Abstract
In contrast to most injuries in younger individuals, fractures in elderly patients represent life-threatening and life-altering events. The individual and societal costs of these injuries are immense. Management of these conditions represents an important public health concern. In order to successfully navigate a rehabilitation program for these injuries, both surgical and medical concerns must be adequately planned for and adequately addressed. Often the care of these patients requires a multidisciplinary approach in order to be successful. A comprehensive rehabilitation plan for most fractures includes consideration of underlying physiological status and specific goal directed therapy for all major activities of daily living. It is also important for geriatricians and orthopaedic surgeons alike to understand the role of other professionals in the rehabilitation of their patients.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Brainsky A, Glick H, Lydick E et al. The economic cost of hip fractures in community dwelling older adults: a prospective study. Journal of the American Geriatric Society. 1997; 45: 281–7.
Wilkins, K. Health care consequences of falls for seniors. Health Reports. 1999; 10: 47–5.
Petrella RJ, Payne M., Myers A., Overend T., Chesworth B. Physical function and fear of falling after hip fracture rehabilitation in the elderly. American Journal of Physical Medicine and Rehabilitation. 2000; 79(2): 154–60
Shah MR, Aharonoff GB, Wolinsky P, Zuckerman JD, Koval KJ. Outcome after hip fracture in individuals ninety years of age and older. Journal of Orthopaedic Trauma. 2001; 15(1): 34–9.
Youm T, Aharonoff G; Zuckerman JD, Koval KJ. Effect of previous cerebrovascular accident on outcome after hip fracture. Journal of Orthopaedic Trauma. 2000; 14(5): 329–34
Hoppenfeld S, Murthy VL. Treatment and Rehabilitation of Fractures. 2000; Lippincott, Williams and Wilkins, Philadelphia.
Tiberio D. Evaluation of functional ankle dorsiflexion using subtalar neutral position: a clinical report. Physical Therapy. 1987; 67: 955–7.
Edelstein DM, Aharonoff GB, Karp A, Capla EL, Zuckerman JD, Koval KJ. Effect of postoperative delirium on outcome after hip fracture. Clinical Orthopaedics and Related Research. 2004; 42(2): 195–200.
Heruti RJ, Lusky A, Barell V, Ohry A, Adunsky A. Cognitive status at admission: does it affect the rehabilitation outcome of elderly patients with hip fracture? Archives of Physical Medicine and Rehabilitation. 1999; 80: 432–6.
Ingemarsson AH, Frandin K, Hellstrom K, Rundgren A. Balance function and fall-related efficacy in patients with newly operated hip fracture. Clinical Rehabilitation 2000; 14: 497–505.
Arinzon Z, Fidelman Z, Zuta A, Peisakh A, Berner YN. Functional recovery after hip fracture in old-old elderly patients. Archives of Gerontology and Geriatrics. 2005; 40: 327–36.
Cameron L, Crotty M, Currie C, et al. Geriatric rehabilitation following fracture in older patients: a systematic review. Health Technology Assessment. 2000; 4(2): 1–107.
Diamond TH, Thornley SW, Sekel R, Smerdely P. Hip fracture in elderly men: prognostic factors and outcomes. Medical Journal of Australia. 1997; 167: 412–5.
Koval KJ, Skovron ML, Aharonoff GB, Zuckerman JD. Predictors of functional recovery after hip fracture in the elderly. Clinical Orthopaedics and Related Research. 1998; 348: 22–28.
Koval KJ, Zuckerman JD. Handbook of Fractures, Third Edition. 2006; Lippincott, Williams and Wilkins, Philadelphia.
Adunsky A, Lusky A, Arad M, Heruti RJ. A comparative study of rehabilitation outcomes of elderly hip fracture patients: the advantage of a comprehensive orthogeriatric approach. Journal of Gerontology: Medical Sciences. 2003; 58A(6): 542–7.
Stenvall M, Olofsson B, Nyberg L, Lundström M, Gustafson Y. Improved performance in activities of daily living and mobility after a multidisciplinary postoperative rehabilitation in older people with femoral neck fracture: a randomized controlled trial with 1-year follow-up. Journal of Rehabilitation Medicine. 2007; 39: 232–8.
Thwaites J, Mann F, Gilchrist N, McKie J, Sainsbury R. Older patients with hip fractures: evaluation of a long-term specialist orthopaedic medicine service in their outcomes. New Zealand Medical Journal. 2007; 120: 1254.
Arinzon Z, Gepstein R, Shabat S, Berner Y. Pain perception during the rehabilitation phase following traumatic hip fracture in the elderly is an important prognostic factor and treatment tool. Disability Rehabilitation. 2007; 29(8): 651–8.
Laubenthal KN. A quantitative analysis of knee motion during activities of daily living. Physical Therapy. 1972; 52: 34.
Waters RL, Mulroy S. The energy expenditure of normal and pathologic gait. Gait and Posture. 1999; 9: 207–31.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Baldwin, K., Donegan, D.J., Keenan, M.A. (2011). Rehabilitation. In: Pignolo, R., Keenan, M., Hebela, N. (eds) Fractures in the Elderly. Aging Medicine. Humana Press. https://doi.org/10.1007/978-1-60327-467-8_15
Download citation
DOI: https://doi.org/10.1007/978-1-60327-467-8_15
Published:
Publisher Name: Humana Press
Print ISBN: 978-1-60327-466-1
Online ISBN: 978-1-60327-467-8
eBook Packages: MedicineMedicine (R0)