Skip to main content
SpringerLink
Log in

Rehabilitation After Hip Fracture

  • Chapter
  • First Online:
Non-Pharmacological Management of Osteoporosis

  • 1880 Accesses

Abstract

Rehabilitation in hip-fractured subjects needs to be individualized to optimize function to the highest level of independence while improving the overall quality of life. Exercise is the cornerstone in a programme which should focus on how to increase muscular-bone strength and balance. Resistance exercises are beneficial for the muscle and bone, and weight-bearing exercises help maintain fitness and bone mass. In subjects at higher risk for falling, particular attention should be paid to improve balance, the most important element in fall prevention. Given the close interaction among falls and fractures, the prevention of next fracture should be based on factors related to risk factors for falls.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kannus P, Parkkari J, Sievanen H, Heinonen A, Vuori I, Jarvinen M. Epidemiology of hip fractures. Bone. 1996 Jan;18(1 Suppl):57S–63S.

    Article  CAS  PubMed  Google Scholar 

  2. Kessel B. Hip fracture prevention in postmenopausal women. Obstet Gynecol Surv. 2004 Jun;59(6):446–55.

    Article  PubMed  Google Scholar 

  3. Dionyssiotis Y, Dontas IA, Economopoulos D, Lyritis GP. Rehabilitation after falls and fractures. J Musculoskelet Neuronal Interact. 2008;8(3):244–50.

    CAS  PubMed  Google Scholar 

  4. Giusti A, Barone A, Razzano M, Pizzonia M, Pioli G. Optimal setting and care organization in the management of older adults with hip fracture. Eur J Phys Rehabil Med. 2011 Jun;47(2):281–96.

    CAS  PubMed  Google Scholar 

  5. Gaston MS, Simpson AH. Inhibition of fracture healing. J Bone Joint Surg Br. 2007;89(12):1553–60.

    Article  CAS  PubMed  Google Scholar 

  6. Skelton DA, Becker C, Lamb SE, et al. Prevention of falls network Europe: a thematic network aimed at introducing good practice in effective falls prevention across Europe. Eur J Aging. 2004;1:89–94.

    Article  Google Scholar 

  7. Dionyssiotis Y. Analyzing the problem of falls among older people. Int J Gen Med. 2012;5:805–13.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Wolf SL, Barnhart HX, Kutner NG, et al. Selected as the best paper in the 1990s: reducing frailty and falls in older persons: an investigation of tai chi and computerized balance training. J Am Geriatr Soc. 2003;51:1794–803.

    Article  PubMed  Google Scholar 

  9. Verhagen AP, Immink M, van der Meulen A, Bierma-Zeinstra SM. The efficacy of tai Chi Chuan in older adults: a systematic review. Fam Pract. 2004;21:107–13.

    Article  PubMed  Google Scholar 

  10. Dionyssiotis Y. Exercise in osteoporosis and falls prevention. Athens: Monography (in Greek) published for Hellenic Institution of Osteoporosis (HELIOS) Hylonome Editions; 2008.

    Google Scholar 

  11. Dionyssiotis Y, Skarantavos G, Papagelopoulos P. Modern rehabilitation in osteoporosis, falls, and fractures. Clin Med Insights Arthritis Musculoskelet Disord. 2014;7:33–40.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Chilov MN, Cameron ID, March LM. Australian National Health and Medical Research Council. Evidence-based guidelines for fixing broken hips: an update. Med J Aust. 2003;179:489–93.

    PubMed  Google Scholar 

  13. Scottish Intercollegiate Guidelines Network. Prevention and management of hip fracture in older people. A National Clinical Guideline. Scottish Intercollegiate Guidelines Network, Edinburgh, Guideline 52; 2002.

    Google Scholar 

  14. Cameron ID. Coordinated multidisciplinary rehabilitation after hip fracture. Disabil Rehabil. 2005;27:1081–90.

    Article  PubMed  Google Scholar 

  15. Handoll HHG, Cameron ID, Mak JCS, Finnegan TP. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev. 2009;4:CD007125. doi:10.1002/14651858.CD007125.pub2.

    Google Scholar 

  16. Crotty M, Unroe K, Cameron ID, Miller M, Ramirez G, Couzner L. Rehabilitation interventions for improving physical and psychosocial functioning after hip fracture in older people. Cochrane Database Syst Rev. 2010;1:CD007624. doi:10.1002/14651858.CD007624.pub3.

    Google Scholar 

  17. Stott DJ, Handoll HH. Rehabilitation of older people after hip (proximal femoral) fracture [editorial]. The Cochrane Library 2011. http://www.thecochranelibrary.com/details/editorial/1034085/Rehabilitation-of-older-people-after-hip-proximal-femoral-fracture-by-David-Stot.html.

  18. Bachmann S, Finger C, Huss A, Egger M, Stuck AE, Clough-Gorr KM. Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials. BMJ. 2010;340:c1718.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Feehan LM, Beck CA, Harris SR, MacIntyre DL, Li LC. Exercise prescription after fragility fracture in older adults: a scoping review. Osteoporos Int. 2011 May;22(5):1289–322.

    Article  CAS  PubMed  Google Scholar 

  20. Woolcott JC, Richardson KJ, Wiens MO, et al. Meta-analysis of the impact of 9 medication classes on falls in elderly persons. Arch Intern Med. 2009;169(21):1952–60.

    Article  PubMed  Google Scholar 

  21. Ensrud KE, Blackwell TL, Mangione CM, et al. Central nervous system-active medications and risk for falls in older women. J Am Geriatr Soc. 2002;50(10):1629–37.

    Article  PubMed  Google Scholar 

  22. Shabat S, Mann G, Nyska M, Maffulli N. Scoring systems to evaluate elderly patients with hip fractures. Disabil Rehabil. 2005;27:1041–4.

    Article  PubMed  Google Scholar 

  23. Cornwall R, Gilbert MS, Koval KJ, Strauss E, Siu AL. Functional outcomes and mortality vary among different types of hip fractures: a function of patient characteristics. Clin Orthop Relat Res. 2004;425:64–71.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Physical Medicine and Rehabilitation Department, European Interbalkan Medical Center, 10 Asclepiou Street, Pylaia, Thessaloniki, 57001, Greece

    Yannis Dionyssiotis MD, PhD

  2. First Department of Orthopaedics, General University Hospital “ATTIKON”, Chaidari, Athens, Greece

    Yannis Dionyssiotis MD, PhD

  3. Assistant Professor of Metabolic Bone Disease and of Rheumatology, Rehabilitation Unit, University of Patras, Patras, Greece

    Yannis Dionyssiotis MD, PhD

Authors
  1. Yannis Dionyssiotis MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yannis Dionyssiotis MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA

    Mehrsheed Sinaki

  2. Institute of Clinical Osteology and Clinic “DER FÜRSTENHOF”, German Osteology Foundation, Bad Pyrmont, Niedersachsen, Germany

    Michael Pfeifer

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Dionyssiotis, Y. (2017). Rehabilitation After Hip Fracture. In: Sinaki, M., Pfeifer, M. (eds) Non-Pharmacological Management of Osteoporosis. Springer, Cham. https://doi.org/10.1007/978-3-319-54016-0_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-54016-0_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54014-6

  • Online ISBN: 978-3-319-54016-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation