Effectiveness of preoperative physical therapy for older patients with hip fracture

Sawaguchi, Akira; Momosaki, Ryo; Hasebe, Kiyotaka; Chono, Masayuki; Kasuga, Seiji; Abo, Masahiro

doi:10.1111/ggi.13290

Cited by 12 publications

(8 citation statements)

References 18 publications

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“…Several studies have investigated the effects of early rehabilitation for patients with acute fragility fracture. Early rehabilitation after hip fracture was reported to be associated with better rehabilitation outcomes 16. Early rehabilitation of distal radius fracture is reported to be safe for postoperative aftercare, resulting in improved range of motion and grip strength 17.…”

Section: Discussionmentioning

confidence: 99%

“…Early rehabilitation after hip fracture was reported to be associated with better rehabilitation outcomes. 16 Early rehabilitation of distal radius fracture is reported to be safe for postoperative aftercare, resulting in improved range of motion and grip strength. 17 Also, an early rehabilitation program successfully improved postoperative functional outcome in proximal humeral fracture.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Early Rehabilitation for Vertebral Compression Fractures: A Retrospective Cohort Study

Kobata

Hasebe

Momosaki

2020

Journal of Geriatric Physical Therapy

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Background and Purpose: Most patients become physically inactive after vertebral compression fracture and thus need help for early mobilization. This study sought to investigate the effect of early rehabilitation on activities of daily living in patients following acute vertebral compression fracture. Methods: We conducted this retrospective cohort study with a hospital-based database created by the Japan Medical Data Center and comprising data from a Diagnosis Procedure Combination survey from more than 100 acute care hospitals across Japan. Data of consecutive inpatients hospitalized because of thoracic and/or lumbar compression fractures from 2014 to 2018 were extracted. We compared characteristics and outcomes between patients who underwent early rehabilitation (early rehabilitation group) and those who did not undergo rehabilitation (no rehabilitation group). The primary outcome measure was Barthel Index improvement. Results: After applying exclusion criteria, a total of 8493 eligible patients with acute vertebral compression fracture were included in this study. The unadjusted data showed significantly greater Barthel Index improvement (72.5% vs 60.3, P < .001) and a higher rate of discharge to home (82.9% vs 77.4, P < .001) among patients in the early rehabilitation group compared with the no rehabilitation group. After adjustment by propensity score analysis, significant between-group differences were found. Conclusion: Early rehabilitation could possibly be a feasible alternative for maintenance of the Barthel Index in patients with acute vertebral compression fracture.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effectiveness of Early Rehabilitation for Vertebral Compression Fractures: A Retrospective Cohort Study

Kobata

Hasebe

Momosaki

2020

Journal of Geriatric Physical Therapy

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“…The United States' Uniform Data System for Medical Rehabilitation (UDSMR) is the largest rehabilitation registry database in the world. In Japan, the Japanese Rehabilitation Database (JRD) specializes in rehabilitation medicine, and the number of English papers using the JRD is increasing (11)(12)(13)(14)(15)(16). The Convalescent Rehabilitation Ward Association also maintains a database (17).…”

Section: Discussionmentioning

confidence: 99%

Construction and Quality Evaluation of the Japanese Rehabilitation Nutrition Database

Miyuki

Momosaki

Wakabayashi

et al. 2018

J Nutr Sci Vitaminol

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Nutritional complications frequently occur among patients undergoing rehabilitation, and the importance of nutrition in these patients has been emphasized. However, there is not enough evidence available on rehabilitation nutrition. The Japan Rehabilitation Nutrition Database was set up to reflect the real-world clinical practice of rehabilitation nutrition. This paper describes the construction and quality evaluation of the registry database. We constructed a large-scale database that can be used for the clinical research of nutrition for rehabilitation. To verify the data, a simple comparison of the numbers of cases, data loss, data duplication, data type errors, out of range values, and input errors in the option columns was performed. From March 2016 to June 2017, 797 cases were registered in the rehabilitation database from 18 facilities. The variable entry error frequency ranges from 0% to 0.4% and the frequency of a main item missing from 0.4% to 10.9%. Energy intake on hospitalization was missing in 10.9% of cases, and Mini Nutritional Assessment Short Form and Food Intake LEVEL Scale on hospitalization was missing in 9.7% of cases. Stroke accounted for 45.7% of the diseases registered, pneumonia for 36.5%, and proximal femoral fracture for 17.8%. Through the use of this database, research on rehabilitation nutrition can be conducted, and there is a possibility that useful results for future clinical practice may be obtained. Verification of the secondary use of the database is becoming the basis for evidence-based nutritional rehabilitation.

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“…Consultation with a specialized pain clinic has also been shown to reduce pain after oral and maxillofacial surgery (55). Additionally, preoperative physical therapy, or prehabilitation, has been shown to lead to improved physical and functional recovery immediately postoperatively in some orthopedic surgeries including total knee arthroplasty (56) and hip fracture (57). However, preoperative physical therapy may not affect longer term outcomes following joint replacement surgery (58).…”

Section: Pre-and Post-surgical Rehabilitation and Managementmentioning

confidence: 99%

Physical therapy for temporomandibular disorders: evidence-based improvements and enhancements for diagnosis and management

Prodoehl¹,

Kahnert²

2022

Front Oral Maxillofac Med

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The most common oral and maxillofacial disorders treated by physical therapists are temporomandibular disorders (TMD), and rehabilitation strategies continue to evolve with advancements in research and technology. While physical therapy is an evidence-supported approach to the management of TMD, difficulties with referral to and access to appropriately trained physical therapists can create disparity in care for patients. Lack of interdisciplinary collaboration and practice is an ongoing issue, particularly among dentists and physical therapists and this can translate to less than optimal care for individuals with TMD. While dentists and physical therapists may utilize similar diagnostic criteria, implementation gaps in use of consistent diagnostic criteria still exist across both professions. Additionally, possibilities exist for the future expansion of such criteria to recognize the contribution of structures and comorbidities outside of the masticatory system such as the cervical spine and central nervous system changes that can promote the persistence of pain in some individuals with TMD. Pain neuroscience education, epigenetics, and other rehabilitation tools such as virtual reality may allow physical therapists to address the central nervous system changes associated with pain persistence and a fear of movement seen in some individuals with TMD.Applying biomechanical knowledge gained from real-time ultrasound muscle imaging and musculoskeletal modeling will enhance diagnostic management and post-surgical rehabilitation approaches. The purpose of this review paper is to describe novel evidence-based rehabilitative tools or concepts that can be used to improve the diagnosis and management of individuals with TMD. Continued growth and development in research and clinical practice related to TMD will ultimately lead to improved care for individuals with TMD, both conservatively and post-surgically.

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Effectiveness of preoperative physical therapy for older patients with hip fracture

Abstract: Our data suggest that preoperative rehabilitation after hip fracture is associated with better rehabilitation outcomes than no preoperative rehabilitation. Geriatr Gerontol Int 2018; 18: 1003-1008.

Cited by 12 publications

References 18 publications

Effectiveness of Early Rehabilitation for Vertebral Compression Fractures: A Retrospective Cohort Study

Effectiveness of Early Rehabilitation for Vertebral Compression Fractures: A Retrospective Cohort Study

Construction and Quality Evaluation of the Japanese Rehabilitation Nutrition Database

Physical therapy for temporomandibular disorders: evidence-based improvements and enhancements for diagnosis and management

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