How balance task-specific training contributes to improving physical function in older subjects undergoing rehabilitation following hip fracture: a randomized controlled trial

Autor: Giulia Pagliari, Emilia Ambrosini, Simona Ferrante, Giovanni Zatti, Marco Monticone, Antonio Capone, Claudio Secci, Roberto Brunati
Přispěvatelé: Monticone, M, Ambrosini, E, Brunati, R, Capone, A, Pagliari, G, Secci, C, Zatti, G, Ferrante, S
Rok vydání: 2017
Předmět:
Male
Activities of daily living
medicine.medical_treatment
law.invention
Hip fracture
Fracture Fixation
Internal
0302 clinical medicine
Randomized controlled trial
law
Activities of Daily Living
internal fixation
030212 general & internal medicine
Range of Motion
Articular
Postural Balance
Aged
80 and over
Rehabilitation
Functional Independence Measure
Exercise Therapy
Treatment Outcome
Female
Inpatient
Human
medicine.medical_specialty
WOMAC
task-oriented exercises
Physical Therapy
Sports Therapy and Rehabilitation
Rehabilitation Centers
Risk Assessment
03 medical and health sciences
Physical medicine and rehabilitation
medicine
Humans
Geriatric Assessment
Balance (ability)
Aged
Rehabilitation Center
Inpatients
balance
rehabilitation
business.industry
Hip Fractures
Recovery of Function
medicine.disease
Berg Balance Scale
Physical therapy
task-oriented exercise
Quality of Life
business
030217 neurology & neurosurgery
Zdroj: Clinical rehabilitation. 32(3)
ISSN: 1477-0873
Popis: Objective: To evaluate the efficacy of a rehabilitation programme including balance task-specific training in improving physical function, pain, activities of daily living (ADL), balance and quality of life in subjects after a hip fracture. Design: Randomized controlled trial. Subjects: A total of 52 older subjects selected for internal fixation due to extra-capsular hip fracture were randomized to be included in an experimental (n = 26) and control group (n = 26). Interventions: The experimental group underwent a rehabilitation programme based on balance task-specific training. The control group underwent general physiotherapy, including open kinetic chain exercises and walking training. Both groups individually followed programmes of 90-minute sessions five times/week for three weeks. Outcome measures: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), a Pain Numerical Rating Scale, the Berg Balance Scale, the Functional Independence Measure and the 36-item Short-Form Health Survey. The participants were evaluated before and after training, and after 12 months. Results: Significant effects of time, group and time × group were found for all outcome measures in favour of the experimental group. A clinically important between-group difference of 25 points was achieved after training and at follow-up in terms of the primary outcome (WOMAC function before treatment, after treatment and at follow-up was 84.8 (3.7), 39.8 (4.9) and 35.7 (6.2) for the experimental group and 80.9 (5.7), 65.2 (7.1) and 61.0 (11.1) for the control group). Conclusion: An inpatient rehabilitation programme based on balance task-specific training is useful in improving physical function, pain, ADL and quality of life in older patients after hip fracture.
Databáze: OpenAIRE
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