Lee Namgi, Lim Wootaek
Department of Physical Therapy, Kwangju Women's University, Gwangju, Republic of Korea.
Department of Physical Therapy, Woosong University, Daejeon, Republic of Korea; Department of Digital Bio-Health Convergence, Woosong University, Daejeon, Republic of Korea.
J Bodyw Mov Ther. 2025 Jun;42:1017-1024. doi: 10.1016/j.jbmt.2025.03.008. Epub 2025 Mar 3.
Subacute high-intensity rehabilitation programs play an important role in improving impairments and functional limitations in older adults who undergo hip fracture surgery. However, the effects of subacute high-intensive rehabilitation after intramedullary nailing have not been conclusively verified.
This study aimed to determine the effects of subacute high-intensity rehabilitation on pain, motor function, and activities of daily living (ADL) in older adult inpatients after intramedullary nailing for hip fractures.
This study included 37 older adult inpatients who had undergone intramedullary nailing for hip fractures at a restorative rehabilitation facility. All patients participated in a subacute high-intensity rehabilitation program consisting of 208 sessions (6-8 sessions/day, 30 min/session, 7 days/week) over 4 weeks during hospitalization. Dependent variables including pain, lower extremity muscle strength, balance, functional ambulation ability, and ADL, were assessed using the Numeric Rating Scale (NRS), Manual Muscle Testing (MMT), Berg Balance Scale (BBS), Functional Ambulation Category (FAC), and Modified Barthel Index (MBI), respectively. A paired t-test was used for statistical analysis.
The subacute high-intensity rehabilitation program resulted in significant differences in all dependent variables, including NRS, MMT, BBS, FAC, and MBI scores between the pre- and post-intervention (p < 0.001 to = 0.037).
This program improved physical function and independence in older adults after intramedullary nailing for hip fractures. Early implementation of such programs is recommended to enhance recovery, reduce hospital stays, and facilitate a quicker return to daily life.
亚急性高强度康复计划在改善接受髋部骨折手术的老年人的损伤和功能限制方面发挥着重要作用。然而，髓内钉固定术后亚急性高强度康复的效果尚未得到最终证实。
本研究旨在确定亚急性高强度康复对髋部骨折髓内钉固定术后老年住院患者疼痛、运动功能和日常生活活动（ADL）的影响。
本研究纳入了37名在康复机构接受髋部骨折髓内钉固定术的老年住院患者。所有患者在住院期间参加了一个为期4周的亚急性高强度康复计划，该计划包括208节课程（每天6 - 8节，每节30分钟，每周7天）。分别使用数字评定量表（NRS）、徒手肌力测试（MMT）、伯格平衡量表（BBS）、功能性步行分类（FAC）和改良巴氏指数（MBI）评估包括疼痛、下肢肌肉力量、平衡、功能性步行能力和ADL在内的因变量。采用配对t检验进行统计分析。
亚急性高强度康复计划导致所有因变量在干预前后存在显著差异，包括NRS、MMT、BBS、FAC和MBI评分（p < 0.001至 = 0.037）。
该计划改善了髋部骨折髓内钉固定术后老年人的身体功能和独立性。建议尽早实施此类计划以促进康复、缩短住院时间并加快恢复日常生活。
