Can the exercise-based and occupational therapy improve the posture, strength, and mobility in elderly Greek subjects with hip fracture? A non-randomized control trial

Journal of Frailty, Sarcopenia and Falls

article

Nikolaos Terzis¹  Konstantinos Salonikidis²  Paraskevi Apostolara³  Nikolaos Roussos⁴  Konstantinos Karzis⁴  Athanasios Ververidis¹  Georgios Drosos¹ 

[1] Medical School, Department of Medicine, Democritus University of Thrace;Laboratory of Neuromechanics, Department of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki;Nursing Department, Technological Educational Institute;General Hospital Asklepieion Voulas

关键词: Aging;    Hip fracture;    Mobility;    Posture;    Rehabilitation Abstract The effects of a rehabilitation program on static balance;    mobility;    and strength of lower limbs in elderly fallers operated after a hip fracture and non-operated were studied. Ninety-one elderly (>65 years) were divided in two groups;    the Operated Group (OG;    43 fallers) and the Non-Operated Group (NOG;    48 fallers). Posture during bipedal stance (30s);    mobility (Up-and-Go;    Falls Efficacy Scale;    Berg Balance Scale) and isokinetic strength of several muscular groups in both limbs were evaluated before and after a rehabilitation intervention;    consisting in 20 sessions (3 sessions/week) including kinesiotherapy and occupational therapy. After intervention;    the average velocity of Center of Pressure displacement decreased significantly for OG and NOG (p<0.005). Similarly;    all other variables describing static balance;    mobility (p<0.05) and isokinetic strength (p<0.005) were improved significantly for both groups. The applied intervention led to improvement in static balance;    mobility;    and strength of lower limbs after hip fracture. Physical and Rehabilitation Medicine physicians should prescribe evidence-based rehabilitation protocols in elderly fallers because they could show just as remarkable improvements as non-operated patients when the program is carefully designed.;   

DOI  :  10.22540/JFSF-06-057

学科分类：内科医学

来源: Hylonome Publications

【 摘 要 】

Objectives: The effects of a rehabilitation program on static balance, mobility, and strength of lower limbs in elderly fallers operated after a hip fracture and non-operated were studied. Methods: Ninety-one elderly (>65 years) were divided in two groups, the Operated Group (OG, 43 fallers) and the Non-Operated Group (NOG, 48 fallers). Posture during bipedal stance (30s), mobility (Up-and-Go, Falls Efficacy Scale, Berg Balance Scale) and isokinetic strength of several muscular groups in both limbs were evaluated before and after a rehabilitation intervention, consisting in 20 sessions (3 sessions/week) including kinesiotherapy and occupational therapy. Results: After intervention, the average velocity of Center of Pressure displacement decreased significantly for OG and NOG (p<0.005). Similarly, all other variables describing static balance, mobility (p<0.05) and isokinetic strength (p<0.005) were improved significantly for both groups. Conclusions: The applied intervention led to improvement in static balance, mobility, and strength of lower limbs after hip fracture. Physical and Rehabilitation Medicine physicians should prescribe evidence-based rehabilitation protocols in elderly fallers because they could show just as remarkable improvements as non-operated patients when the program is carefully designed.

【 授权许可】

CC BY-NC-SA