Department of Physiotherapy, Faculty of Health Science, University of Granada, Avenida de la Investigación, s/n, 18016 Granada, Spain.
Biohealth Research Institute, Physical Medicine and Rehabilitation Service, Virgen de las Nieves University Hospital, Jaén Street, s/n, 18013 Granada, Spain.
Int J Environ Res Public Health. 2021 May 20;18(10):5493. doi: 10.3390/ijerph18105493.
This study aimed to examine the effect of a multidisciplinary tele-rehabilitation program on functional recovery of older adults with hip fracture compared with home-based in-person rehabilitation. In this single-blinded, non-randomized clinical trial, we included older with hip fracture. The tele-rehabilitation group received a 12-week tele-rehabilitation program (supervised by their family caregivers). The control group received the usual postoperative rehabilitation provided by the Andalusian health system (Spain). The primary outcome was the patient-reported functional status assessed with the Functional Independence Measure. We also measured performance-based functional recovery using the Timed Up and Go Test and Short Physical Performance Battery. We performed both a per-protocol (62 participants; 28 tele-rehabilitation and 34 control groups) and an intention-to-treat analysis (71 participants; 35 tele-rehabilitation and 36 control groups). Participants who used the tele-rehabilitation program had higher Functional Independence Measure scores (high effect size: 0.98 Cohen's d; < 0.001) and better performance in the Timed Up and Go Test (medium effect size: 0.63 Cohen's d; = 0.025) compared with the control group. Differences between groups post-intervention were not statistically significant in the Short Physical Performance Battery. The tele-rehabilitation intervention proposed in this study is a valuable treatment option in the recovery process for older adults with hip fracture. ClinicalTrials.gov Identifier: NCT02968589.
本研究旨在探讨多学科远程康复方案对髋部骨折老年患者功能恢复的影响，并将其与家庭为基础的传统康复进行比较。这是一项单盲、非随机临床试验，纳入了髋部骨折的老年患者。远程康复组接受为期 12 周的远程康复方案（由其家属照顾者监督）。对照组接受安达卢西亚卫生系统（西班牙）提供的常规术后康复。主要结局是使用功能独立性量表评估的患者报告的功能状态。我们还使用计时起立行走测试和简短身体性能电池来衡量基于表现的功能恢复。我们进行了意向治疗分析（71 名参与者；35 名远程康复组和 36 名对照组）和符合方案分析（62 名参与者；28 名远程康复组和 34 名对照组）。与对照组相比，使用远程康复方案的参与者的功能独立性量表评分更高（高效应量：0.98 Cohen's d；<0.001），计时起立行走测试表现更好（中效应量：0.63 Cohen's d；=0.025）。干预后两组在简短身体性能电池方面的差异无统计学意义。本研究中提出的远程康复干预措施是髋部骨折老年患者康复过程中的一种有价值的治疗选择。ClinicalTrials.gov 标识符：NCT02968589。
