Effects of Tele-Rehabilitation Compared with Home-Based in-Person Rehabilitation for Older Adult’s Function after Hip Fracture
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AuthorOrtiz Piña, Mariana; Martín Martín, Lydia María; Ariza Vega, María Patrocinio; Femia Marzo, Pedro Jesús; Salas Fariña, Zeus; Moreno Prieto, Rafael
Activities of daily livingMobilityRehabilitationExercise
Ortiz-Piña, M.; Molina-Garcia, P.; Femia, P.; Ashe, M.C.; Martín-Martín, L.; SalazarGraván, S.; Salas-Fariña, Z.; Prieto-Moreno, R.; Castellote -Caballero, Y.; Estevez-Lopez, F.; et al. Effects of Tele-Rehabilitation Compared with Home-Based in-Person Rehabilitation for Older Adult’s Function after Hip Fracture. Int. J. Environ. Res. Public Health 2021, 18, 5493. https://doi.org/10.3390/ ijerph18105493
SponsorshipEIT-Health (20471); Foundation for Progress and Health, Ministry of Andalusia, Spain (PI-0372-2014); Andalusian Health Care Service has the patent “@ctivehip: plataforma de telerehabilitación que ayuda a recuperar la independencia funcional tras sufrir una fractura de cadera” - RPI201699902234065
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.