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Title: A prospective randomized controlled trial on the evaluation of the functional training program for elderly after hip surgery
Authors: Soo, AKW
Li-Tsang, WPC 
Issue Date: 2004
Publisher: Springer
Source: Quality of life research, 2004, v. 13, no. 9, 1256, p. 1503 (Abstracts) How to cite?
Journal: Quality of life research 
Abstract: Aims: Hip fracture is a leading cause of disability and mortality among the elderly. Previous studies found that effectiveness of geriatric orthopaedic rehabilitation was inconclusive. The aim of this study was to investigate the effect of the Functional Training Program (FTP) for elderly after hip surgery. Methods: A prospective, Randomized Controlled Trial (RCT) was conducted on a group of elderly patients with hip fractures and double-blinded. FTP was experimental group and conventional occupational therapy (OT) training was control group. FTP aimed at both functional and fall related self-efficacy enhancement, which consisted a comprehensive training on activities of daily living (ADL), ADL task modifications and behaviour adjustment. Mini-Mental State Examination (MMSE), Functional Independence Measure (FIM) and Fall Efficacy Scale (FES) were used as outcome measurement. Results: 60 subjects aged 65 or above, with hip surgery and intact cognitive function were recruited in this study. Mean age was 78.77. Subjects in both treatment groups shared similar baseline demographics and admission MMSE, FIM and FES scores (p > 0.05). After intervention, the FTP group had significant higher total FIM score (112.71 ± 3.87 vs. 105 ± 9.55), total FES score (81.10 ± 10.08 vs. 46.27 ± 19.97), FIM change efficiency (1.00 vs. 0.60) and shorter LOS (21.53 vs. 27.87) than that in conventional OT training group (p < 0.01). High correlation was noted between total FIM score and total FES score (r = 0.80, p < 0.01). Upon discharge, 90% of subjects returned home. Upon third month follow-up, 90% of subjects resumed premorbid ADL function and 18.3% of subjects resumed premorbid ambulatory level. Conclusions: FTP was found to be effective in improving functional status and fall related self-efficacy for elderly after hip surgery. Shorter LOS and better outcome was achieved in this study. Treatment carry-over effect sustained in 3 months after discharge. Comprehensive ADL training and fall related self-efficacy should be considered as a target for intervention of geriatric hip fractures.
Description: 11th Annual Conference of the International Society for Quality of Life Research, Hong Kong, 2004
ISSN: 0962-9343
EISSN: 1573-2649
DOI: 10.1023/B:QURE.0000045581.45805.69
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