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Effects of Tele-Rehabilitation Compared with Home-Based in-Person Rehabilitation for Older Adult’s Function after Hip Fracture

Author

Listed:
  • Mariana Ortiz-Piña

    (Department of Physiotherapy, Faculty of Health Science, University of Granada, Avenida de la Investigación, s/n, 18016 Granada, Spain)

  • Pablo Molina-Garcia

    (Biohealth Research Institute, Physical Medicine and Rehabilitation Service, Virgen de las Nieves University Hospital, Jaén Street, s/n, 18013 Granada, Spain)

  • Pedro Femia

    (Department of Statistics and Operational Research, Faculty of Medicine, University of Granada, Avenida de la Investigación, 11, 18016 Granada, Spain)

  • Maureen C. Ashe

    (Centre for Hip Health and Mobility, Department of Family Practice, University of British Columbia, Vancouver, BC V6T, Canada)

  • Lydia Martín-Martín

    (Department of Physiotherapy, Faculty of Health Science, University of Granada, Avenida de la Investigación, s/n, 18016 Granada, Spain)

  • Susana Salazar-Graván

    (Orthopaedic Surgery and Traumatology Service, Virgen de las Nieves University Hospital, Jaén Street, s/n, 18013 Granada, Spain)

  • Zeus Salas-Fariña

    (PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Alfacar Street, 402, 18011 Granada, Spain)

  • Rafael Prieto-Moreno

    (PA-HELP “Physical Activity for HEaLth Promotion” Research Group, University of Granada, Alfacar Street, 402, 18011 Granada, Spain)

  • Yolanda Castellote-Caballero

    (Department of Physiotherapy, University of Jaén, Lagunillas Univerity Campus, 23009 Jaén, Spain)

  • Fernando Estevez-Lopez

    (Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center, Postbus 2060, 3000 CB Rotterdam, The Netherlands)

  • Patrocinio Ariza-Vega

    (Department of Physiotherapy, Faculty of Health Science, University of Granada, Avenida de la Investigación, s/n, 18016 Granada, Spain
    Biohealth Research Institute, Physical Medicine and Rehabilitation Service, Virgen de las Nieves University Hospital, Jaén Street, s/n, 18013 Granada, Spain
    PA-HELP “Physical Activity for HEaLth Promotion” Research Group, University of Granada, Alfacar Street, 402, 18011 Granada, Spain)

Abstract

This study aimed to examine the effect of a multidisciplinary tele-rehabilitation program on functional recovery of older adults with hip fracture compared with home-based in-person rehabilitation. In this single-blinded, non-randomized clinical trial, we included older with hip fracture. The tele-rehabilitation group received a 12-week tele-rehabilitation program (supervised by their family caregivers). The control group received the usual postoperative rehabilitation provided by the Andalusian health system (Spain). The primary outcome was the patient-reported functional status assessed with the Functional Independence Measure. We also measured performance-based functional recovery using the Timed Up and Go Test and Short Physical Performance Battery. We performed both a per-protocol (62 participants; 28 tele-rehabilitation and 34 control groups) and an intention-to-treat analysis (71 participants; 35 tele-rehabilitation and 36 control groups). Participants who used the tele-rehabilitation program had higher Functional Independence Measure scores (high effect size: 0.98 Cohen’s d; p < 0.001) and better performance in the Timed Up and Go Test (medium effect size: 0.63 Cohen’s d; p = 0.025) compared with the control group. Differences between groups post-intervention were not statistically significant in the Short Physical Performance Battery. The tele-rehabilitation intervention proposed in this study is a valuable treatment option in the recovery process for older adults with hip fracture. ClinicalTrials.gov Identifier: NCT02968589.

Suggested Citation

  • Mariana Ortiz-Piña & Pablo Molina-Garcia & Pedro Femia & Maureen C. Ashe & Lydia Martín-Martín & Susana Salazar-Graván & Zeus Salas-Fariña & Rafael Prieto-Moreno & Yolanda Castellote-Caballero & Ferna, 2021. "Effects of Tele-Rehabilitation Compared with Home-Based in-Person Rehabilitation for Older Adult’s Function after Hip Fracture," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5493-:d:558790
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    Cited by:

    1. Hana Alsobayel & Faris Alodaibi & Ali Albarrati & Norah Alsalamah & Fadwa Alhawas & Ahmed Alhowimel, 2021. "Does Telerehabilitation Help in Reducing Disability among People with Musculoskeletal Conditions? A Preliminary Study," IJERPH, MDPI, vol. 19(1), pages 1-11, December.

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