Upper-limb motor and sensory function in patients with hip fracture: Comparison with community-dwelling older adults

2017 ◽  
Vol 30 (6) ◽  
pp. 1231-1236
Author(s):  
Hiroyuki Hayashi ◽  
Daiki Nakashima ◽  
Hiroka Matsuoka ◽  
Midori Iwai ◽  
Shugo Nakamura ◽  
...  
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Upper Limb ◽  
Community Dwelling ◽  
Sensory Function ◽  
Community Dwelling Older Adults

scholarly journals Hip Protectors for Community-Dwelling Older Adults

2021 ◽  
Vol 1 (9) ◽  
Author(s):  
Keeley Farrell ◽  
Melissa Walter
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Pelvic Fractures ◽  
Community Dwelling ◽  
Community Settings ◽  
Hip Protectors ◽  
Frail Older Adults ◽  
Community Dwelling Older Adults

In community-dwelling older adults who wore hip protectors there was no difference in the risk of hip fractures or pelvic fractures, compared to those who did not wear hip protectors. Three guidelines were identified that include recommendations around the use of hip protectors in older adults. One guideline suggests that hip protectors should be considered in adults at risk for falls and hip fracture. One guideline conditionally recommends hip protectors for frail older adults in the appropriate environment. One guideline suggests that hip protectors should not be considered in older adults in community settings.

scholarly journals Incidence of and Risk Factors for Falls Following Hip Fracture in Community-dwelling Older Adults

2005 ◽  
Vol 85 (7) ◽  
pp. 648-655 ◽  
Author(s):  
Anne Shumway-Cook ◽  
Marcia A Ciol ◽  
William Gruber ◽  
Cynthia Robinson
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Hip Fracture ◽  
Functional Status ◽  
Functional Independence ◽  
Medical Problem ◽  
Community Dwelling ◽  
Self Report ◽  
Risk Factors For Falls ◽  
Community Dwelling Older Adults

Abstract Background and Purpose. Hip fracture is a major medical problem among older adults, leading to impaired balance and gait and loss of functional independence. The purpose of this study was to determine the incidence of and risk factors for falls 6 months following hospital discharge for a fall-related hip fracture in older adults. Subjects. Ninety of 100 community-dwelling older adults (≥65 years of age) hospitalized for a fall-related hip fracture provided data for this study. Methods. An observational cohort study used interviews and medical records to obtain information on demographics, prefracture health, falls, and functional status. Self-report of falls and performance-based measures of balance and mobility were completed 6 months after discharge. Results. A total of 53.3% of patients (48/90) reported 1 or more falls in the 6 months after hospitalization. Older adults who fell following discharge had greater declines in independence in activities of daily living and lower performance on balance and mobility measures. Prefracture fall history and use of a gait device predicted postdischarge falls. Discussion and Conclusion. Falls following hip fracture can be predicted by premorbid functional status.

scholarly journals Health and social interventions to restore physical function of older adults post-hip fracture: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e053992
Author(s):  
Abeer Omar ◽  
Alexia Cumal ◽  
Shirin Vellani ◽  
Alexandra Krassikova ◽  
Julie Lapenskie ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Hip Fracture ◽  
Outcome Measures ◽  
Scoping Review ◽  
Inpatient Rehabilitation ◽  
Community Dwelling ◽  
Inpatient Setting ◽  
Social Interventions ◽  
Community Dwelling Older Adults

ObjectivesDespite inpatient rehabilitation, many older adults post-hip fracture have difficulty returning to their prefracture levels of function and activity. This scoping review aims to identify interventions for community-dwelling older adults discharged from inpatient rehabilitation and examine the function and activity outcomes associated with these interventions.DesignThis scoping review followed Arksey and O’Malley’s five-stage framework.Data sourcesWe searched MEDLINE, CINAHL, PsycINFO, EMBASE and Ageline electronic databases for English-language articles published between January 1946 and January 2020.Eligibility criteriaWe included studies with health and social interventions involving community-dwelling older adults and their caregivers after hip fracture and inpatient rehabilitation. The interventions were selected if initiated within 60 days post-hip fracture surgery.Data extraction and synthesisTwo independent reviewers screened abstracts and full texts and extracted the data based on the inclusion criteria. A third reviewer adjudicated any disagreement and collated the extracted data.ResultsOf the 24 studies included in the review, most studies (79%) used exercise-based interventions, over half (63%) included activities of daily living training and/or home assessment and environment modification as intervention components, and three studies used social intervention components. Over half of the interventions (58%) were initiated in the inpatient setting and physiotherapists provided 83% of the interventions. Only seven studies (29%) involved tailored interventions based on the older adults’ unique needs and progress in exercise training. Six studies (25%) enrolled patients with cognitive impairment, and only one study examined caregiver-related outcomes. Exercise-based interventions led to improved function and activity outcomes. 29 different outcome measures were reported.ConclusionWhile exercise-based multicomponent interventions have evidence for improving outcomes in this population, there is a paucity of studies, including social interventions. Further, studies with standardised outcome measures are needed, particularly focusing on supporting caregivers and the recovery of older adults with cognitive impairment.

Multiple Days of Monitoring Are Needed to Obtain a Reliable Estimate of Physical Activity in Hip-Fracture Patients

2014 ◽  
Vol 22 (2) ◽  
pp. 173-177 ◽  
Author(s):  
Kristin Taraldsen ◽  
Beatrix Vereijken ◽  
Pernille Thingstad ◽  
Olav Sletvold ◽  
Jorunn L. Helbostad
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Community Dwelling ◽  
Reliable Estimate ◽  
Large Variability ◽  
Hip Fracture Surgery ◽  
Community Dwelling Older Adults ◽  
Mean Time ◽  
Fracture Surgery ◽  
Monitoring Activity

The aim of the study was to investigate the precision of estimated upright time during one week in community-dwelling older adults after hip fracture when monitoring activity for different numbers of consecutive days. Information about upright time was collected by thigh-worn accelerometers during 7 consecutive days in 31 older adults (mean age 81.8 years ± 5.3) 3 months after hip-fracture surgery. Mean time in upright position, including both standing and walking, was 260.9 (±151.2) min/day. A cutoff value of half an hour was used to provide recommendations about number of recording days. Large variability between participants between days, as well as a nonconstant within-participant variability between days indicates that at least 4 consecutive days of recording should be used to obtain a reliable estimate of upright time for individual persons. However, at a group level, one day of recording is sufficient.

Initiation of Antidepressant Medication After Hip Fracture in Community-Dwelling Older Adults

2015 ◽  
Vol 23 (10) ◽  
pp. 1007-1015 ◽  
Author(s):  
Andrea Iaboni ◽  
Dallas P. Seitz ◽  
Hadas D. Fischer ◽  
Christina C. Diong ◽  
Paula A. Rochon ◽  
...  
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Antidepressant Medication ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals The association of social frailty with intrinsic capacity in community-dwelling older adults: a prospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chi Hsien Huang ◽  
Kiwako Okada ◽  
Eiji Matsushita ◽  
Chiharu Uno ◽  
Shosuke Satake ◽  
...  
Keyword(s):  
Older Adults ◽  
Healthy Aging ◽  
Community Dwelling ◽  
Sensory Function ◽  
Domain Score ◽  
Psychological Function ◽  
The Social ◽  
Longitudinal Association ◽  
Intrinsic Capacity ◽  
Community Dwelling Older Adults

Abstract Background Social frailty is associated with poor health outcomes; however, its effects on healthy aging indicators have not been adequately investigated. This study assessed the longitudinal association between social frailty and the intrinsic capacity of community-dwelling older adults. Methods A total of 663 participants (56.7% women) aged ≥60 years from in Nagoya, Japan, were included in the study. The first measurement occurred in 2014, and annual follow-ups occurred until 2017. Social frailty was determined based on four items: financial difficulty, household status, social activity, and regular contact with others. A deficit score of 0 represented social robustness, 1 represented social prefrailty, and ≥ 2 represented social frailty. Intrinsic capacity was evaluated by the locomotion, cognition, psychological function, vitality, and sensory function domains. The longitudinal association was analyzed using generalized estimating equations. Results The prevalence of social prefrailty and social frailty at baseline was 31.2 and 6.3%, respectively. The social prefrailty group (β = − 0.132, P < 0.001) and social frailty group (β = − 0.258, P < 0.001) were associated with a greater reduction in the composite intrinsic capacity scores than the social robustness group, especially in the cognition, psychological function, and vitality domains. Men with social prefrailty/social frailty demonstrated a greater decrease in the psychological function domain score (− 0.512 vs. − 0.278) than women. Additionally, the cognition domain score only decreased in men in the social prefrailty/social frailty group (β = − 0.122, P = 0.016). Conclusions Social frailty was associated with intrinsic capacity and its subdomains longitudinally. Men with social frailty were more vulnerable than women to a decline in their psychological function and cognition domains. Therefore, the advanced management of social frailty is necessary to facilitate healthy aging.

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