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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