https://scholars.lib.ntu.edu.tw/handle/123456789/563789
標題: | Effects on function and quality of life of postoperative home-based physical therapy for patients with hip fracture | 作者: | JAU-YIH TSAUO Leu W.-S. Chen Y.-T. RONG-SEN YANG |
公開日期: | 2005 | 卷: | 86 | 期: | 10 | 起(迄)頁: | 1953-1957 | 來源出版物: | Archives of Physical Medicine and Rehabilitation | 摘要: | Objective: To evaluate the effects of a 3-month home-based physical therapy (PT) program for patients with hip fracture after surgery. Design: Randomized controlled trial. Setting: Home. Participants: Twenty-five patients recently discharged from an acute orthopedic department. Interventions: Patients were randomized to the home-based PT group (n=13), where they received home-based PT 8 times from discharge to month 3 postdischarge, or to the control group (n=12). The home-based PT program included exercises for muscle strengthening, range of motion (ROM), balance, and functional training. Patients in the control group were instructed to practice the exercise program given at bedside before discharge. Main Outcome Measures: Patients were evaluated for hip ROM, strength, walking velocity, Harris hip score, and health-related quality of life (HRQOL) at the week of discharge and at 1, 3, and 6 months after discharge. Results: The baseline characteristics showed no difference between the 2 groups. Harris score of the home-based PT group progressed from 58.6±8.5 to 90.1±5.4 at month 3, whereas Harris score of the control group progressed from 54.6±14.5 to 77.4±10.0 (P<.01). Scores of the psychologic domain of HRQOL for the home-based PT group were significantly better at month 1 (P<.05) and month 3 (P<.01) after discharge. Moreover, the physical domain score of the home-based PT group was also significantly better (P<.05) at 3 months after discharge. Conclusions: Home-based PT programs could help patients regain function and HRQOL earlier. ? 2005 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-26444468542&doi=10.1016%2fj.apmr.2005.04.020&partnerID=40&md5=c891960bf67b7de69ff907db9848c602 https://scholars.lib.ntu.edu.tw/handle/123456789/563789 |
ISSN: | 0003-9993 | DOI: | 10.1016/j.apmr.2005.04.020 | SDG/關鍵字: | adult; aged; article; clinical article; clinical trial; controlled clinical trial; controlled study; evaluation; exercise; female; Harris hip score; hip fracture; home care; hospitalization; human; joint characteristics and functions; male; muscle strength; orthopedics; physiotherapy; postoperative care; quality of life; randomized controlled trial; training; walking; Aged; Female; Health Status Indicators; Hip Fractures; Home Care Services; Humans; Male; Outcome Assessment (Health Care); Physical Therapy Modalities; Quality of Life; Recovery of Function; Taiwan |
顯示於: | 醫學系 |
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