Walking recovery after a hip fracture: A prospective follow-up study among community-dwelling over 60-year old men and women
Salpakoski, A., Törmäkangas, T., Edgren, J., Sihvonen, S., Pekkonen, M., Heinonen, A., . . . Sipilä, S. (2014). Walking recovery after a hip fracture: A prospective follow-up study among community-dwelling over 60-year old men and women. BioMed Research International, 2014, 289549. doi:10.1155/2014/289549
Published inBioMed Research International
© 2014 Anu Salpakoski et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: Recovery of walking outdoors after hip fracture is important for equal participation in the community. The causes of poor recovery are not fully understood. This study investigates recovery of walking outdoors and associated determinants after hip fracture. Methods . A prospective follow-up study, among clinical sample of 81 community-dwelling hip fracture patients over 60 years. Perceived difficulty in walking outdoors and 500 meters was assessed before fracture, at discharge to home (3.2 ± 2.2 weeks after surgery), and on average 6.0 ± 3.3 weeks after discharge. Potential determinants for walking recovery were assessed. Linearlatenttrajectorymodelwasusedtoanalysechangesduringfo llow-up.Associationbetweenwalkingtrajectoriesandpotential determinants was analysed with a logistic regression model. Results . Two trajectories, No-to-minor-difficulty and Catastrophic, were found. Thirty-eight percent of the participants ended up in the Catastrophic trajectory for walking outdoors and 67% for 500 meters. Multivariate logistic regression analysis revealed that use of walking aid and indoor falls before fracture and prolonged pain were independently associated with catastrophic decline in both primary outcomes: difficulty in walking outdoors and 500 meters. Conclusions .Alargeproportionofcommunity-dwellingolderpeoplerecoveringfromhipfractureexperiencedcatastrophicdecline in outdoor walking. Acknowledging recovery prognoses at early stage enables individualized rehabilitation. ...
PublisherHindawi Publishing Corporation
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Except where otherwise noted, this item's license is described as © 2014 Anu Salpakoski et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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