Very old people can have favorable outcome after hip fracture: 58 patients referred to rehabilitation

Giaquinto, Salvatore; Majolo, I I; Palma, Enzo; Roncacci, Sabina; Sciarra, Alessandro; Vittoria, E.

doi:10.1016/s0167-4943(00)00061-3

Cited by 23 publications

(7 citation statements)

References 17 publications

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“…The higher rate in NP is probably accounted for by the lesser expectancy of a satisfactory recovery. Indeed, the majority of OP were cases of arthroplasty and bone fractures, which can be followed by good functional status even in elderly patients with hip fracture (26). Although bio-pathological changes may also play a role in the higher rate of depression in NP compared with OP, new data on post-stroke depression seem to support the hypothesis that psychological rather than neurological factors mostly account for the occurrence of depression among NP (27).…”

Section: Discussionmentioning

confidence: 99%

Criterion Validity of the Center for Epidemiological Studies Depression (CES-D) Scale in a Sample of Rehabilitation Inpatients

Caracciolo¹,

Giaquinto²

2002

Journal of Rehabilitation Medicine

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The criterion validity of the Center for Epidemiological Studies Depression (CES-D) scale was evaluated among 101 orthopaedic and 50 neurological inpatients of a rehabilitation centre. The structured clinical interview for the DSM-IV (SCID-I) was used as criterion. Sensitivity of the CES-D to current major depressive disorder was 100% in both groups, while specificity was 57% (95% confidence interval = 48-67, likelihood ratio = +2.34) in orthopaedic patients and 36% (95% confidence interval = 23-49, likelihood ratio = +1.56) in neurological patients. Positive predictive value of the CES-D for current major depressive disorder was 24% (95% confidence interval = 10-32, likelihood ratio = +2.34) in orthopaedic patients and 31% in neurological patients (95% confidence interval = 18-43, likelihood ratio = +1.56), while negative predictive value was 100% in both groups. When a broader range of depressive disorders was considered, sensitivity dropped to 89% (95% confidence interval = 83-95, likelihood ratio = +3.52) and 96% (95% confidence interval = 91-100, likelihood ratio = +2.21) while specificity increased to 75% (95% confidence interval = 66-83, likelihood ratio = +3.52) and 57% (95% confidence interval = 43-70, likelihood ratio = +2.21), respectively.

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Section: Discussionmentioning

confidence: 99%

Criterion Validity of the Center for Epidemiological Studies Depression (CES-D) Scale in a Sample of Rehabilitation Inpatients

Caracciolo¹,

Giaquinto²

2002

Journal of Rehabilitation Medicine

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“…The methods used in these studies differed considerably in aims, interventions, and outcomes, producing inconsistent and conflicting results [43][44][45][46]. According to a recent meta-analysis, there is no conclusive evidence that co-ordinated multidisciplinary inpatient rehabilitation is more effective than conventional hospital care (no rehabilitation professionals involved) for older patients with hip fracture [47].…”

Section: Role Of Exercise For Musculoskeletal Rehabilitation After Himentioning

confidence: 99%

Musculoskeletal rehabilitation after hip fracture: a review

Pfeifer¹,

Minne²

2010

Arch Osteoporos

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This review article on musculoskeletal rehabilitation after hip fractures summarizes current scientific evidence concerning prevention, treatment and post-fracture surveillance of patients who sustained a low-trauma hip fracture due to osteoporosis. Introduction With increasing longevity, hip fractures become more and more a serious burden not only for societies in developed civilization, but also for emerging countries. According to world-wide projections 1.5 million people are affected each year. Although a lot of research has been performed over the last decade, there is still a lack of standardized and evidence-based approaches for prevention, treatment and rehabilitation of this worst complication of osteoporosis. Therefore, the evidence base for this article was synthesized in accordance with SIGN methodology. Databases searched include Medline, Embase, CINAHL and the Cochrane

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“…Most studies of the effect of rehabilitation on functional recovery after hip fracture have involved acute or subacute rehabilitation facilities, targeting patients on wards and in postdismissal settings. The methods used in these studies differed considerably in aims, interventions, and outcomes, producing inconsistent and conflicting results (64–69) . According to a recent meta‐analysis, (70) there is no conclusive evidence that coordinated multidisciplinary inpatient rehabilitation is more effective than conventional hospital care (no rehabilitation professionals involved) for older patients with hip fracture.…”

Section: Rehabilitation After Hip Fracturementioning

confidence: 99%

Musculoskeletal Rehabilitation in Osteoporosis: A Review

Pfeifer¹,

Sinaki

Geusens

et al. 2004

Journal of Bone and Mineral Research

116

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Measures of musculoskeletal rehabilitation play an integral part in the management of patients with increased fracture risk because of osteoporosis or extraskeletal risk factors. This article delineates current scientific evidence concerning nonpharmacologic approaches that are used in conjunction with pharmacotherapy for prevention and management of osteoporosis.Fractures caused by osteoporotic fragility may be prevented with multidisciplinary intervention programs, including education, environmental modifications, aids, and implementation of individually tailored exercise programs, which are proved to reduce falls and fall-related injuries. In addition, strengthening of the paraspinal muscles may not only maintain BMD but also reduce the risk of vertebral fractures. Given the strong interaction between osteoporosis and falls, selection of patients for prevention of fracture should be based on bone-related factors and on risk factors for falls. Rehabilitation after vertebral fracture includes proprioceptive dynamic posture training, which decreases kyphotic posturing through recruitment of back extensors and thus reduces pain, improves mobility, and leads to a better quality of life. A newly developed orthosis increases back extensor strength and decreases body sway as a risk factor for falls and fall-related fractures. Hip fractures may be prevented by hip protectors, and exercise programs can improve strength and mobility in patients with hip fracture. So far, there is no conclusive evidence that coordinated multidisciplinary inpatient rehabilitation is more effective than conventional hospital care with no rehabilitation professionals involved for older patients with hip fracture. Further studies are needed to evaluate the effect of combined bone-and fall-directed strategies in patients with osteoporosis and an increased propensity to falls.

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Very old people can have favorable outcome after hip fracture: 58 patients referred to rehabilitation

Cited by 23 publications

References 17 publications

Criterion Validity of the Center for Epidemiological Studies Depression (CES-D) Scale in a Sample of Rehabilitation Inpatients

Criterion Validity of the Center for Epidemiological Studies Depression (CES-D) Scale in a Sample of Rehabilitation Inpatients

Musculoskeletal rehabilitation after hip fracture: a review

Musculoskeletal Rehabilitation in Osteoporosis: A Review

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