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

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, Fernando Estevez-Lopez and Patrocinio Ariza-Vega
Additional contact information
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

IJERPH, 2021, vol. 18, issue 10, 1-13

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.

Keywords: activities of daily living; mobility; rehabilitation; exercise (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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