Aging Clinical and Experimental Research

, Volume 19, Issue 2, pp 119–124

Does cognitive performance affect physical therapy regimen after hip fracture surgery?

  • Giuseppe Bellelli
  • Giovanni B. Frisoni
  • Marco Pagani
  • Francesca Magnifico
  • Marco Trabucchi
Original Articles

DOI: 10.1007/BF03324677

Cite this article as:
Bellelli, G., Frisoni, G.B., Pagani, M. et al. Aging Clin Exp Res (2007) 19: 119. doi:10.1007/BF03324677

Abstract

Background and aims: To evaluate whether and which clinical factors affect the regimen of physical therapy (PT) treatment in elderly patients after hip fracture (HF). Methods: HF patients consecutively admitted to a rehabilitation unit (from January 2002 to May 2004) without adverse clinical events on admission or during hospital stay were considered (n=80). All patients underwent multidimensional assessment including demographic, clinical, cognitive, affective and functional status. Outcome measure was the number of rehabilitative procedures (NRP), computed as the ratio between sum of rehabilitative procedures and length of hospital stay. Results: Patients received 3.8± 1.3 NRP on average, although with large variability. Age and impairment of cognitive and pre-fracture functional status were significantly higher in those receiving fewer NRP. In a multiple regression model, only the Mini Mental State Examination (MMSE) significantly predicted NRP: compared with patients with MMSE ≤ 17, those with MMSE = 18–23, 24–26 and ≥ 27 received 0.3 (95% CI-0.5–1.1, p=0.46), 1.5 (95% CI 0.6–2.4, p=0.001 ), and 1.6 (95% CI 0.7–2.5, p=0.001) more NRP. Conclusions: Cognitive performance affects NRP in elderly HF patients. Specific rehabilitative approaches, according to baseline cognitive performance, should be considered.

Keywords

Cognitive impairment hip fracture physical therapy rehabilitation 

Copyright information

© Springer Internal Publishing Switzerland 2007

Authors and Affiliations

  • Giuseppe Bellelli
    • 1
  • Giovanni B. Frisoni
    • 2
  • Marco Pagani
    • 1
  • Francesca Magnifico
    • 1
  • Marco Trabucchi
    • 3
    • 4
  1. 1.Rehabilitation and Aged Care Unit, RACUAncelle della Carità HospitalCremonaItaly
  2. 2.Laboratory of Epidemiology and Neuroimaging - LENITEMIRCCS San Giovanni di Dio - FBF, Brescia and AFaR - Associazione Fatebenefratelli per la RicercaRome
  3. 3.University Tor VergataRome
  4. 4.Geriatric Research GroupBresciaItaly

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