Comparative outcomes of inpatient fragility fracture intensive rehabilitation management (FIRM) after hip fracture in sarcopenic and non-sarcopenic patients: a prospective observational study

Lim, Seung Kyu; Lee, Sang Yoon; Beom, Jaewon; Lim, Jae‐Young

doi:10.1007/s41999-018-0089-4

Cited by 15 publications

(18 citation statements)

References 35 publications

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“…Various definitions of sarcopenia have been developed by different international consensus panels, (the Asian Working Group on Sarcopenia (AWGS), the European Working Group on Sarcopenia in Older People (EWGSOP) and the Foundation of the National Institute of Health, International Working Group on Sarcopenia) each defining cut-off values from mobility limitation measures (appendicular skeletal mass index, grip strength and physical performance). In our review, the authors specifically used the diagnostic criteria included in the AWGS [ 21 , 22 , 23 , 24 , 25 ] and EWGSOP [ 1 , 16 , 19 , 20 ].…”

Section: Resultsmentioning

confidence: 99%

“…In Study 1 ( Table 1 ), the functional outcomes of a new integrated rehabilitation management (FIRM) were assessed in sarcopenic and nonsarcopenic inpatients [ 21 ]. Sixty-eight patients (32 Sarcopenic and 36 nonsarcopenic) who had undergone surgery for fragility FNF were included.…”

Section: Resultsmentioning

confidence: 99%

“…The outcomes evaluated were the same as Studies 1 and 2 [ 21 , 22 ], except for the absence of the I-ADL measurement. The experimental group experienced higher and longer therapeutic effects, with improvement in all outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…To strengthen muscle and physical function, progressive resistance exercise training is a commonly used tool [ 21 , 22 , 23 ]. Ambulatory independence is a crucial outcome to examine in patients after hip-surgery, and it must be evaluated before and after the surgery intervention and rehabilitation protocol.…”

Section: Discussionmentioning

confidence: 99%

“…Ambulatory independence is a crucial outcome to examine in patients after hip-surgery, and it must be evaluated before and after the surgery intervention and rehabilitation protocol. In Study 1 [ 21 ], it was found that ambulatory independence is more associated with individual ambulatory function before the fracture than in the presence of sarcopenia. However, Study 2 [ 22 ] considered poor ambulatory independence as predictive factor for worse results in the evaluated outcome.…”

Section: Discussionmentioning

confidence: 99%

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Rehabilitation Strategies for Patients with Femoral Neck Fractures in Sarcopenia: A Narrative Review

Avola

Mangano

Testa

et al. 2020

JCM

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Sarcopenia is defined as a syndrome characterized by progressive and generalized loss of skeletal muscle mass and strength. It has been identified as one of the most common comorbidities associated with femoral neck fracture (FNF). The aim of this review was to evaluate the impact of physical therapy on FNF patients’ function and rehabilitation. The selected articles were randomized controlled trials (RCTs), published in the last 10 years. Seven full texts were eligible for this review: three examined the impact of conventional rehabilitation and nutritional supplementation, three evaluated the effects of rehabilitation protocols compared to new methods and a study explored the intervention with erythropoietin (EPO) in sarcopenic patients with FNF and its potential effects on postoperative rehabilitation. Physical activity and dietary supplementation are the basic tools of prevention and rehabilitation of sarcopenia in elderly patients after hip surgery. The most effective physical therapy seems to be exercise of progressive resistance. Occupational therapy should be included in sarcopenic patients for its importance in cognitive rehabilitation. Erythropoietin and bisphosphonates could represent medical therapy resources.

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