Fysioterapeuten 8-2020

68 FYSIOTERAPEUTEN 8/20 gjenvunnet samme mobilitetsnivå som før hoftebruddet. Lav fysisk funksjon ved fire måneder økte sannsynligheten for å ikke gjenvinne mobiliteten. Vi fant stor variasjon i mengde fysioterapi som deltakerne mot- tok, men fant ingen sammenheng mellom mengde fysioterapi, og om deltakerne gjen- vant mobilitet etter hoftebrudd eller ikke. Det er behov for mer kunnskap både om innholdet i fysioterapi som eldre med hofte- brudd mottar og hvilke tiltak som bør settes inn når i løpet av oppfølgingsperioden. Referanseliste 1. Gjertsen JE, Engesaeter LB, Furnes O, Havelin LI, Stein- dal K, Vinje T, et al. The Norwegian Hip Fracture Register: experiences after the first 2 years and 15,576 reported operations. Acta orthopaedica. 2008;79(5):583-93. doi:10.1080/17453670810016588 2. Vochteloo AJ, Moerman S, Tuinebreijer WE, Maier AB, de Vries MR, Bloem RM, et al. More than half of hip fracture patients do not regain mobility in the first postoperative year. Geriatrics & gerontology international. 2013;13(2):334-41. doi:10.1111/j.1447- 0594.2012.00904.x 3. Cooper C. The crippling consequences of fractures and their impact on quality of life. The American journal of medicine. 1997;103(2a):12S-7S; discussion 7S-9S 4. Dyer SM, Crotty M, Fairhall N, Magaziner J, Beaupre LA, Cameron ID, et al. A critical review of the long-term disability outcomes following hip fracture. BMC geriatrics. 2016;16:158. doi:10.1186/s12877-016-0332-0 5. Handoll HH, Sherrington C, Mak JC. Interventions for improving mobility after hip fracture surgery in adults. The Cochrane database of systematic reviews. 2011(3):Cd001704. doi:10.1002/14651858.CD001704. pub4 6. Seitz DP, Adunuri N, Gill SS, Rochon PA. Prevalence of dementia and cognitive impairment among older adults with hip fractures. Journal of the American Medical Directors Association. 2011;12(8):556-64. doi:10.1016/j. jamda.2010.12.001 7. Holmes JD, House AO. Psychiatric illness in hip fracture. Age and ageing. 2000;29(6):537-46 8. Visschedijk J, Achterberg W, Van Balen R, Hertogh C. Fear of falling after hip fracture: a systematic review of measurement instruments, prevalence, interventions, and related factors. Journal of the American Geriatrics Society. 2010;58(9):1739-48. doi:10.1111/j.1532- 5415.2010.03036.x 9. Munter KH, Clemmesen CG, Foss NB, Palm H, Kristensen MT. Fatigue and pain limit independent mobility and physiotherapy after hip fracture surgery. Disability and rehabilitation. 2017:1-9. doi:10.1080/09638288.2017. 1314556 10. Pils K, Muller W, Likar R, Gosch M, Iglseder B, Muller EJ, et al. Rehabilitation after hip fracture. Wiener medizi- nische Wochenschrift (1946). 2013;163(19-20):462-7. doi:10.1007/s10354-013-0241-1 11. Taraldsen K, Thingstad P, Dohl O, Follestad T, Helbostad JL, Lamb SE, et al. Short and long-term clinical effectiveness and cost-effectiveness of a late-phase community-based balance and gait exercise program fol- lowing hip fracture. The EVA-Hip Randomised Controlled Trial. PloS one. 2019;14(11):e0224971. doi:10.1371/ journal.pone.0224971 12. Gladman JR, Lincoln NB, Adams SA. Use of the extended ADL scale with stroke patients. Age and ageing. 1993;22(6):419-24. doi:10.1093/ageing/22.6.419 13. Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. Journal of gerontology. 1994;49(2):M85-94 14. Hughes CP, Berg L, Danziger WL, Coben LA, Martin RL. A new clinical scale for the staging of dementia. The Bri- tish journal of psychiatry : the journal of mental science. 1982;140:566-72 15. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research. 1975;12(3):189-98 16. Hartrick CT, Kovan JP, Shapiro S. The numeric rating scale for clinical pain measurement: a ratio measure? Pain practice : the official journal of World Institute of Pain. 2003;3(4):310-6. doi:10.1111/j.1530- 7085.2003.03034.x 17. Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age and ageing. 2005;34(6):614-9. doi:10.1093/ageing/afi196 18. Sheikh JI, Yesavage JA, Brooks JO, 3rd, Friedman L, Gratzinger P, Hill RD, et al. Proposed factor structure of the Geriatric Depression Scale. International psychogeriatrics. 1991;3(1):23-8 19. Mahoney FI, Barthel DW. FUNCTIONAL EVALUATION: THE BARTHEL INDEX. Maryland state medical journal. 1965;14:61-5 20. Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet (London, England). 2013;381(9868):752-62. doi:10.1016/s0140- 6736(12)62167-9 21. Bruyere O, Brandi ML, Burlet N, Harvey N, Lyri- tis G, Minne H, et al. Post-fracture management of patients with hip fracture: a perspective. Current medical research and opinion. 2008;24(10):2841-51. doi:10.1185/03007990802381430 22. Auais MA, Eilayyan O, Mayo NE. Extended exercise rehabilitation after hip fracture improves patients’ physical function: a systematic review and meta-analysis. Physical therapy. 2012;92(11):1437-51. doi:10.2522/ ptj.20110274 FAG VITENSKAPELIG ARTIKKEL Title: Recovery of mobility after hip fracture – a prospective cohort study Abstract n Purpose : To investigate characteristics of older adults, who did not regain mobility after hip fracture, and to describe the amount of physiotherapy these groups received the first year after their hip fracture. n Design : Prospective cohort study. n Material : During hospital stay, and 4 and 12 months after surgery 129 home-dwelling older adults (≥ 70 years) with hip fracture were tested. n Method : We classified level of regaining mobility after 12 months by using the mobi- lity scale of Nottingham I-ADL Scale. The relationship between not regained mobility and physical function (Short Physical Performance Battery), cognitive function (Clinical Dementia Assessment and the Norwegian Revised Mini-Mental State Examination), pain during walking (Numeric Rating Scale), fear of falling (Short Falls Efficacy Scale International), depression (Geriatric Depression Scale) and number of physiotherapy consultations based on data from HELFO and municipal journal, was evaluated by logistic regression. n Results : Participants’ mean age were 82.8 (±6.26) years and 55% did not regain mobility 12 months after the hip fracture. Physical function at four months was an independent predictor for not regaining mobility (OR 0.68; p<0.001; KI 0.56-0.83). We found large variation in the number of physiotherapy consultations (range 1-98) with median number of 32 consultations within the first year. n Conclusion : A large proportion older adults who undergo hip fractures do not regain their prefracture level of mobility. Physical function at four months is important for level of regaining mobility, while the amount of physiotherapy showed no correlation with mobility one year after hip fracture. n Keywords : Hip-fracture, elderly, mobility, physiotherapy. Fagutgivelsen 2021 Informasjon om neste års fagutgivelse kommer på fysioterapeuten .no

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