Effect of Intensive Rehabilitation Protocol on Patients' Ambulation and Daily Living Activities Post Hip Fracture

Ahmed, Wafaa Ramadan; Mohammed, Ghada Thabet; Abdel Salam, Mohamed Abdel Radi; Mostafa, Neama Mamdouh

doi:10.21608/asnj.2023.202050.1549

Effect of Intensive Rehabilitation Protocol on Patients' Ambulation and Daily Living Activities Post Hip Fracture

Document Type : Original Article

Authors

¹ Assistant Professors of Medical-Surgical Nursing, Faculty of Nursing, Assuit University, Egypt.

² Assistant Consultant of Medical-Surgical Nursing, Assuit University Hospital, Assuit University, Egypt.

³ Lecturer of Orthopedics Surgery, Faculty of Medicine, Assuit University, Egypt.

10.21608/asnj.2023.202050.1549

Abstract

A hip fracture is a serious injury, with complications that can be life-threatening. The study aimed to evaluate the effect of intensive rehabilitation protocol on patients’ ambulation and daily living activity post hip fracture. Patients and Method: This study was carried out in the orthopedics surgery department and its outpatient clinics at Assiut university hospital. A purposive sample of 60 patients was divided into two groups (study group and control group) 30 patients for each group. The following tools were utilized for data collection: First tool: Self – administered questionnaire, Second tool: Ambulation Score, Third tool: Lawton – Brody Instrumental activities of daily living scale. Results: two-thirds of the studied patients in both groups were in the age group 56 ≥ 65 years old with a mean age of 56.93± 10.97 years, most of the participating patients in study and control groups have femoral neck fracture ( 80 & 83.3%) and had previous complain of osteoporosis (53.4 & 60 %) respectively. There was a significant difference between the study and control group regarding mean ambulation and muscular control after the application of intensive rehabilitation protocol with (5.4 ± 2.22 and 3.23 ± 2.17) for ambulation score and (7.2 ± 1.90 and 5.36 ± 2.15) for muscular control with p.value (0.0001* & 0.001*) respectively, but, there was no statistically significant difference between the study and control groups regarding activities of daily living scale except their responsibility for their medications. Conclusion: intensive rehabilitation can improve the ambulation and muscular control post femoral fracture arthroplasty but was not enough for improving the patient's activity of daily living. Recommendations: Establishing an effective rehabilitation protocol for post-hip fracture patients and providing a written rehabilitation instructions booklet.

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