Article

OBJECTIVE: To evaluate the efficacy of a rehabilitation programme including
balance task-specific training in improving physical function, pain, activities
of daily living (ADL), balance and quality of life in subjects after a hip fracture. DESIGN: Randomized controlled trial. SUBJECTS: A total of 52 older
subjects selected for internal fixation due to extra-capsular hip fracture were
randomized to be included in an experimental ( n = 26) and control group ( n =
26). INTERVENTIONS: The experimental group underwent a rehabilitation programme
based on balance task-specific training. The control group underwent general
physiotherapy, including open kinetic chain exercises and walking training. Both
groups individually followed programmes of 90-minute sessions five times/week for
three weeks. OUTCOME MEASURES: The Western Ontario and McMaster Universities
Osteoarthritis Index (WOMAC), a Pain Numerical Rating Scale, the Berg Balance
Scale, the Functional Independence Measure and the 36-item Short-Form Health
Survey. The participants were evaluated before and after training, and after 12
months. RESULTS: Significant effects of time, group and time x group were found
for all outcome measures in favour of the experimental group. A clinically
important between-group difference of 25 points was achieved after training and
at follow-up in terms of the primary outcome (WOMAC function before treatment,
after treatment and at follow-up was 84.8 (3.7), 39.8 (4.9) and 35.7 (6.2) for
the experimental group and 80.9 (5.7), 65.2 (7.1) and 61.0 (11.1) for the control
group). CONCLUSION: An inpatient rehabilitation programme based on balance
task-specific training is useful in improving physical function, pain, ADL and
quality of life in older patients after hip fracture.

Langue : ANGLAIS