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Related Experiment Video

Updated: Jan 25, 2026

Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Regaining Versus Not Regaining Function Following Hip Fracture-A Descriptive Study.

Caspar Hansen1, Dorte Melgaard2,3

  • 1Physio- and Occupational Therapy Department, North Denmark Regional Hospital, DK-9800 Hjørring, Denmark. caspar.hansen@rn.dk.

Geriatrics (Basel, Switzerland)
|April 27, 2019
PubMed
Summary

Many elderly hip fracture patients struggle to regain basic mobility, like getting in/out of bed, even six months post-discharge. This impacts their independence and recovery trajectory.

Keywords:
basic mobilitycumulated ambulation scoreelderlyhip fracturephysiotherapyrehabilitation

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Area of Science:

  • Gerontology
  • Orthopedics
  • Rehabilitation Medicine

Background:

  • Hip fractures are a significant health concern for the elderly population.
  • Regaining pre-fracture basic mobility status (PF-BMS) is crucial for independence and quality of life post-hip fracture.
  • Limited data exists on the long-term functional recovery at a task-specific level after hip fracture.

Purpose of the Study:

  • To determine the prevalence of patients who do not regain PF-BMS at discharge and 6-month follow-up.
  • To compare functional recovery between patients who did and did not regain PF-BMS using the Cumulated Ambulation Score (CAS).

Main Methods:

  • Cross-sectional study with follow-up at discharge and 6 months (June 2015 - November 2017).
  • Inclusion criteria: patients aged 65+ years admitted with a first-time hip fracture.
  • Data collected on demographics, pre-fracture function, cognition, residence, comorbidity, and functional status (CAS).

Main Results:

  • At discharge, difficulty getting in/out of bed was the most prevalent non-regained ability.
  • At 6 months, difficulty with getting in/out of bed and walking persisted.
  • Significant differences were observed between groups regarding age, pre-fracture function, residence, and comorbidities.

Conclusions:

  • A substantial number of elderly hip fracture patients do not regain basic mobility at a task-specific level by 6 months post-discharge.
  • Difficulty with bed mobility and walking are key challenges in long-term recovery.
  • Early identification of patients at risk for poor functional outcomes is essential for targeted interventions.