Initial functional recovery as a measure for rehabilitation outcome in post-acute hip fractured patients

Hershkovitz, Avital; Borow, Yedida; Beeri, Adi; Nissan, Ran

doi:10.1016/j.archger.2020.104070

Cited by 7 publications

(1 citation statement)

References 37 publications

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“…Moreover, Brembo et al (2017) found that physical function pre-THR-surgery predicted physical function 3 months later. Similarly, in other physical-injury rehabilitation, higher FIM scores at admission to rehabilitation were associated with higher FIM scores at discharge following a hip fracture (Hershkovitz et al, 2020) and stroke (Chumney et al, 2010).…”

Section: Discussionmentioning

confidence: 86%

Functional Ability, Psychological Factors, and Rehabilitation Outcomes After Elective Total Hip Replacement

Segev-Jacubovski¹

2023

Can J Occup Ther

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Background. The role of positive psychological factors in acute rehabilitation after total hip replacement (THR) is unclear. Purpose. (a) Examine the trajectory of functional ability among older adults after THR from presurgery to discharge from acute rehabilitation and (b) determine which physical and psychological factors at admission would predict functional ability at discharge and length of stay in rehabilitation. Methods. This prospective cohort study included 30 participants (age M = 76.20 years) from an inpatient geriatric rehabilitation center. They completed the Geriatric Depression Scale and Positive Affect questionnaire. The FIM® Motor domain of Functional Independent Measure (mFIM) was recorded presurgery, at admission, and upon discharge. Findings. Functional ability improved at discharge; however, the presurgery functional ability was not regained. Positive affect explained the length of stay in rehabilitation above and beyond the presurgery mFIM. Implications. Occupational therapists should improve ways to enhance self-care and positive affect in acute rehabilitation.

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Section: Discussionmentioning

confidence: 86%