Article

OBJECTIVE: To compare the benefits of home physiotherapy, institution-based
physiotherapy and no physiotherapy following hip fracture surgery.
Systematic review and meta-analysis of randomized controlled trials. METHODS: Two
reviewers independently extracted data from 5 included studies. Standardized mean
differences were pooled for health-related quality of life and performance-based
outcomes. Review Manager Version 5 was used for data analysis. RESULTS: Analysis
of the 5 included studies indicated that home physiotherapy was better than no
physiotherapy and similar to outpatient physiotherapy in improving
patient-reported health-related quality of life. Performance-based outcomes were
marginally better following outpatient physiotherapy compared with home
physiotherapy 3 and 6 months after surgery. The risk of bias was high for most
outcomes due to methodological issues in the included studies. DISCUSSION: There
was a trend of better results with increasing intensity of physiotherapy
intervention, but this did not convert into significant effect sizes. The results
of this review do not build a strong consensus for recommending one mode of
physiotherapy over the others. The quality of evidence was low mainly due to the high risk of bias in the included studies. CONCLUSION:
In light of no strong
consensus, physiotherapists should continue to follow their current workplace
practice policies for determining suitable discharge settings.

Langue : ANGLAIS