title: [Functional capabilities of users of mobility devices after femoral hip fracture. A comparison study].
abstract: BACKGROUND
  The present study investigates the functional skills and capabilities of a sample of 105 patients treated at the Lutheran Geriatric Center Berlin after a hip fracture during a period of two years between 2004 and 2006.
  
  
  METHODS
  Geriatric assessment instruments (Barthel index, Instrumental Activities of Daily Living Scale (IADL), Timed Up & Go (TUG), Tinetti, grip strength, Geriatric Depression Scale (GDS)) were implemented to measure the functional capabilities in this prospective study. The subjects were divided into three groups, characterized by the type of mobility device they used: crutches, a four-wheeled walker, or a wheel chair. Furthermore, the data were measured at three test intervals (t(0:): baseline before discharge, t(1): 4 weeks after discharge, t(2): 4 months after discharge).
  
  
  RESULTS
  The results of the study differ significantly for each of the three groups at the different test intervals (Barthel index, IADL, TUG, Tinetti, grip strength, all p<0.000, ANOVA). The results of our investigation demonstrate a substantial difference in increase, stagnation or deterioration of capabilities for patients in all three groups. However, from t(1) to t(2) only the group using crutches as a mobility device demonstrated the highest increase of their capabilities in this specific areas (Tinetti, grip strength, IADL, TUG, p≤0.05, general linear model). The results of the study differ significantly for each of the three groups at the different test intervals (Barthel index, IADL, TUG, Tinetti, grip strength, all p <0.000, ANOVA). The results of our investigation demonstrate substantial differences in all three groups with respect to increase, stagnation, or deterioration of capabilities. However, from t(1) to t(2) only the group using crutches as a mobility device demonstrated the highest increase of their capabilities in these specific areas (Tinetti, grip strength, IADL, TUG, p≤0.001, general linear model)
  
  
  CONCLUSIONS
  A group-specific approach, based on the mobility devices used, allowed for better differentiation of functional capabilities after femoral hip fracture.
authors.affiliation: BIG direkt gesund, Markgrafenstr. 62, 10969 Berlin. andrea.mischker@big-direkt.de
authors.forename: A
authors.initials: A
authors.lastname: Mischker
authors.forename: E
authors.initials: E
authors.lastname: Steinhagen-Thiessen
mesh_terms: D000203:Activities of Daily Living / Q000145:classification*; D000368:Aged; D000369:Aged, 80 and over; D003446:Crutches; D005260:Female; D015577:Geriatric Assessment; D005858:Germany; D018737:Hand Strength; D006620:Hip Fractures / Q000534:rehabilitation*; D006801:Humans; D007902:Length of Stay; D008297:Male; D051346:Mobility Limitation; D011446:Prospective Studies; D012047:Rehabilitation Centers; D014853:Walkers; D014910:Wheelchairs
references.citation: Md State Med J. 1965 Feb;14:61-5
references.pmid: 14258950
references.citation: Unfallchirurg. 2001 Apr;104(4):325-32
references.pmid: 11357699
references.citation: Age Ageing. 2002 Jan;31(1):49-57
references.pmid: 11850308
references.citation: Z Arztl Fortbild Qualitatssich. 2001 Apr;95(3):209-18
references.pmid: 11398624
references.citation: J Psychiatr Res. 1982-1983;17(1):37-49
references.pmid: 7183759
references.citation: Aktuelle Traumatol. 1991 Jun;21(3):112-7
references.pmid: 1681687
references.citation: Zentralbl Chir. 2000;125(9):744-9
references.pmid: 11050755
references.citation: Z Gerontol Geriatr. 2004 Oct;37(5):351-3
references.pmid: 15503070
references.citation: J Am Geriatr Soc. 2002 Jul;50(7):1240-9
references.pmid: 12133019
references.citation: J Psychiatr Res. 1975 Nov;12(3):189-98
references.pmid: 1202204
references.citation: J Rehabil Med. 2003 Mar;35(2):76-83
references.pmid: 12691337
references.citation: Unfallchirurg. 2003 Jan;106(1):32-8
references.pmid: 12552391
references.citation: J Am Geriatr Soc. 1991 Feb;39(2):142-8
references.pmid: 1991946
references.citation: Gerontologist. 1969 Autumn;9(3):179-86
references.pmid: 5349366
references.citation: Z Gerontol Geriatr. 1999 Oct;32(5):312-7
references.pmid: 10552169
references.citation: Age Ageing. 2003 Jan;32(1):88-94
references.pmid: 12540354
references.citation: J Gerontol A Biol Sci Med Sci. 2000 Aug;55(8):M434-40
references.pmid: 10952365
references.citation: Age Ageing. 1986 Jan;15(1):53-6
references.pmid: 3953331
references.citation: J Am Geriatr Soc. 1986 Feb;34(2):119-26
references.pmid: 3944402
references.citation: Disabil Rehabil. 2003 Nov 18;25(22):1243-51
references.pmid: 14617441
references.citation: Disabil Rehabil. 1994 Jul-Sep;16(3):119-26
references.pmid: 7919395
references.citation: J Gerontol A Biol Sci Med Sci. 2000 Sep;55(9):M498-507
references.pmid: 10995047
references.citation: Unfallchirurg. 2002 Feb;105(2):99-107
references.pmid: 11968550
references.citation: Osteoporos Int. 2004 Jul;15(7):567-74
references.pmid: 14730422
references.citation: Gerontologist. 1998 Apr;38(2):169-80
references.pmid: 9573661