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Related Concept Videos

Chest Physiotherapy01:24

Chest Physiotherapy

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Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
456

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Related Experiment Video

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Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
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Boosting inpatient exercise after hip fracture using an alternative workforce: a mixed methods implementation

Marie K March1,2, Sarah M Dennis3,4,5, Sarah Caruana6

  • 1Physiotherapy Department, Blacktown Mt Druitt Hospitals, Western Sydney Local Health District, Blacktown, NSW, Australia. Marie.March@health.nsw.gov.au.

BMC Geriatrics
|February 13, 2024
PubMed
Summary

Increased physiotherapy frequency using an alternative workforce safely and effectively reduced hospital length of stay for hip fracture patients. This approach is feasible, acceptable, and cost-effective for acute care settings.

Keywords:
Health services researchHip fractureImplementation scienceMixed methods researchPhysical therapyPhysiotherapyWorkforce

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Area of Science:

  • Geriatric Rehabilitation
  • Orthopedic Surgery
  • Health Services Research

Background:

  • Hip fractures significantly impact individuals and healthcare systems, necessitating improved patient outcomes.
  • Enhanced physiotherapy provision shows promise but faces workforce challenges in implementation.
  • Current physiotherapy models struggle to meet the needs of the growing hip fracture population.

Purpose of the Study:

  • To evaluate the safety, feasibility, acceptability, effectiveness, and cost of thrice-daily physiotherapy for acute hip fracture patients.
  • To assess the implementation of an alternative workforce model for increased physiotherapy delivery.
  • To compare outcomes against usual care and a reference cohort.

Main Methods:

  • A mixed-methods approach was employed in two public hospitals, utilizing the Consolidated Framework for Implementation Research (CFIR).
  • The intervention involved twice-daily exercises by an alternative workforce (physiotherapy students, allied health assistants) complementing usual physiotherapy.
  • Hospital length of stay was compared to a historical reference cohort.

Main Results:

  • Acute care hospital length of stay reduced from 11 days (reference) to 8 days (BOOST cohort), a statistically significant decrease.
  • Intervention fidelity was 72%, demonstrating feasibility, with 96% uptake and no reported safety concerns.
  • The intervention was acceptable to patients, carers, and healthcare providers and found to be cost-effective.

Conclusions:

  • Higher daily physiotherapy frequency, delivered by an alternative workforce, is safe, feasible, and effective for acute hip fracture patients.
  • This model addresses physiotherapy workforce challenges and improves patient outcomes in the acute care setting.
  • Implementation of enhanced physiotherapy is a viable and beneficial strategy for hip fracture management.