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Rehabilitation Following Hip Fracture

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Orthogeriatrics

Part of the book series: Practical Issues in Geriatrics ((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.

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Author information

Authors and Affiliations

  1. Department of Rehabilitation, Aged and Extended Care, Flinders University, Repatriation General Hospital, Daws Road, Daw Park, 5041, SA, Australia

    Suzanne Dyer & Maria Crotty

  2. Sydney Medical School, The University of Sydney, Cumberland Campus C42, East Street, Lidcombe, 1825, NSW, Australia

    Joanna Diong

  3. The George Institute for Global Health, The University of Sydney, 50 bridge street, Sydney, 2000, NSW, Australia

    Catherine Sherrington

Authors
  1. Suzanne Dyer
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  2. Joanna Diong
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  3. Maria Crotty
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  4. Catherine Sherrington
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Corresponding author

Correspondence to Maria Crotty .

Editor information

Editors and Affiliations

  1. Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy

    Paolo Falaschi

  2. University College London , London, United Kingdom

    David R. Marsh

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© 2017 Springer International Publishing Switzerland

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Dyer, S., Diong, J., Crotty, M., Sherrington, C. (2017). Rehabilitation Following Hip Fracture. In: Falaschi, P., Marsh, D. (eds) Orthogeriatrics. Practical Issues in Geriatrics. Springer, Cham. https://doi.org/10.1007/978-3-319-43249-6_10

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  • DOI: https://doi.org/10.1007/978-3-319-43249-6_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43248-9

  • Online ISBN: 978-3-319-43249-6

  • eBook Packages: MedicineMedicine (R0)

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