Primary Care Research Group, Peninsula College of Medicine and Dentistry, Exeter EX1 2LU, UK.
Physiotherapy. 2010 Mar;96(1):38-43. doi: 10.1016/j.physio.2009.07.003. Epub 2009 Sep 3.
To establish current physiotherapy practice in the secondary management of falls and fragility fractures compared with national guidance.
Web-based national clinical audit.
Acute trusts (n=157) and primary care trusts (n=146) in England, Wales and Northern Ireland.
Data were collected on 5642 patients with non-hip fragility fractures and 3184 patients with a hip fracture. Those patients who were bedbound or who declined assessment or rehabilitation were excluded from the analysis. Results indicate that of those with non-hip fractures, 28% received a gait and balance assessment, 22% participated in an exercise programme, and 3% were shown how to get up from the floor. For those with a hip fracture, the results were 68%, 44% and 7%, respectively.
Physiotherapists have a significant role to play in the secondary prevention of falls and fractures. However, along with managers and professional bodies, more must be done to ensure that clinical practice reflects the evidence base and professional standards.
将目前的物理治疗实践应用于跌倒和脆弱性骨折的二级管理中，并与国家指南进行比较。
基于网络的全国临床审计。
英格兰、威尔士和北爱尔兰的急症信托基金（n=157）和初级保健信托基金（n=146）。
共收集了 5642 例非髋部脆性骨折和 3184 例髋部骨折患者的数据。对卧床不起或拒绝评估或康复的患者不进行分析。结果表明，在非髋部骨折患者中，28%接受了步态和平衡评估，22%参加了锻炼计划，3%的患者学习了如何从地板上站起来。对于髋部骨折患者，这些比例分别为 68%、44%和 7%。
物理治疗师在跌倒和骨折的二级预防中发挥着重要作用。然而，与管理者和专业机构一起，还必须采取更多措施，以确保临床实践反映证据基础和专业标准。
