Effect of home-based rehabilitation for hip fracture: A meta-analysis of randomized controlled trials

Wu, Desheng; Zhu, Xiaoyan; Zhang, Shaowei

doi:10.2340/16501977-2328

Cited by 43 publications

(50 citation statements)

References 24 publications

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“…Systematic reviews have demonstrated that HR is effective for improving basic activities of daily living (ADL) of individuals who have suffered a stroke within 1 year and patients with musculoskeletal disabilities 2,3) . HR is also effective at improving transfer and balance 4,5) , reducing the duration of hospitalization, and improving ADL, with efficacy similar to or greater than that obtained by rehabilitation services in hospital [6][7][8] . Systematic reviews have also shown the possibility that HR could be effective at improving social participation, but no definitive findings have been obtained and further studies are required to confirm this 4,7,9) .…”

Section: Introductionmentioning

confidence: 90%

“…HR is also effective at improving transfer and balance 4,5) , reducing the duration of hospitalization, and improving ADL, with efficacy similar to or greater than that obtained by rehabilitation services in hospital [6][7][8] . Systematic reviews have also shown the possibility that HR could be effective at improving social participation, but no definitive findings have been obtained and further studies are required to confirm this 4,7,9) . Social participation is a strong determinant of quality of life 10) and important for maintaining cognitive function 11,12) .…”

Section: Introductionmentioning

confidence: 90%

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Changes in social participation and life-space mobility in newly enrolled home-based rehabilitation users over 6 months

Kamioka

Miura²,

Matsuda

et al. 2020

J Phys Ther Sci

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This study aimed to examine whether we were able to measure changes in social participation and life-space mobility of newly enrolled home-based rehabilitation (HR) users by using the activities and participation components of the International Classification of Functioning, Disability and Health (ICF) and Life-Space Assessment (LSA) over a 6-months period. [Participants and Methods] We enrolled 47 HR users who had suffered from a stroke or other condition within the previous year. A 6-month prospective cohort study was conducted. The performance qualifiers "d6 domestic life" and "d9 community, social and civic life" in the activities and participation components of the ICF and LSA were used. [Results] We observed significant improvements in the performance qualifier "d9 community, social and civic life" of the ICF over 3 months, and the LSA over a 6-months period. We also identified significant improvements in "d910 community life" and "d920 recreation and leisure" of the ICF. The LSA results showed that HR users had more frequent mobility within the neighborhood. [Conclusion] This study showed that newly enrolled HR users improved their social activities in the community, recreational activities, and life-space mobility over a 6-months period. These were measured using performance qualifiers from the ICF and LSA.

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Section: Introductionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 90%

Changes in social participation and life-space mobility in newly enrolled home-based rehabilitation users over 6 months

Kamioka

Miura²,

Matsuda

et al. 2020

J Phys Ther Sci

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show abstract

“…Over recent decades other models of home-based rehabilitation (HBR) have been developed in addition to the classical model. Two systematic reviews were published recently ( 8 , 9 ) that evaluated the effectiveness of HBR for patients with fractures of the femoral neck, but most studies included in the review related to ongoing rehabilitation processes and not intensive rehabilitation immediately after surgery. Table 1 shows a summary of the main findings of six studies ( 10 – 15 ) that compared the effectiveness of HBR with that of standard inpatient rehabilitation (IR).…”

Section: Introductionmentioning

confidence: 99%

Intensive Inpatient vs. Home-Based Rehabilitation After Hip Fracture in the Elderly Population

et al. 2020

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Background: As the population ages, the rate of hip fractures and the need for rehabilitation increases. Home-based rehabilitation (HBR) is an alternative to classic inpatient rehabilitation (IR), which is an expensive framework with non-negligible risks. Methods: A retrospective study of patients 65 years and above following surgery to repair a hip fracture who underwent HBR or IR between 2016 and 2019. The two rehabilitation frameworks were compared for rehabilitation outcome and factors predicting successful rehabilitation. The outcome was determined with the Montebello Rehabilitation Factor Score-Revised (MRFS-R). Results: Data were collected for 235 patients over 3 years. The mean age was 81.3 ± 8.0 and 172 (73.3%) were women. Of these, 138 underwent IR and 97 HBR. The HBR group had better family support and fewer lived alone. There were also differences in the type of fracture and surgery. The medical condition of the IR group was more complex, as reflected in a higher Charlson's comorbidity scores, higher rates for delirium and more infectious complications, a lower Norton score, lower serum hemoglobin, and albumin levels, and higher serum creatinine and urea levels. It also had a more significant functional decline after surgery and required a longer rehabilitation period. However, no difference was found in the rehabilitation outcomes between the two groups (MRFS-R ≥ 50). The independent predictors for rehabilitation in the IR group were serum albumin level, comorbidity, and cognitive state. There were no independent predictors in the HBR group. Conclusions: In this retrospective study, there was no significant difference in short-term rehabilitation outcomes between the HBR and IR groups event though the patients in the IR group were medically more complex. This result should be taken into account when planning rehabilitation services after hip fracture and tailoring rehabilitation frameworks to patients.

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“…Kuijlaars et al 34) noted that there was no evidence to support the benefit of home-based exercise therapy after hip fracture for most functional outcomes and activities. On the other hand, Wu et al 35) reported that home-based rehabilitation has considerable positive effects on physical functioning after hip fractures. The latter meta-analysis included more recent studies than the former one; however, it is unclear which meta-analysis is more reliable because the methods and outcome measurements differed.…”

Section: Supervised Home-based Exercise Therapymentioning

confidence: 99%

Postoperative Rehabilitation after Hip Fracture: A Literature Review

Lee

Kim

2020

Hip & Pelvis

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As the proportion of elderly individuals within the population grows, the incidence of hip fractures increases. Traditionally, orthopedic surgeons used to focus on surgical treatment of hip fractures; however, the field's appreciation for the importance of postoperative rehabilitation has been increasing recently. Many studies have shown that proper rehabilitation after hip fracture surgery can shorten hospital stays and improve clinical outcomes. However, such studies use different methods and published rehabilitation protocols address varying aspects that do not always overlap. Here, we review and summarize the latest guidelines and studies on postoperative rehabilitation of elderly patients with hip fractures.

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Effect of home-based rehabilitation for hip fracture: A meta-analysis of randomized controlled trials

Abstract: The results of the meta-analysis showed that home-based rehabilitation has considerable positive effects on physical functioning after hip fracture. Home-based rehabilitation is therefore recommended for hip fracture.

Cited by 43 publications

References 24 publications

Changes in social participation and life-space mobility in newly enrolled home-based rehabilitation users over 6 months

Changes in social participation and life-space mobility in newly enrolled home-based rehabilitation users over 6 months

Intensive Inpatient vs. Home-Based Rehabilitation After Hip Fracture in the Elderly Population

Postoperative Rehabilitation after Hip Fracture: A Literature Review

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