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Changes in Basic Movement Ability and Activities of Daily Living After Hip Fractures: Correlation Between Basic
Shogo Toyama1, Koshiro Sawada, Keiichiro Ueshima
1From the Departments of Orthopaedics (ST, KU, TK), and Rehabilitation Medicine (KS, YM), Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto; Bodaijyu Nursing Home, Oita (IM); Medical Corporation of Kenseikai, Oita (KT); and Department of Social Services and Healthcare Management, School of Health and Welfare, International University of Health and Welfare, Chiba (TT), Japan.
Basic movement ability, measured by the Basic Movement Scale (BMS), strongly correlates with daily living activities (ADL) in hip fracture patients. Early assessment of basic movement by postoperative week 2 predicts recovery outcomes.
Area of Science:
- Geriatric rehabilitation
- Orthopedic surgery outcomes
- Movement science
Background:
- Hip fractures significantly impact elderly patients' mobility and independence.
- Regaining activities of daily living (ADL) is crucial for functional recovery after hip fracture surgery.
Purpose of the Study:
- To investigate the correlation between basic movement ability and ADL in elderly patients post-hip fracture surgery.
- To predict ADL outcomes based on changes in basic movement ability.
Main Methods:
- Prospective study of 54 patients undergoing rehabilitation after hip fracture surgery.
- Evaluation of ambulatory ability using the Basic Movement Scale (BMS).
- Assessment of ADL using the motor subscale of the Functional Independence Measure (motor-FIM) weekly.
Main Results:
- A significant correlation was found between BMS and motor-FIM scores (r = 0.971, P < 0.001).
- Strong correlation observed between weekly BMS and motor-FIM gains (r = 0.741, P < 0.001).
- Basic Movement Scale scores at postoperative week 2 predicted functional outcomes.
Conclusions:
- The Basic Movement Scale is a reliable indicator for assessing changes in activities of daily living.
- Early intervention by postoperative week 2 is critical for improving ambulation and basic movement recovery, thereby enhancing prognosis.
