[Rehabilitation of elderly patients after fracture].
Hip fracture in the elderly is associated with increased mortality and disability. The rate of recovery of the pre-fracture functional or ambulatory level is less than 70%. Different intervention programs accelerate the recovery and decrease the mortality; these programs include early ambulation, recovery of the activities of daily living, muscle training and correction of malnutrition (protein supplements, vitamin D). Successful interventions concern patients able to walk with or without help before the fracture. Pre-fracture motor and not cognitive level is the most important predictive factor for motor recovery. The degree of involvement of the geriatric team and organization of the intervention play a major role in its efficacy.
Ammann
Patrick
P
Service des maladies osseuses, Centre collaborateur de I'OMS pour la prevention de l'ostéoporose, Département de rehabilitation et gériatrie, HUG, 1211 Genève. Patrick.Ammann@medecine.unige.ch
D000203:Activities of Daily Living; D000368:Aged; D004434:Early Ambulation; D005265:Femoral Neck Fractures / Q000534:rehabilitation; D050723:Fractures, Bone / Q000534:rehabilitation*; D006620:Hip Fractures / Q000534:rehabilitation; D006801:Humans; D044342:Malnutrition / Q000178:diet therapy; D053580:Muscle Strength / Q000502:physiology; D010024:Osteoporosis / Q000150:complications*; D020127:Recovery of Function / Q000502:physiology; D016138:Walking / Q000502:physiology