Article

The aim of this study was to examine the correlation between basic
movement ability and activities of daily living (ADL) in elderly patients after
hip fracture surgery and predict ADL outcomes from changes in basic movement
ability. DESIGN: Fifty-four patients receiving rehabilitation after hip fracture
surgery were collected prospectively. Ambulatory ability was evaluated using a
Basic Movement Scale (BMS), and ADL was evaluated using the motor subscale of the
Functional Independence Measure (motor-FIM). From the results of evaluating BMS
and motor-FIM weekly, the important postoperative period to regain ADL was
investigated. RESULTS: There was a close correlation between BMS and motor-FIM
scores at each evaluation point (r = 0.971, P < 0.001) and a significant
correlation between weekly BMS and motor-FIM gains (r = 0.741, P < 0.001).
Cluster analysis of BMS scores from postoperative week (POW) 2 to 12 showed three
patterns of change, with BMS scores at POW 2 reflecting the outcome. CONCLUSIONS:
The very strong correlation between BMS and motor-FIM scores suggests that BMS is
a favorable indicator of changes in ADL. Because basic movement ability at POW 2
also reflected the prognosis, constructive interventions should be implemented
early to help patients ambulate and regain other basic movements by no later than
POW 2.

Langue : ANGLAIS