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Community Reintegration After Rehabilitation for Hip Fracture: A Systematic Review and Meta-analysis

Published:December 30, 2021DOI:https://doi.org/10.1016/j.apmr.2021.12.007

      Abstract

      Objective

      To investigate the effect of rehabilitation on the physical, social, and psychological dimensions of community reintegration after hip fracture.

      Data Sources

      Electronic databases Embase, EMCare, MEDLINE, PsycINFO, Cumulative Index to Nursing and Allied Health, and SPORTDiscus were searched from the earliest date available to second June 2021.

      Study Selection

      Searching identified 1844 potentially relevant articles. Twenty randomized controlled trials evaluating physical retraining, cognitive retraining, and model of care interventions on physical, social and psychological aspects of community reintegration for 3075 adults after hip fracture were included.

      Data Extraction

      Data were extracted using predetermined templates for participant characteristics, intervention type and setting, and outcomes related to community reintegration. Methodological quality was assessed using the Physiotherapy Evidence Database scale, and the Grading of Recommendations, Assessment, Development, and Evaluations approach was applied to each meta-analysis.

      Data Synthesis

      Post intervention data were pooled to calculate risk ratios (RRs), mean differences, standardized mean differences, and 95% confidence intervals (CIs) using inverse variance methods and a random-effects model. Compared with usual care or no rehabilitation, there was moderate-quality evidence to suggest that physical retraining interventions improved outdoor mobility (RR, 1.45; 95% CI, 1.09-1.91; I2=0%) and moderate-quality evidence to suggest that physical retraining improved Nottingham Extended Activities of Daily Living Scale scores (physical and social reintegration) by a mean 3.5 units (95% CI, 0.99-6.01; I2=0%). Meta-analyses showed no significant effect for cognitive retraining and model of care interventions on any dimension of community reintegration.

      Conclusions

      Preliminary evidence suggests that physical rehabilitation after hip fracture improves physical and social aspects of community reintegration. The effect of psychological and home-based interventions on community reintegration is currently unclear. Further research is needed to determine the effect of rehabilitation on community reintegration, using interventions and measures that encompass all dimensions of community reintegration.

      Keywords

      List of abbreviations:

      ADL (activities of daily living), FAI (Frenchay Activities Index), FES-I (Falls Efficacy Scale–International), GRADE (Grading of Recommendations, Assessment, Development, and Evaluations), MD (mean difference), NEADL (Nottingham Extended Activities of Daily Living), PEDro (Physiotherapy Evidence Database), RR (risk ratio), SMD (standardized mean difference)
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