Article

PURPOSE: To study the recovery of patients in terms of 18 activities of daily
living and change of residence within the year following a hip fracture.
This prospective cohort study was carried out in a trauma service of an acute
hospital in southern Spain including 159 patients with a hip fracture, 65 years
or older and allowed weight-bearing after surgery. Patients or their relatives
were interviewed about their residential status and functional level at
pre-fracture, three months and one year after surgery, using the Functional
Independence Measure. RESULTS: Losses of function for the main activities
affected were, at the first month, third month and one year relative to the
pre-fracture status, 50%, 25% and 12%, respectively, for locomotion, 40%, 25% and
20%, respectively, for mobility and 27%, 17% and 15%, respectively, for self care
(p < 0.001). Residential status changed mostly for patients who lived in their
own home (73% before fracture to 58% at one year). CONCLUSIONS: The loss of
independence in the first year after a hip fracture is substantial for specific
activities. Recovery mainly takes place during the first three months after
surgery. Change of residence mostly involved those patients who lived alone in
their own home at pre-fracture. Implications for Rehabilitation One year after
fracture, patients did not recover their previous function, and the activities
most affected at the one-year follow-up were: dressing lower body,
bathing/showering, transfer bathtub/shower and walking up/down stairs. After a
hip fracture, most recovery of the function happens within the first three
months, though some functional activities continue recovering over the first
year. Rehabilitation programs cannot be based only on mobility activities, the
recovery of other daily living activities should also be included.

Langue : ANGLAIS