Related Experiment Video
Updated: Aug 15, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Effects on function and quality of life of postoperative home-based physical therapy for patients with hip fracture
Jau-Yih Tsauo1, Wen-Shyang Leu, Yi-Ting Chen
1School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei.
Objective:
To evaluate the effects of a 3-month home-based physical therapy (PT) program for patients with hip fracture after surgery.
Design:
Randomized controlled trial.
Setting:
Home.
Participants:
Twenty-five patients recently discharged from an acute orthopedic department.
Interventions:
Patients were randomized to the home-based PT group (n=13), where they received home-based PT 8 times from discharge to month 3 postdischarge, or to the control group (n=12). The home-based PT program included exercises for muscle strengthening, range of motion (ROM), balance, and functional training. Patients in the control group were instructed to practice the exercise program given at bedside before discharge.
Main Outcome Measures:
Patients were evaluated for hip ROM, strength, walking velocity, Harris hip score, and health-related quality of life (HRQOL) at the week of discharge and at 1, 3, and 6 months after discharge.
Results:
The baseline characteristics showed no difference between the 2 groups. Harris score of the home-based PT group progressed from 58.6+/-8.5 to 90.1+/-5.4 at month 3, whereas Harris score of the control group progressed from 54.6+/-14.5 to 77.4+/-10.0 (P<.01). Scores of the psychologic domain of HRQOL for the home-based PT group were significantly better at month 1 (P<.05) and month 3 (P<.01) after discharge. Moreover, the physical domain score of the home-based PT group was also significantly better (P<.05) at 3 months after discharge.
Conclusions:
Home-based PT programs could help patients regain function and HRQOL earlier.
Related Concept Videos
Restorative Care
Peripheral Artery Disease V: Postoperative Nursing Management