Community ambulation after hip fracture: completing tasks to enable access to common community venues.
OBJECTIVE
This observational study explored the ability of people who had returned home after hip fracture to complete specified walking tasks reflective of community ambulation.


METHODS
Walking distances, pedestrian crossing times, kerbs, stairs and slopes were measured at 70 sites in a metropolitan area. From these, five walking tasks were developed and 22 people who had received rehabilitation after hip fracture attempted these tasks. Participants also completed the Ambulatory Self-Confidence Questionnaire (ASCQ) and London Handicap Scale.


RESULTS
Most participants (18/22) were able to complete walking tasks reflective of walking in the community. However, half of the participants self-reported significant mobility restriction on the London Handicap Scale and variable levels of confidence (ASCQ mean 6.5 SD 1.4) when walking in their community.


CONCLUSIONS
People living in their communities after hip fracture were able to complete walking tasks reflective of community ambulation but reported a lack of confidence in their walking ability and significant self-perceived participation restriction. These results suggest that more emphasis could be placed on strategies to increase patient confidence when completing rehabilitation after hip fracture in order to allow successful integration back to their community.
Department of Physiotherapy, La Trobe University, Victora, Australia.
Amy M
AM
Dennett
Nicholas F
NF
Taylor
Kevin
K
Mulrain
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006620:Hip Fractures / Q000534:rehabilitation* / Q000601:surgery; D006801:Humans; D008297:Male; D010465:Perception; D020127:Recovery of Function; D012111:Residence Characteristics; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013647:Task Performance and Analysis; D016138:Walking