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Rehabilitation Following Hip Fracture

  • Suzanne Dyer
  • Joanna Diong
  • Maria CrottyEmail author
  • Catherine Sherrington
Chapter
Part of the Practical Issues in Geriatrics book series (PIG)

Abstract

After a hip fracture operation an older person’s recovery is enhanced if they are provided with an optimistic, well-coordinated rehabilitation programme. A rehabilitation approach involves a team of various disciplines (physiotherapy, occupational therapy, nutrition, social work, psychology, medicine) who meet regularly, set goals, provide appropriate treatments, review progress towards these goals with the patient and assess outcomes. Where teams are not available elements of this approach can be included in a care pathway developed with patients and families. Cohort studies suggest that following hip fracture only 40–60 % of people who survive are likely to recover their pre-fracture level of mobility or ability to perform instrumental activities of daily living (ADLs). The time for recovery of different functional abilities varies widely; from within 4 months for upper limb ADLs to much longer for balance and gait and walking ability. Structured exercise programmes that include progressive resistance training or continue for at least 12 weeks can make moderate to large improvements in overall mobility following hip fracture. This chapter outlines evidence-based recommendations for the key elements of rehabilitation programmes extending beyond the hospital setting, with particular emphasis on structured exercise programmes aiming to maximise functional recovery.

Keywords

Exercise Programme Standardise Mean Difference Progressive Resistance Training Residential Aged Care Facility Fall Prevention Strategy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Suzanne Dyer
    • 1
  • Joanna Diong
    • 2
  • Maria Crotty
    • 1
    Email author
  • Catherine Sherrington
    • 3
  1. 1.Department of Rehabilitation, Aged and Extended CareFlinders University, Repatriation General HospitalDaw ParkAustralia
  2. 2.Sydney Medical SchoolThe University of SydneyLidcombeAustralia
  3. 3.The George Institute for Global HealthThe University of SydneySydneyAustralia

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