Article

PURPOSE: To investigate the long-term effects of home rehabilitation (HR) after
hip fracture in elderly people. METHOD: A randomized, controlled longitudinal
study on geriatric hospital-based HR was compared with conventional care (CC) in
102 patients. Independence in activities of daily living (ADL), frequency of
activity, basic physical performance, balance confidence, health-related quality
of life, mood and perceived recovery were measured 6 and 12 months after
discharge. RESULTS: One year post-discharge the HR participants reported
significantly higher degree of independence in self-care and locomotion, as well
as of balance confidence in stairs and instrumental activities and perceived
physical function, than the CC group. One year after discharge 14 persons (29%)
in the HR group and five persons (9%) in the CC group considered themselves fully
recovered. CONCLUSIONS: The positive long-term effects were more pronounced among
the participants in the HR group than among those who received CC, possibly due
to the early start of the HR programme in hospital and its focus on self-efficacy
and training of daily activities. However, one year after discharge a mojority of
participants in both groups did not consider themselves to be fully recovered
when they compared to their situation before the fracture.

Langue : ANGLAIS