EVALUATION OF REHABILITATION OUTCOMES AFTER HIP FRACTURES IN THE HEALTH RESORT DOLENJSKE TOPLICE
Abstract
Background. Hip fracture is common among elderly people. It leads to immediate inability to walk, which may be dangerous for an older person. Consequences of hip fractures are impairments of body structure and functions and problems at activities. The aim of the present work was to find whether Functional Independence Measure and the 9-minute walking test were appropriate for outcome measurement in health resorts. Additional aims were to find whether a third week of rehabilitation improved the rehabilitation outcome in subjects after hip fracture and which subjects would benefit from longer rehabilitation.
Methods. Functional Independence Measure (FIM) and the nine-minute walking test were performed at the admission and at the discharge of 60 subjects after hip fracture who had received rehabilitation in the Health Resort Dolenjske Toplice.
Results. The subjects had higher FIM scores and walked longer distances after two weeks of rehabilitation (p < 0.05). The greatest improvement was achieved in the motor part of FIM. The subjects who had received rehabilitation for three weeks had a lower FIM score at the admission than the subjects who had received rehabilitation for only two weeks (p < 0.05). More subjects from the first group did not walk at the admission.
Conclusions. Functional Independence Measure and the 9-minute walking test are appropriate for outcome measurement in health resorts.
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References
Jaglal SB, Sherry PG, Chua D, Schatzkez J. Temporar trends and geographic variations in surgical treatment of femoral neck fractures. J Trauma 1997; 43(3): 475–9.
Parker VT, McCollum EC. Fractures of the hip. In: Saniston DC ed. Textbook of surgery. Philadelphia: Saunders, 1997: 1436–40.
Ministrstvo za zdravstvo Republike Slovenije, Inštitut za varovanje zdravja Republike Slovenije. Zdravstveni statistični letopis Slovenije 1997. Zdrav Var 1998; 37: Suppl 1.
Anon. Healthy ageing. Prevention of unintentional injuries among seniors. Ottawa: Minister of Public Works and Government Services Canada, 2002.
Rok-Simon M. Umrljivost in obolevnost zaradi zloma kolka v Sloveniji v letih 1997–2001. In: Grabljevec K ed. Zlomi kolka: zdravljenje in rehabilitacija: zbornik predavanj strokovnega posveta, Laško, november 2003. Ljubljana: Združenje za fizikalno in rehabilitacijsko medicino pri Slovenskem zdravniškem društvu, 2003: 3–7.
Rok-Simon M, Komadina R. Bolezni in poškodbe gibal v Sloveniji – posnetek stanja in strategije NAN Slovenije. ISIS 2001; 10: Suppl 1: 5–10.
Komadina R. Značilnost zlomov zaradi krhkosti kosti. In: Zbornik predavanj XXXVIII. podiplomskega tečaja kirurgije. Ljubljana: SPS Kirurška klinika, KC Ljubljana, Katedra za kirurgijo, MF, Univerza v Ljubljani, 2002: 109–12.
Arden N, Cooper C. Present and future of osteoporosis: epidemiology. In: Meunier PJ. Osteoporosis. Diagnosis and management. London: Biddles Ltd., Guildford and King’s Lynn, 1998: 2–16.
Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. J Bone Surg 1996; 51: 737–55.
Wade DT. Measurement in neurological rehabilitation. Oxford: Oxford University Press, 1992: 78–9, 169–9.
Guide for use of the Uniform Data Set for Medical Rehabilitation, Version 3.0. Buffalo: State University of New York at Buffalo, 1990.
Hershkovitz A, Gottlieb D, Beloosesky Y, Brill S. Programme evaluation of geriatric rehabilitation day hospital. Clin Rehabil 2003; 17: 750–5.
Jackson JP, Schkade JK. Occupational adaptation model versus biomechanical-rehabilitation model in the treatment of patient with hip fractures. Am J Occup Ther 2001; 55: 531–7.
Mendelsohn ME, Leidl DS, Overend TJ, Petrella RJ. Specificity of functional mobility measures in older adults after hip fracture: a pilot study. Am J Phys Med Rehabil 2003; 82: 766–74.
Adunsky A, Levy R, Heim M, Mizrahi E, Arad M. The unfavorable nature of preoperative delirium in elderly hip fractured patients. Arch Gerontol Geriatr 2003; 36: 67–74.
Adunsky A, Lusky A, Arad M, Heruti RJ. A comparative study of rehabilitation outcomes of eldery hip fracture patients: the advantage of a comprehensive orthogeriatric approach. J Gerontol A Biol Sci Med Sci 2003; 58: 542–7.
Mukand JA, Cai C, Zielinski A, Danish M, Berman J. The effect of dehydration on rehabilitation outcomes of eldery orthopedic patients. Arch Phys Med Rehab 2003; 84: 58–61.
Chen CC, Heinemann AW, Granger CV, Linn RT. Functional gains and therapy intensity during subacute rehabilitation: a study of 20 facilities. Arch Phys Med Rehab 2002; 83: 1514–23.
Lieberman DV, Lieberman D. Proksimal deep vein thrombosis after hip fracture surgery in eldery patients despite thromboprofilaksis. Am J Phys Med Rehabil 2002; 81: 745–50.
Petrella RJ, Overend T, Chesworth B. FIM after hip fracture: is telephone administration valid and sensitive to change? Am J Phys Med Rehabil 2002; 81: 639–44.
Jones GR, Miller TA, Petrella RJ. Evaluation of rehabilitation outcomes in older patients with hip fractures. Am J Phys Med Rehabil 2002; 81: 489–97.
Adunsky A, Fleissig Y, Levenkrohn S, Arad M, Noy S. A comparative study of Mini-Menthal Test, Clock Drawing task and Cognitive-FIM in evaluating functional outcome of eldery hip fracture patients. Clin Rehab 2002;16: 414–9.
Beloosesky Y, Grinblat J, Epelboym B, Hendel D. Dementia does not significantly affect complication and functional gain in eldery patients operated on for intracapsular hip fracture. Arch Orthop Trauma Surg 2001; 121: 257– 60.
Giaquinto S, Majolo II, Palma E, Roncacci S, Sciarra A, Vittoria E. Very old people can have favorable outcome after hip fracture: 58 patients referred to rehabilitation. Arch Gerontol Geriatr 2000; 31: 13–8.
Heruti RJ, Lusky A, Barrell V, Ohry A, Adunsky A. Cognitive status at admission: does it affect the rehabilitation outcome of eldery patients with hip fracture? Arch Phys Med Rehab 1999; 80: 432–6.
Goldstein FC, Strasser DC, Woodard JL, Roberts VJ. Functional outcome of cognitively impaired hip fracture patients on a geriatric rehabilitation unit. J Am Geriatr Soc 1997; 45: 35–42.
Weh L, Ramb JF. Functional independence measure as a predictor factor of expected rehabilitation outcome in patients with total endoprothesis replacement and after apoplectic infarct. Z Orthop Ihre Grenzgeb 1992; 130: 333–8.
Sedej B, Kos N. Ocena funkcionalnega stanja starostnikov po zlomu kolka in končani rehabilitacijski obravnavi v domu starejših občanov. In: Marinček Č ed. Zbornik predavanj II. kongresa Združenja za fizikalno in rehabilitacijsko medicino Slovenskega zdravniškega društva z mednarodno udeležbo, oktober 2002, Portorož. Ljubljana: Inštitut Republike Slovenije za rehabilitacijo, 2002: 101–6.
Grabljevec K, Globokar D, Burger H. Prikaz funkcionalnega ocenjevanja izida rehabilitacije po zlomu kolka pri starostnikih. In: Marinček Č ed. Zbornik predavanj II. kongresa Združenja za fizikalno in rehabilitacijsko medicino Slovenskega zdravniškega društva z mednarodno udeležbo, okt. 2002, Portorož. Ljubljana: Inštitut Republike Slovenije za rehabilitacijo, 2002: 91–4.
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