A Case Study on the Effects of Physical Therapy Treatment in Elderly Patients (Aged 60 and Over) with Fragility Hip Fractures Resulting from Low-Energy Falls
Keywords:
Fragility hip fracture, Physical therapy, Rehabilitation, Elderly, Case studyAbstract
Purpose: This study aims to investigate the effects of physical therapy on functional recovery in an elderly patient with a fragility hip fracture.
Study design: Case Study.
Materials and Methods: This case study involved an 86-year-old female patient following surgical fixation. The 12-week treatment program emphasized early mobilization, progressive strengthening exercises, and balance training in accordance with clinical practice guidelines. Quantitative analysis included frequency, percentage, median, and range. Qualitative data were analyzed using content analysis based on information from 1) personal and clinical data records, and 2) clinical progress notes at each measurement point.
Main finding: The patient demonstrated consistent clinical improvement. Pain scores decreased from 8 to 0–1. Hip range of motion returned to normal, and muscle strength improved from grade 2 to grade 5. Regarding functional performance, the Barthel Index score increased from 30 (severe dependency) to 100 (complete independence). The Timed Up and Go (TUG) test result decreased to 12 seconds, indicating a reduction in fall risk to normal levels.
Conclusion and recommendations: This study concludes that a continuous, individualized physical therapy program significantly contributes to the recovery of functional mobility, reduces disability, and enhances the patient's quality of life.
References
Sambrook P, Cooper C. Osteoporosis. Lancet. 2006;367(9527):2010-8.
Magaziner J, Hawkes W, Hebel J R, Zimmerman S I, Fox K M, Dolan M. Changes in functional status attributable to hip fracture: a comparison of hip fracture patients to community-dwelling aged. Am J Epidemiol. 2000;152(11):1017-23.
Hannan M T, Felson D T, Dawson-Hughes B, Tucker K L, Cupples L A, Wilson P W, et al. Risk factors for longitudinal bone loss in elderly men and women: the Framingham Osteoporosis Study. J Bone Miner Res. 2000;15(4):710-20.
Nevitt M C, Cummings S R, Kidd S, Black D. Risk factors for recurrent nonsyncopal falls: a prospective study. JAMA. 1989;261(18):2663-8.
Bentler S E, Liu L, Obrizan M, Cook E A, Wright K B, Geweke J F, et al. The aftermath of hip fracture: discharge placement, functional status change, and mortality. Am J Epidemiol. 2009;170(10):1290-9.
Sherrington C, Whitney J C, Lord S R, Herbert R D, Cumming R G, Close J C. Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56(12):2234-43.
World Health Organization. International classification of functioning, disability and health: ICF. Geneva: World Health Organization; 2001.
McDonough C M, Harris-Hayes M, Kristensen M T, Overgaard J A, Herring T B, Kenny A M, et al. Physical therapy management of older adults with hip fracture: clinical practice guidelines linked to the international classification of functioning, disability and health from the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2021;51(2):CPG1-81.
Mahoney F I, Barthel D W. Functional evaluation: the Barthel Index. Md State Med J. 1965;14:61-5.
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
Handoll H H, Cameron I D, Mak J C, Finnegan T P. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev. 2011;(11):CD007125.
Binder E F, Schechtman K B, Ehsani A A, Steger-May K, Brown M, Sinacore D R, et al. Effects of progressive resistance training on body composition and physical function in older men and women. J Gerontol A Biol Sci Med Sci. 2002;57(12):M809-16.
Shubert T E, Schrodt L A, Mercer V S, Busby-Whitehead J, Giuliani C A. The effect of psychometric properties of the Timed Up and Go on its ability to predict falls. J Geriatr Phys Ther. 2009;32(2):4-5.
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