"SYSTEMATIC REVIEW OF HIP FRACTURE REHABILITATION PRACTICES" by Anna M. Chudyk

Date of Award

2008

Degree Type

Thesis

Degree Name

Master of Science

Program

Epidemiology and Biostatistics

Supervisor

Dr. Speechley

Second Advisor

Dr. Petrella

Third Advisor

Dr. Jutai

Abstract

Objectives: To conduct a research synthesis on the effectiveness of hip fracture rehabilitation for older adults. Data Sources: Medline, PubMed, EMBASE, CINAHL and CCTR were searched from 1980-2007 for studies published in English. Study Selection: Studies focusing on hip fracture rehabilitation, assessing physical outcomes, and involving persons over the age of 50 years were included. Data Extraction: Only RCT and cohort studies were reviewed. The methodological quality of studies was assessed using the Downs & Black Checklist. Data Synthesis: 55 studies met our selection criteria, representing 6 categories of rehabilitation. Conclusions: Most frequently reported positive outcomes were associated with ambulatory outcomes. Eleven different intervention combinations were associated with improved ambulation; 7 different combinations were related to improved functional recovery, while 6 were related to improved strength and balance recovery. Decreased LOS and increased falls self-efficacy was associated with 2 interventions, while 1 intervention had a positive effect on power generation.

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