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(Long-term intensive family rehabilitation training for postoperative functional recovery in elderly hip fracture patients) [Chinese - simplified characters]
Wang K, Fan J, Li X, Yang S, Ren D, He C
Chinese Journal of Tissue Engineering Research 2020 May 18;24(14):2158-2163
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Hip fracture can result in a high functional disability rate in elderly patients. Traditional rehabilitation pays more attentions to rehabilitation training during hospitalization, instead of family rehabilitation training out of hospital. Intensive family rehabilitation training for 6 months has been proven to be an effective method, but its longer-term effect still needs further study. OBJECTIVE(S): To explore the effect of long-term intensive family rehabilitation training on postoperative functional recovery in elderly hip fracture patients. METHOD(S): Eighty-nine elderly hip fracture patients who were treated with surgery were prospectively enrolled, and randomized into an experimental group (n = 42) and a control group (n = 47). The control group patients were treated with traditional rehabilitation training, and the patients in the experimental group were treated with long-term intensive family rehabilitation training. Functional exercises in the experimental group were guided, and the rehabilitation scheme was adjusted in time using network tools. All the patients were followed up for 12 months, and their functional recovery was assessed at 3, 6, and 12 months postoperatively by the activity of daily living score, 6-minute walking test, the hip Harris score, the functional independent measure score and the MOS 36-Item Short-Form Health Survey (SF-36) score. The study protocol was implemented in line with the ethic requirements of the Sixth People's Hospital of Chengdu, and each patient was fully informed of the study procedures. RESULTS AND CONCLUSION(S): Patients' function gradually recovered in both group postoperatively. The activity of daily living score, functional independent measure score, 6-minute walking test, Hip Harris score, and SF-36 score of the experimental group were significantly better than those in the control group at 3, 6, and 12 months postoperatively (p < 0.05). To conclude, long-term intensive family rehabilitation training for elderly hip fractures can improve patients' daily life ability and quality of life; however, the rehabilitation program and its efficacy still require further research.

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