Interventions for improving mobility after hip fracture surgery in adults

Fairhall, Nicola; Dyer, Suzanne M; Mak, Jenson; Diong, Joanna; Kwok, Wing; Sherrington, Catherine

doi:10.1002/14651858.cd001704.pub5

Cited by 26 publications

(34 citation statements)

References 126 publications

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“…The strength of evidence for exercise in preventing falls in older adults after hip fracture is moderate [ 229 ]. This recommendation places a high value on preventing falls in this population with focus on mobility rehabilitation after hip fracture, including balance training and adequate pain control (see World Health Organisation guidelines).…”

Section: Specific Clinical Populationsmentioning

confidence: 99%

World guidelines for falls prevention and management for older adults: a global initiative

et al. 2022

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Background falls and fall-related injuries are common in older adults, have negative effects on functional independence and quality of life and are associated with increased morbidity, mortality and health related costs. Current guidelines are inconsistent, with no up-to-date, globally applicable ones present. Objectives to create a set of evidence- and expert consensus-based falls prevention and management recommendations applicable to older adults for use by healthcare and other professionals that consider: (i) a person-centred approach that includes the perspectives of older adults with lived experience, caregivers and other stakeholders; (ii) gaps in previous guidelines; (iii) recent developments in e-health and (iv) implementation across locations with limited access to resources such as low- and middle-income countries. Methods a steering committee and a worldwide multidisciplinary group of experts and stakeholders, including older adults, were assembled. Geriatrics and gerontological societies were represented. Using a modified Delphi process, recommendations from 11 topic-specific working groups (WGs), 10 ad-hoc WGs and a WG dealing with the perspectives of older adults were reviewed and refined. The final recommendations were determined by voting. Recommendations all older adults should be advised on falls prevention and physical activity. Opportunistic case finding for falls risk is recommended for community-dwelling older adults. Those considered at high risk should be offered a comprehensive multifactorial falls risk assessment with a view to co-design and implement personalised multidomain interventions. Other recommendations cover details of assessment and intervention components and combinations, and recommendations for specific settings and populations. Conclusions the core set of recommendations provided will require flexible implementation strategies that consider both local context and resources.

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Section: Specific Clinical Populationsmentioning

confidence: 99%

World guidelines for falls prevention and management for older adults: a global initiative

et al. 2022

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“…In general, the interventions focused on the recovery of mobility, especially in the acute phase, showed their effectiveness in improving walking speed, also through gait training [ 40 ] which was used by only 44% of the interviewees. Probably the reason why less than half of physiotherapists chose gait training is related to the still low prescription of full weight-bearing.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation after Hip Fracture Surgery: A Survey on Italian Physiotherapists’ Knowledge and Adherence to Evidence-Based Practice

et al. 2023

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The average life expectancy of the Italian population has increased over the last decades, with a consequent increase in the demand for healthcare. Rehabilitation after hip fracture surgery is essential for autonomy, recovery, and reintegration into the social context. The aim of this study was to determine the level of knowledge and adherence to the recent treatment recommendations of the Italian physiotherapists. A web-based survey, composed of 21 items, was conducted and the frequencies and percentages of the responses were analyzed to evaluate if there was an integration and adherence to the recommendations of greater than 70%, with respect to the desired response. A total of 392 responses were collected and analyzed. Recommendations regarding the multidisciplinary approach, early mobilization, and progressive muscle strength training, achieved the desired value in the inpatient setting. Intensive rehabilitation and full weight bearing did not reach the threshold values. The results of this survey show a partial integration of the recommendations for rehabilitation after hip fracture surgery by Italian physiotherapists. Adherence seems to be better in the inpatient setting and with physiotherapists with higher levels of education.

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“…The Cochrane review of interest here analyzed the existing evidence on the effectiveness of interventions aimed to improve mobility after hip fracture surgery [3]. As an update to the previously published review from 2011 [5], the authors screened 3459 records and identified 21 new trials that met the eligibility criteria in addition to the previously included 19 trials on this topic.…”

Section: Importance Of the Topicmentioning

confidence: 99%

Cochrane in CORR®: Interventions for Improving Mobility After Hip Fracture Surgery in Adults

Neelapala

Carlesso

2023

Clin Orthop Relat Res

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Importance of the TopicO ne recent estimate found that more than 14 million people experience a hip fracture every year. The fallout of these personally and economically devastating injuries is 2.9 million person-years lived disability [1], and a fiveto eightfold increase in the risk of death within 3 months of the fracture [4]. Surgical management, which facilitates early mobilization and faster recovery, is the recommended treatment for hip fractures for patients who are well enough to endure the procedure [2]. However, A note from the Editor-in-Chief: We are pleased to publish the next installment of "Cochrane in CORR ® ", our partnership between CORR ® , The Cochrane Collaboration ® , and McMaster University's Evidence-Based Orthopaedics Group. In this column, researchers from McMaster University and other institutions will provide expert perspective on an abstract originally published in The Cochrane Library that we think is especially important. We welcome reader feedback on our editorials as we do on all of our columns and articles; please send your comments to

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Interventions for improving mobility after hip fracture surgery in adults

Abstract: Analysis 5.4. Comparison 5 Quadriceps training programme versus conventional physiotherapy alone, Outcome 4Functional reach (inches).

Cited by 26 publications

References 126 publications

World guidelines for falls prevention and management for older adults: a global initiative

World guidelines for falls prevention and management for older adults: a global initiative

Rehabilitation after Hip Fracture Surgery: A Survey on Italian Physiotherapists’ Knowledge and Adherence to Evidence-Based Practice

Cochrane in CORR®: Interventions for Improving Mobility After Hip Fracture Surgery in Adults

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