P279: Physical activity, physical function and fear of falling after hip fracture

Willems, Elisabeth; Visschedijk, Jan; Balen, Romke van; Achterberg, Wilco P.

doi:10.1016/s1878-7649(14)70450-4

Cited by 7 publications

(18 citation statements)

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“…This may be buttressed by the revealed significant relationships between FOF and PA in both groups of participants in the present study. Association between FOF and poor PA or physical functioning have been previously reported by other authors [ 13 , 44 , 45 ].…”

Section: Discussionsupporting

confidence: 70%

Physical activity level, fear of falling and quality of life: a comparison between community-dwelling and assisted-living older adults

et al. 2021

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Background Physical activity (PA), fear of falling (FOF) and quality of life (QOL) are very important constructs in geriatrics. The interplay among these constructs may vary between community-dwelling and assisted-living older adults. However, studies comparing the wellbeing of community-dwelling older adults with those residing in the assisted-living facilities (ALFs) are rather rare especially from developing countries. This study was aimed at comparing PA, FOF and QOL between assisted-living and community-dwelling older adults and also determining the correlations amongst the constructs for each group. Methods This cross-sectional survey involved consecutively sampled 114 older adults (≥65 years, ambulant and well-oriented in time, place and person) residing in conveniently selected ALFs (11.3% males) and adjoining communities (54.1% males). PA, FOF and QOL were evaluated using the Physical Activity Scale for the Elderly, the Modified Fall Efficacy Scale and the Short-form Health Survey (SF-36) questionnaire respectively. Data was analysed using descriptive statistics, analysis of covariance and Spearman rank-order correlation test at 0.05 level of significance. Results Participants from the ALFs had significantly lower domain and overall PA (F=5.6–103.34; p< 0.05) and QOL (F=11.12–118.05; p< 0,05) scores than community-dwelling groups. FOF was significantly more prevalent in assisted-living group (p< 0.05). There were significant positive correlations (p< 0.05) between each pair of PA, FOF and QOL for both assisted-living and community-dwelling groups. Conclusions Older adults in the ALFs had lower PA and QOL scores with higher prevalence of FOF than their community-dwelling counterparts. Significant relationships existed between PA, FOF and QOL for participants in either group. Present results may be suggesting that ageing in place ensures better health outcomes than institutionalised ageing. Whenever possible, older adults should therefore be encouraged to age in place rather than moving into ALFs.

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Section: Discussionsupporting

confidence: 70%

Physical activity level, fear of falling and quality of life: a comparison between community-dwelling and assisted-living older adults

et al. 2021

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“…Correlation tests showed that an improvement on the Katz-ADL and BI tests was correlated with a positive progress in the number of active minutes per day and the number of sedentary minutes per day. This corresponds with previous studies that have shown that physically active patients need less time to regain ADL function, instrumental ADL function, and mobility (Hardy & Gill, 2005;Talkowski et al, 2009;Willems, Visschedijk, Balen, & Achterberg, 2017).…”

Section: Usabilitysupporting

confidence: 91%

Feasibility and Usability of Wearable Devices for Ambulatory Monitoring of the Rehabilitation Process of Older Patients after Hip Fracture Surgery

Dartel

Hegeman

Vollenbroek-Hutten

2021

Proceedings of the 18th International Conference on Wireless Networks and Mobile Systems

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Objective: To assess the feasibility and usability of wearable devices for ambulatory monitoring of older patients during geriatric rehabilitation after hip fracture surgery. Methods: Patients (≥70 years) who were surgically treated for a hip fracture wore the Fitbit Charge 2/HR and the MOX device. Feasibility was assessed by investigating whether real world data gathering revealed sufficient high-quality data. Usability was assessed by 1) evaluating whether changes in the device parameters correlated with changes in clinimetric tests and 2) determining whether the wearable devices properly measured activity. Results: Data from 67 patients was used to assess feasibility; all patients wore the Fitbit and 33 the MOX. The mean amount of high-quality data was 88.1% for the Fitbit and 93.6% for the MOX. Data from 42 patients was used to assess usability; all patients wore the Fitbit and 14 the MOX. A positive progression in clinimetric tests was correlated with an increase in activity parameters. However, the Fitbit often miscalculated the number of steps and the MOX algorithm often misclassified slow walking as standing. Conclusions: Ambulatory monitoring using the Fitbit and MOX is feasible in older patients with a hip fracture. Concerning the usability, the Fitbit often miscalculated the number of steps. The MOX was more adequate but the activity classification algorithm often misclassified slow walking based on which it is recommended to use the raw data instead.

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“…According to previous literature, a slow increase in patient’s physical activity level is associated with a slow recovery in mobility and functionality. 4, 7, 11, 12, 22, 35 This can result in a longer duration of rehabilitation stay and a longer duration of final full functional recovery. Therefore, early mobilization and high physical activity as soon as possible during rehabilitation are highly important for a patient’s recovery.…”

Section: Discussionmentioning

confidence: 99%

“…The aspect of overall physical activity was chosen, since monitoring overall physical activity directly indicates an older patient’s general activity level, which is assumed to increase during rehabilitation when older patients recover after hip fracture surgery. 4, 11 The overall physical activity is considered as clinically relevant and easy to understand for healthcare professionals. Variability measures, on the other hand, were chosen to assess how older patients vary in their physical activity during rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…Literature shows that high fear of falling, and pain after hip fracture surgery have a negative effect on the physical activity of older patients, which could also affect the pattern of overall physical activity over time. 9, 11, 12, 40, 41 More research is recommended to also assess the influence of fear of falling and pain on the patterns of overall physical activity over time.…”

Section: Discussionmentioning

confidence: 99%

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Patterns of Physical Activity Over Time in Older Patients Rehabilitating after Hip Fracture Surgery: A Preliminary Study

Dartel

Wang

Hegeman

et al. 2022

Preprint

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Purpose: To investigate patterns of continuously monitored physical activity in older patients rehabilitating after hip fracture surgery and the association with patient characteristics. Methods: Physical activity of surgically treated hip fracture patients (≥70 years) was continuously measured during rehabilitation at a skilled nursing home using an accelerometer. The intensity of physical activity per day was calculated to describe patients′ activity. Physical activity patterns of overall activity, overall variability, and day-to-day variability were investigated. Two experts in geriatric rehabilitation visually identified unique physical activity patterns for each aspect. Eighteen healthcare professionals independently classified each patient in one of the predefined patterns for each aspect. Differences between physical activity patterns and patient characteristics were assessed using a Kruskal-Wallis or Fisher′s Exact Test. Results: Data from 66 patients were used. Six unique patterns were identified for overall activity and overall variability, and five for day-to-day variability. The most common pattern of overall activity and day-to-day variability first slowly increased, then steeply increased, and subsequently flattened (n=23,34.8%). For overall variability, the most common pattern first slowly increased, then steeply increased, then decreased and lastly increased (n=14,21.2%). Differences in functionality at rehabilitation admission, measured with the Barthel Index, and duration of rehabilitation stay were found between patterns of physical activity. Conclusions: This preliminary study showed different patterns of physical activity among older hip fracture patients during rehabilitation. Functionality at rehabilitation admission and duration of rehabilitation stay were associated with these different patterns. Differences in physical activity patterns emphasize the importance of personalized hip fracture treatment.

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P279: Physical activity, physical function and fear of falling after hip fracture

Cited by 7 publications

References 0 publications

Physical activity level, fear of falling and quality of life: a comparison between community-dwelling and assisted-living older adults

Physical activity level, fear of falling and quality of life: a comparison between community-dwelling and assisted-living older adults

Feasibility and Usability of Wearable Devices for Ambulatory Monitoring of the Rehabilitation Process of Older Patients after Hip Fracture Surgery

Patterns of Physical Activity Over Time in Older Patients Rehabilitating after Hip Fracture Surgery: A Preliminary Study

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