Article

Home-based rehabilitation following hip fracture may be beneficial ;
however, the evidence is controversial. The aim of this systematic review and
meta-analysis was to evaluate the effectiveness of home-based rehabilitation in
patients with hip fracture. METHODS: PubMed, Embase, Web of Science, EBSCO, and
Cochrane Library databases were searched systematically. Randomized controlled
trials (RCTs) assessing the effect of home-based rehabilitation for patients with
hip fracture were included. Two investigators independently searched articles,
extracted data, and assessed the quality of included studies. Primary outcomes
were mobility and daily activity. Meta-analysis was performed using the
random-effect model.
RESULTS: Nine RCTs involving 887 patients were included in
the meta-analysis. Overall, compared with control intervention for hip fracture,
home-based rehabilitation was found to significantly improve mobility (standard
mean difference (SMD) 0.56; 95% confidence interval (95% CI) 0.24-0.87; p =
0.006), daily activity (SMD 0.72; 95% CI 0.12-1.33; p = 0.02), instrumental
activity (SMD 0.85; 95% CI 0.06-1.64; p = 0.03) and balance (SMD 0.89; 95% CI
0.06-1.73; p = 0.04), but resulted in no significant influence on walking
outdoors (risk ratio (RR) 1.36; 95% CI 0.74-2.49; p = 0.32), usual gait speed
(SMD 0.28; 95% CI -0.33 to 0.90; p = 0.37), fast gait speed (SMD 0.34; 95% CI
-0.54 to 1.22; p = 0.45), and emergency department visit (RR 0.69; 95% CI
0.11-4.32; p = 0.69). CONCLUSION: The results of the meta-analysis showed that
home-based rehabilitation has considerable positive effects on physical
functioning after hip fracture. Home-based rehabilitation is therefore
recommended for hip fracture.

Langue : ANGLAIS