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Author’s Response to Letter to the Editor

      We thank the authors of the letter to the editor for their comments regarding our study. They argued that the effect sizes of earlier initiation of postoperative rehabilitation or larger daily amounts of rehabilitation on the Barthel Index (BI) in our study were statistically significant but not clinically significant. Their comments are based on the minimal clinically important difference (MCID) of the BI reported in 2 previous studies
      • Hsieh Y.W.
      • Wang C.H.
      • Wu S.C.
      • Chen P.C.
      • Sheu C.F.
      • Hsieh C.L.
      Establishing the minimal clinically important difference of the Barthel Index in stroke patients.
      ,
      • Unnanuntana A.
      • Jarusriwanna A.
      • Nepal S.
      Validity and responsiveness of Barthel Index for measuring functional recovery after hemiarthroplasty for femoral neck fracture.
      : one reported the MICD of the BI in patients with stroke, and the other reported the MCID of the BI at 12 months after hip fracture surgery in patients without severe cognitive impairment.
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      References

        • Hsieh Y.W.
        • Wang C.H.
        • Wu S.C.
        • Chen P.C.
        • Sheu C.F.
        • Hsieh C.L.
        Establishing the minimal clinically important difference of the Barthel Index in stroke patients.
        Neurorehabil Neural Repair. 2007; 21: 233-238
        • Unnanuntana A.
        • Jarusriwanna A.
        • Nepal S.
        Validity and responsiveness of Barthel Index for measuring functional recovery after hemiarthroplasty for femoral neck fracture.
        Arch Orthop Trauma Surg. 2018; 138: 1671-1677
        • Uda K.
        • Matsui H.
        • Fushimi K.
        • Yasunaga H.
        Intensive in-hospital rehabilitation after hip fracture surgery and activities of daily living in patients with dementia: retrospective analysis of a nationwide inpatient database.
        Arch Phys Med Rehabil. 2019; 100: 2301-2307

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