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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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Crossref · 10.1016/j.apmr.2008.06.036

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  1. Jaglal, 2002, The At Home Early Discharge (AHEAD) program for hip fracture patients: results of a pilot study, Physiother Can, 54, 102

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Metadata

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
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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