This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Kuisma, R. Search for Related Content PubMed PubMed Citation Articles by Kuisma, R. Pubmed/NCBI databases Medline Plus Health Information Hip Injuries and Disorders Hip Replacement Home Care Services Social Bookmarking                         What's this?

A randomized, controlled comparison of home versus institutional rehabilitation of patients with hip fracture

Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong

Objective: To compare ambulation outcomes between home and institutional rehabilitation of patients with hip fracture.

Design: Randomized controlled clinical equivalence trial.

Setting: The Queen Elizabeth Hospital in Hong Kong.

Subjects: Eighty-one patients with hip fracture.

Intervention: Study group patients (40) were discharged directly home from the acute hospital and visited by a physiotherapist an average of 4.6 times. The control group subjects (41) were discharged to a rehabilitation centre for further treatment lasting on average 36.2 days (SD 14.6) and they received physiotherapy daily.

Main outcome measures: Ambulation ability measured on a categorical scale.

Results: The mean age of the subjects was 75 years (SD 8.3 years). Females comprised 60% of all the subjects and majority were retired or home makers. Both groups of patients improved in their ambulation ability during their rehabilitation period but neither group achieved their pre-ambulatory status by the time of completion of the study. The study group achieved significantly higher ambulation scores (p < 0.05) for community and household ambulation compared with the control group by the end of the study, a year after operation.

Conclusion: Five visits by a physiotherapist in the patient's home after discharge from an acute hospital after surgical treatment for hip fracture yielded better results in ambulation ability than one month of conventional institution-based rehabilitation.

Clinical Rehabilitation, Vol. 16, No. 5, 553-561 (2002)
DOI: 10.1191/0269215502cr525oa


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				L. Ziden, K. Frandin, and M. Kreuter Home rehabilitation after hip fracture. A randomized controlled study on balance confidence, physical function and everyday activities Clinical Rehabilitation, December 1, 2008; 22(12): 1019 - 1033. [Abstract] [PDF]

				E. M. Toussant and M. Kohia A Critical Review of Literature Regarding the Effectiveness of Physical Therapy Management of Hip Fracture in Elderly Persons J. Gerontol. A Biol. Sci. Med. Sci., October 1, 2005; 60(10): 1285 - 1291. [Abstract] [Full Text] [PDF]

				A. Shumway-Cook, M. A Ciol, W. Gruber, and C. Robinson Incidence of and Risk Factors for Falls Following Hip Fracture in Community-dwelling Older Adults Physical Therapy, July 1, 2005; 85(7): 648 - 655. [Abstract] [Full Text] [PDF]