. Structured exercise programmes that include progressive resistance training or continue for at least 12 weeks can make moderate to large improvements in overall mobility following hip fracture. This chapter outlines evidence-based recommendations for the key elements of rehabilitation programmes extending beyond the hospital setting, with particular emphasis on structured exercise programmes aiming to maximise functional recovery.
AB - After a hip fracture operation an older person’s recovery is enhanced if they are provided with an optimistic, well-coordinated rehabilitation programme. A rehabilitation approach involves a team of various disciplines (physiotherapy, occupational therapy, nutrition, social work, psychology, medicine) who meet regularly, set goals, provide appropriate treatments, review progress towards these goals with the patient and assess outcomes. Where teams are not available elements of this approach can be included in a care pathway developed with patients and families. Cohort studies suggest that following hip fracture only 40–60 % of people who survive are likely to recover their pre-fracture level of mobility or ability to perform instrumental activities of daily living (ADLs). The time for recovery of different functional abilities varies widely; from within 4 months for upper limb ADLs to much longer for balance and gait and walking ability. Structured exercise programmes that include progressive resistance training or continue for at least 12 weeks can make moderate to large improvements in overall mobility following hip fracture. This chapter outlines evidence-based recommendations for the key elements of rehabilitation programmes extending beyond the hospital setting, with particular emphasis on structured exercise programmes aiming to maximise functional recovery.
KW - Exercise Programme
KW - Fall Prevention Strategy
KW - Progressive Resistance Training
KW - Residential Aged Care Facility
KW - Standardise Mean Difference
UR - http://www.scopus.com/inward/record.url?scp=85051630364&partnerID=8YFLogxK
U2 - 10.1007/978-3-319-43249-6_10
DO - 10.1007/978-3-319-43249-6_10
M3 - Chapter
AN - SCOPUS:85051630364
SN - 978-3-319-43248-9
T3 - Practical Issues in Geriatrics
SP - 145
EP - 163
BT - Practical Issues in Geriatrics
A2 - Falaschi, Paolo
A2 - Marsh, David R.
PB - Springer Nature
ER -