Tsauo Jau-Yih, Leu Wen-Shyang, Chen Yi-Ting, Yang Rong-Sen
School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei.
Arch Phys Med Rehabil. 2005 Oct;86(10):1953-7. doi: 10.1016/j.apmr.2005.04.020.
To evaluate the effects of a 3-month home-based physical therapy (PT) program for patients with hip fracture after surgery.
Randomized controlled trial.
Home.
Twenty-five patients recently discharged from an acute orthopedic department.
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.
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.
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.
Home-based PT programs could help patients regain function and HRQOL earlier.
评估一项为期3个月的居家物理治疗（PT）方案对髋部骨折术后患者的效果。
随机对照试验。
家中。
25名近期从急性骨科科室出院的患者。
患者被随机分为居家PT组（n = 13），从出院至出院后3个月接受8次居家PT，或分为对照组（n = 12）。居家PT方案包括肌肉强化、关节活动范围（ROM）、平衡和功能训练。对照组患者被指导在出院前练习床边给予的锻炼方案。
在出院时以及出院后1、3和6个月对患者进行髋部ROM、力量、步行速度、Harris髋关节评分和健康相关生活质量（HRQOL）评估。
两组的基线特征无差异。居家PT组的Harris评分在第3个月时从58.6±8.5提高到90.1±5.4，而对照组的Harris评分从54.6±14.5提高到77.4±10.0（P <.01）。居家PT组HRQOL心理领域的评分在出院后1个月（P <.05）和3个月（P <.01）时显著更好。此外，居家PT组的身体领域评分在出院后3个月时也显著更好（P <.05）。
居家PT方案可帮助患者更早恢复功能和HRQOL。
