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REVIEW ARTICLE
REHABILITATION AFTER HIP FRACTURE: A LITERATURE REVIEW
 
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1
Department and Clinic of Geriatrics, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland
 
2
4th Department of Internal Medicine, Lower Silesian Oncology, Pulmonology and Hematology Center in Wrocław, Poland
 
3
Department of Exercise Physiology and Functional Anatomy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland
 
 
Submission date: 2023-08-08
 
 
Acceptance date: 2024-10-23
 
 
Publication date: 2025-11-26
 
 
Corresponding author
Julia Tomys-Składowska   

Department and Clinic of Geriatrics, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland
 
 
Issue Rehabil. Orthop. Neurophysiol. Sport Promot. 2023;45(4):45-56
 
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ABSTRACT
Introduction:
As a result of the aging population, hip fracture is emerging as a major medical, social and economical concern. A higher risk of fracture occurs in women of older age. Early surgery, preferably performed within 48 hours, is considered as the gold standard of treatment. Post-operative rehabilitation also has a significant role in patients' recovery.

Aim:
The aim of this article is to compare the effectiveness of rehabilitation methods, such as physiotherapy and alternative interventions, provided after surgical treatment in patients with hip fracture.

Material and Methods:
Publications available on PubMed databases concerning the effectiveness of various rehabilitation methods after hip fracture were analyzed. In total, 15 works from 2018 to 2023 were included in the review.

Results:
The review of clinical studies focused mainly on comparison of interdisciplinary home rehabilitation with conventional methods. Physiotherapy is particularly important in the recovery of patients after hip fracture. No significant difference was shown between the use of multidisciplinary therapy and classical physiotherapy in combination with in-hospital geriatric care.

Conclusions:
The analyzed papers do not clearly indicate which form of rehabilitation should be considered most effective for elderly patients after hip fracture. Physiotherapy and Transcutaneous Electrical Nerve Stimulation play a crucial role in re-establishing mobility and improving quality of life. Chronically bed-ridden patients represent a group for whom the development of newer rehabilitation methods is particularly important. There is a need for further research into the methods and improvement of those currently in practice.
ISSN:2300-0767
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