Kasuga Seiji, Momosaki Ryo, Hasebe Kiyotaka, Sawabe Masashi, Sawaguchi Akira
Department of Rehabilitation, Teikyo University School of Medicine University Hospital, Mizonokuchi.
Department of Rehabilitation Medicine, Teikyo University School of Medicine University Hospital, Mizonokuchi.
J Med Invest. 2019;66(1.2):178-181. doi: 10.2152/jmi.66.178.
The purpose of this study was to clarify the impact of self-exercise for elderly patients in an acute hospital after hip fracture. This retrospective observational study used data from the Japan Rehabilitation Database spanning 2005-2015. This study identified in-hospital hip fracture patients admitted to an acute hospital. After applying exclusion criteria, 375 patients were eligible. The primary outcome was motor Functional Independence Measure (FIM) efficiency. Of the patients with hip fracture, 39% performed self-exercises. Patients who performed self-exercise had significantly higher motor FIM efficiency than those who did not (1.22 vs. 0.79 ; P ?0.01). Multivariable regression analysis showed that motor FIM efficiency was significantly and positively correlated with self-exercise (coefficient, 0.25 ; 95% confidence interval, 0.13 to 0.43 ; P ?0.01). The data suggest that self-exercise is associated with good rehabilitation outcomes in hip fracture patients. J. Med. Invest. 66 : 178-181, February, 2019.
本研究的目的是阐明急性医院中髋部骨折老年患者进行自我锻炼的影响。这项回顾性观察研究使用了来自2005年至2015年日本康复数据库的数据。本研究纳入了入住急性医院的院内髋部骨折患者。应用排除标准后，375例患者符合条件。主要结局是运动功能独立性测量（FIM）效率。在髋部骨折患者中，39%进行了自我锻炼。进行自我锻炼的患者的运动FIM效率显著高于未进行自我锻炼的患者（1.22对0.79；P<0.01）。多变量回归分析显示，运动FIM效率与自我锻炼显著正相关（系数为0.25；95%置信区间为0.13至0.43；P<0.01）。数据表明，自我锻炼与髋部骨折患者良好的康复结局相关。《医学调查杂志》66:178 - 181，2019年2月。
