Effects of Using Exercise Pamphlet Media Combined with Physical Therapy on Physical Performance and Fall Risk in Elderly Patients with Hip Fractures
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Abstract
Background: Rehabilitation after hip fracture surgery in elderly improves physical performance and reduces fall risk. Providing a physical therapy educational pamphlet for continued home-based rehabilitation may help reduce fall risk, as assessed by the Short Physical Performance Battery (SPPB), a validated tool for hip fracture patients.
Objective: To compare fall risk–related physical performance in elderly patients following hip fracture surgery between those who received standard rehabilitation and those who additionally received an exercise pamphlet.
Materials and Methods: This retrospective cohort study included patients aged 60 years and over with hip fractures who underwent surgery at Lampang Hospital between October 2020 and September 2022. All patients received inpatient physical therapy until they could stand or walk before discharge. They were divided into two groups: the study group received a pamphlet titled “Physical Therapy for Patients with Hip fracture” featuring seven exercises targeting the ankle, knee, and hip; the control group received standard care without the pamphlet. General and clinical data were collected, and SPPB scores were assessed six weeks postoperatively.
The percentage of patients with SPPB scores ≤6, indicating fall risk, was calculated. Statistical comparisons between groups were made.
Results: A total of 100 patients (mean age 75.5±7.7 years, range 60–89; 77% female) were included. The intervention group had a significantly higher mean SPPB score than the control group (7.8±2.5 vs. 6.5±2.1, p=0.010). In subdomains, the intervention group had higher median scores in gait speed (2 [IQR 1, 3] vs. 1 [IQR 1, 2], p=0.009) and chair stand test (2 [IQR 1, 3] vs. 1 [IQR 1, 2], p=0.038), but no difference in balance scores (4 [IQR 4, 4] in both groups, p=0.492). Fewer patients in the intervention group had SPPB scores ≤6 (37.0%) compared to the control group (61.1%, p=0.027).
Conclusion: Using exercise pamphlet combined with physical therapy may help improve physical performance and reduce fall risk among elderly patients with hip fractures who have undergone surgery and physical therapy until able to stand or walk before discharge, as indicated by improved SPPB scores six weeks postoperatively
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บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
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