Indicators of Improvement in Performing Activities of Daily Living Among Older Patients Undergoing Rehabilitation Following Hip Fractures

in Journal of Aging and Physical Activity

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Koki NishiomasuChuzan Hospital Clinical Education and Research Center, Okinawa, Japan

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Takahiro OgawaChuzan Hospital Clinical Education and Research Center, Okinawa, Japan

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https://orcid.org/0000-0003-4775-5649*
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Keisuke SatoChuzan Hospital Clinical Education and Research Center, Okinawa, Japan

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DOI:
https://doi.org/10.1123/japa.2021-0490
Keywords:
sarcopenia; exercise; training; dementia
First Published Online:
21 Jun 2022
In Print:
Volume 31: Issue 1
Page Range:
75–80
Restricted access

This study aimed to evaluate the relationship between improvement in activities of daily living (ADL) and cognitive status during rehabilitation and assess factors associated with ADL improvement among older patients undergoing rehabilitation after hip fractures. This retrospective cohort study comprised 306 patients aged ≥80 years who underwent hip fracture rehabilitation. The functional independence measure gain during rehabilitation was significantly lower in the group with abnormal cognition than in the group with normal cognition. Mini-Mental State Examination, Charlson Comorbidity Index, daily duration of rehabilitation, and length of hospitalization for rehabilitation were independent factors associated with functional independence measure gain during rehabilitation in the multivariate regression analysis. Although older patients with cognitive impairment had lower ADL improvements during hip fracture rehabilitation, such patients may be able to improve their ADL by undergoing intensive and long rehabilitation programs. They should not refrain from such rehabilitation programs due to older age, fracture, and cognitive impairment.

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