兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Home-based multidisciplinary rehabilitation following hip fracture surgery: What is the evidence?

2013-12-17

Objective. To determine the effects of multidisciplinary home rehabilitation (MHR) on functional and quality of life (QOL) outcomes following hip fracture surgery. Methods. Systematic review methodology suggested by Cochrane Collboration was adopted. Reviewers independently searched the literature, selected the studies, extracted data, and performed critical appraisal of studies. Summary of the results of included studies was provided. Results. Five studies were included. Over the short-term, functional status and lower extremity strength were better in the MHR group compared to the no treatment group (NT). Over the long-term, the MHR group showed greater improvements in balance confidence, functional status, and lower extremity muscle strength compared to NT group, whereas the effect on QOL and mobility was inconsistent across the studies. Several methodological issues related to study design were noted across the studies. Conclusion. The MHR was found to be more effective compared to the NT in improving functional status and lower extremity strength in patients with hip fracture surgery. Results of this review do not make a strong case for MHR due to high risk of bias in the included studies. Further research is required to accurately characterize the types of disciplines involved in MHR and frequency and dosage of intervention.

研究类型
系统评价
人群
混合人群
主题
["医疗护理","卫生服务"]
作者
Kathleen Donohue , Richelle Hoevenaars , Jocelyn McEachern , Erica Zeman , Saurabh Mehta
国家
Canada
关键词
-
来源期刊
Rehabil Res Pract
发布日期
2013-12-17
全文链接
https://doi.org/10.1155/2013/875968
相关网址
https://www.healthsystemsevidence.org/articles/62fe6f63ef088708d8dc7536-home-based-multidisciplinary-rehabilitation-following-hip-fracture-surgery-what-is-the-evidence?source=saved_email
DOI
https://doi.org/10.1155/2013/875968
学科领域
DiseasesOtherAccidents/injuriesSectorsHome and community careRehabilitation careProvidersNursesAllied health professionals