Systematic Review of Hip Fracture Rehabilitation Practices in the Elderly

Chudyk, Anna M.; Jutai, Jeffrey W.; Petrella, Robert J.; Speechley, Mark

doi:10.1016/j.apmr.2008.06.036

Cited by 213Hip and Femur FracturesBone fractures and treatmentsBalance, Gait, and Falls Prevention

The DOI matches its Crossref record; 71 of the 71 references it cites were found in a registry or an index.

Systematic Review of Hip Fracture Rehabilitation Practices in the Elderly

Chudyk, Anna M., Jutai, Jeffrey W., Petrella, Robert J., Speechley, Mark·2009·Archives of Physical Medicine and Rehabilitation

DOI 10.1016/j.apmr.2008.06.036

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Abstract

Objective To address the need for a research synthesis on the effectiveness of the full range of hip fracture rehabilitation interventions for older adults and make evidence based conclusions.Data sources Medline, PubMed, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials were searched from 1980 to 2007 for studies published in English. The terms rehabilitation and hip fracture were exploded in order to obtain related search terms and categories.Study selection In the initial search of the databases, a combined total of 1031 articles was identified. Studies that did not focus on hip fracture rehabilitation, did not include persons over the age of 50 years, and/or did not include measures of physical outcome were excluded.Data extraction Only studies with an Oxford Center for Evidence-Based Medicine Levels of Evidence level of I (randomized controlled trial, RCT) or II (cohort) were reviewed. The methodologic quality of both types of studies was assessed using a modified version of the Downs and Black checklist.Data synthesis There were 55 studies that met our selection criteria: 30 RCTs and 25 nonrandomized trials. They were distributed across 6 categories for rehabilitation intervention (care pathways, early rehabilitation, interdisciplinary care, occupational and physical therapy, exercise, intervention not specified) and 3 settings (acute care hospital, postacute care/rehabilitation, postrehabilitation).Conclusions When looking across all of the intervention types, the most frequently reported positive outcomes were associated with measures of ambulatory ability. Eleven intervention categories across 3 settings were associated with improved ambulatory outcomes. Seven intervention approaches were related to improved functional recovery, while 6 intervention approaches were related to improved strength and balance recovery. Decreased length of stay and increased falls self-efficacy were associated with 2 interventions, while 1 intervention had a positive effect on lower-extremity power generation.

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In the review by Chudyk et al, of the 55 included studies, only 5 reported on distress outcomes.
“For example, in the review by Chudyk et al, of the 55 included studies, only 5 reported on distress outcomes.91”
From Impact of healthcare interventions on distress following acute musculoskeletal/orthopaedic injury: A scoping review of systematic reviews (2024) · cites this paper as [91]
When distress-related outcomes were reported in these systematic reviews, they were typically reported to improve.
“Notably, when distress-related outcomes were reported in these systematic reviews, however, they were typically reported to improve.838587 90 91 93 96 98”
From Impact of healthcare interventions on distress following acute musculoskeletal/orthopaedic injury: A scoping review of systematic reviews (2024) · cites this paper as [91]

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Post–Acute Care
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Revista Española de Geriatría y Gerontología
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The effect of care pathways for hip fractures: a systematic overview of secondary studies
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Effectiveness of weekend physical rehabilitation for functional recovery in geriatric patients with hip fracture
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Scoping review of potential quality indicators for hip fracture patient care
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Integrated Care Pathway for Hip Fractures in a Subacute Rehabilitation Setting
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Mobility assessment of hip fracture patients during a post-acute rehabilitation program
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Post-operative radiotherapy in adenoid cystic carcinoma of salivary glands versus surgery alone: what is the evidence about survival and local control? A systematic review and meta-analysis
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Rehabilitation Utilization for Falls Among Community-Dwelling Older Adults in the United States in the National Health and Aging Trends Study
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The Need to Standardize Functional Outcome in Randomized Trials of Hip Fracture
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Gender Differences Among Patients With Proximal Femur Fractures During Rehabilitation
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Hospitals´ Discharge Tendency and Risk of Death - An Analysis of 60,000 Norwegian Hip Fracture Patients
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Functional Improvement in Geriatric Hip Fractures
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SYSTEMATIC REVIEW OF HIP FRACTURE REHABILITATION PRACTICES
Chudyk, A. M. (2008) · Scholarship@Western (Western University)
Self-citation
Post-surgery interventions for hip fracture: a systematic review of randomized controlled trials
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Functional Recovery in Hip Fracture Patients: a Real-practice Pilot Study Comparing Different Rehabilitation SettingsPreprint
Freitas, M., Curci, C., Ascenso, D., Silveira, A., & Alessandro de, S. I. R. E. (2020) · doi:10.21203/rs.3.rs-56861/v1
Functional Gait Rehabilitation in Older Adults after a Fall With Hip Fracture: A Systematic Review
Dathini, H., T., K. R., Markus, U., Haruna, H., & Inuwa, A. (2018) · RePEc: Research Papers in Economics
Outpatient and Home-Based Treatment: Effective Settings for Hip Fracture Rehabilitation in Elderly Patients
Freitas, M., Antunes, S., Ascenso, D., & Silveira, A. (2021) · Geriatrics · doi:10.3390/geriatrics6030083 · Cited by 10

Authors: Chudyk, A. M., Jutai, J. W., Petrella, R. J., & Speechley, M.
Affiliations: Western University (CA)
University of Ottawa (CA)
Lawson Health Research Institute (CA)
Corresponding author: Chudyk, Anna M.
ORCID: Chudyk, Anna M.
Jutai, Jeffrey W.
Petrella, Robert J.
Speechley, Mark
Venue: Archives of Physical Medicine and Rehabilitation
Publisher: Elsevier BV
Published: 2009-02
Volume: 90
Issue: 2
Pages: 246-262
ISSN: 0003-9993 (ISSN-L)
DOI: 10.1016/j.apmr.2008.06.036
OpenAlex: W1985729539
Cited by: 213
References: 71
Citations by year: 2026: 6 · 2025: 7 · 2024: 11 · 2023: 15 · 2022: 15 · 2021: 13 · 2020: 12 · 2019: 13 · 2018: 13 · 2017: 12 · 2016: 15 · 2015: 16 · 2014: 9 · 2013: 14 · 2012: 16
FWCI: 2.24
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Archives of Physical Medicine and Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Hip and Femur Fractures
Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone fractures and treatments
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
Keywords: hip fracture, rehabilitation, older adults, early rehabilitation, multidisciplinary care, physiotherapy, occupational therapy, physical activity, ambulatory function, functional recovery, balance, muscle strength, falls efficacy, length of hospital stay, post-acute care, care pathways
MeSH terms: Aged, Exercise Therapy, Hip Fractures, Humans, Inpatients, Middle Aged, Occupational Therapy, Outpatients, Postoperative Care, Time Factors, Walking, Critical Pathways, Evidence-Based Medicine, Physical Therapy Modalities, Interdisciplinary Communication

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Systematic Review of Hip Fracture Rehabilitation Practices in the Elderly

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