Department of Physiotherapy, La Trobe University, Victora, Australia.
Disabil Rehabil. 2012;34(9):707-14. doi: 10.3109/09638288.2011.615371. Epub 2011 Oct 19.
This observational study explored the ability of people who had returned home after hip fracture to complete specified walking tasks reflective of community ambulation.
Walking distances, pedestrian crossing times, kerbs, stairs and slopes were measured at 70 sites in a metropolitan area. From these, five walking tasks were developed and 22 people who had received rehabilitation after hip fracture attempted these tasks. Participants also completed the Ambulatory Self-Confidence Questionnaire (ASCQ) and London Handicap Scale.
Most participants (18/22) were able to complete walking tasks reflective of walking in the community. However, half of the participants self-reported significant mobility restriction on the London Handicap Scale and variable levels of confidence (ASCQ mean 6.5 SD 1.4) when walking in their community.
People living in their communities after hip fracture were able to complete walking tasks reflective of community ambulation but reported a lack of confidence in their walking ability and significant self-perceived participation restriction. These results suggest that more emphasis could be placed on strategies to increase patient confidence when completing rehabilitation after hip fracture in order to allow successful integration back to their community.
本观察性研究旨在探讨髋部骨折后返回家中的患者完成反映社区活动能力的特定步行任务的能力。
在一个大都市区的 70 个地点测量步行距离、行人穿越时间、路缘、楼梯和斜坡。根据这些数据，开发了五项步行任务，并让 22 名接受过髋部骨折康复治疗的患者尝试这些任务。参与者还完成了行走自信问卷（ASCQ）和伦敦残障量表。
大多数参与者（22 人中有 18 人）能够完成反映社区行走的步行任务。然而，一半的参与者在伦敦残障量表上自我报告有明显的活动受限，并且在社区中行走时自信心（ASCQ 平均值为 6.5，标准差为 1.4）存在差异。
髋部骨折后生活在社区中的患者能够完成反映社区活动能力的步行任务，但报告在行走能力方面缺乏自信，并且自我感知的参与受限程度较大。这些结果表明，在髋部骨折康复治疗后，可以更加重视增强患者自信心的策略，以使其成功融入社区。
