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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
Risk assessment after hip fracture: check the "healthy" leg!
1Institut für Physikalische Medizin und Rehabilitation, SMZ-Sophienspital, Apollogasse 19, 1070 Vienna, Austria. katharina.pils@wienkav.at
Zeitschrift Fur Gerontologie Und Geriatrie
|December 14, 2011
Summary
After hip fracture, older age and reduced range of motion in the nonoperated hip significantly increase fall risk. Assessing hip function is crucial for fall prevention strategies in rehabilitation.
Area of Science:
- Geriatric Medicine
- Orthopedics
- Rehabilitation Science
Background:
- Functional deficits post-hip fracture are linked to increased fall risk.
- Identifying specific functional and range of movement (ROM) risk factors is essential for targeted interventions.
Purpose of the Study:
- To investigate functional deficits and range of movement (ROM) as risk factors for falls in patients recovering from hip fracture.
- To analyze the relationship between patient characteristics, functional status, ROM, and fall incidence during rehabilitation.
Main Methods:
- Prospective study of 1,497 patients admitted to a rehabilitation unit.
- Geriatric assessment and ROM measurements (neutral zero method) conducted post-admission and pre-discharge.
- Falls were documented, and functional status was compared between fallers and non-fallers.
Main Results:
- Fall incidence was 9.6 per 1,000 patient-days, increasing with age (5.0 for <75, 9.5 for 75-84, 12.0 for >84 years).
- Fallers exhibited more significant functional deficits in both operated and nonoperated legs.
- Reduced ROM in the frontal plane of the nonoperated hip (adduction/abduction) was a significant predictor of falls (OR 0.986).
Conclusions:
- Age is a primary risk factor for falls post-hip fracture.
- Functional limitations, particularly in the nonoperated hip's ROM, contribute significantly to fall risk.
- Integrating hip examination into falls risk assessment protocols is recommended for improved patient safety.
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