PMID- 21871674
OWN - NLM
STAT- MEDLINE
DCOM- 20120927
LR  - 20191210
IS  - 1872-6976 (Electronic)
IS  - 0167-4943 (Linking)
VI  - 55
IP  - 1
DP  - 2012 Jul-Aug
TI  - Mobility assessment of hip fracture patients during a post-acute rehabilitation 
      program.
PG  - 35-41
LID - 10.1016/j.archger.2011.06.036 [doi]
AB  - Our aim was to describe improvement in mobility level in hip fracture patients 
      during a post-acute rehabilitation program and examine variables that may impede 
      mobility improvement. A retrospective chart review of 138 patients with a 
      proximal hip fracture, admitted consecutively during 2006 was conducted. Main 
      outcome measurements were: 6-meter-walking-time (6mWT), rate of improvement (RI) 
      in the 6mWT, gait velocity (GV), functional independence measure (FIM), motor FIM 
      (mFIM) and length of stay (LOS). Most patients (118, 85.5%) showed improvement in 
      the 6mWT (mean 16.05 +/- 20.2s, median 12.08). At discharge, 117 patients (84.7%) 
      achieved GV within household ambulation (<0.4m/s). Patients with high initial GV 
      needed shorter rehabilitation time compare to patients with low admission GV 
      (27.5 +/- 12.1 days vs. 31.7 +/- 12.2 days; p=0.042). The high RI group (>/= 1s/day) 
      achieved significantly higher admission and discharge FIM scores (70.7 +/- 15.9 vs. 
      64.1 +/- 16.9, p=0.023; 87.3 +/- 15.8 vs. 79.9 +/- 17.4, p=0.013, respectively) and 
      higher admission and discharge mFIM scores (45.3 +/- 12.9 vs. 40.8.1 +/- 12.7, 
      p=0.049; 60.7 +/- 12.4 vs. 56.2 +/- 13.4, p=0.045, respectively) compared with the 
      low performance group (<1s/day). Logistic regression analyzed the variables with 
      significant predictive value for achieving high RI (>/= 1s/day): performance of the 
      6mWT at FIM >/= 4 (OR 1.092; 95% CI, 1.056-1.129) and admission FIM score (OR 
      1.054; 95% CI, 1.023-1.085). Post-acute hip fracture patients capable of bearing 
      weight on their injured leg, with minimal assistance [manual assistance of </= 25% 
      (FIM >/= 4)] may considerably improve their mobility regardless of their 
      disability, cognitive level or neurological history. Most patients achieved GV 
      enabling them to ambulate short distances within the home.
CI  - Copyright (c) 2011 Elsevier Ireland Ltd. All rights reserved.
FAU - Hershkovitz, Avital
AU  - Hershkovitz A
AD  - 'Beit Rivka' Geriatric Rehabilitation Center, 4 Hachamisha Street, Petach Tikva 
      49245, Israel. avitalhe@clalit.org.il
FAU - Beloosesky, Yichayaou
AU  - Beloosesky Y
FAU - Brill, Shai
AU  - Brill S
LA  - eng
PT  - Journal Article
DEP - 20110825
PL  - Netherlands
TA  - Arch Gerontol Geriatr
JT  - Archives of gerontology and geriatrics
JID - 8214379
SB  - IM
MH  - Activities of Daily Living
MH  - Aged
MH  - Aged, 80 and over
MH  - *Disability Evaluation
MH  - Exercise Test
MH  - Female
MH  - Hip Fractures/*rehabilitation
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Outcome Assessment, Health Care
MH  - Rehabilitation Centers
MH  - Retrospective Studies
MH  - *Walking
EDAT- 2011/08/30 06:00
MHDA- 2012/09/28 06:00
CRDT- 2011/08/30 06:00
PHST- 2011/05/01 00:00 [received]
PHST- 2011/06/23 00:00 [revised]
PHST- 2011/06/24 00:00 [accepted]
PHST- 2011/08/30 06:00 [entrez]
PHST- 2011/08/30 06:00 [pubmed]
PHST- 2012/09/28 06:00 [medline]
AID - S0167-4943(11)00191-9 [pii]
AID - 10.1016/j.archger.2011.06.036 [doi]
PST - ppublish
SO  - Arch Gerontol Geriatr. 2012 Jul-Aug;55(1):35-41. doi: 
      10.1016/j.archger.2011.06.036. Epub 2011 Aug 25.