TY - JOUR
AU - Sherrington Catherine
AU - Beaupre LA
AU - Binder EF
AU - Cameron I
AU - Jones C
AU - Orwig D
AU - Magaziner J
AB - <p>
This review discusses factors affecting recovery following hip fracture in frail older people as well as interventions associated with improved functional recovery. Prefracture function, cognitive status, co-morbidities, depression, nutrition and social support impact recovery and may interact to affect post-fracture outcome. There is mounting evidence that exercise is beneficial following hip fracture with higher-intensity/duration programmes showing more promising outcomes. Pharmacologic management for osteoporosis has benefits in preventing further fractures, and interest is growing in pharmacologic treatments for post-fracture loss of muscle mass and strength. A growing body of evidence suggests that sub-populations - those with cognitive impairment, residing in nursing homes or males - also benefit from rehabilitation after hip fracture. Optimal post-fracture care may entail the use of multiple interventions; however, more work is needed to determine optimal exercise components, duration and intensity as well as exploring the impact of multimodal interventions that combine exercise, pharmacology, nutrition and other interventions.
</p>

AD - Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 2-50 Corbett Hall, University of Alberta, Edmonton, AB T6G 2G4, Canada. Electronic address: lauren.beaupre@ualberta.ca.<br/>Division of Geriatrics and Nutritional Science, Washington University School of Medicine, MO 4488 Forest Park Blvd, Suite 201, St. Louis, MO 63108, USA. Electronic address: EBinder@DOM.wustl.edu.<br/>Rehabilitation Studies Unit, Faculty of Medicine, University of Sydney, PO Box 6, Ryde, NSW 1680, Australia. Electronic address: ian.cameron@sydney.edu.au.<br/>Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 2-50 Corbett Hall, University of Alberta, Edmonton, AB T6G 2G4, Canada. Electronic address: cajones@ualberta.ca.<br/>Division of Gerontology, Department of Epidemiology and Public Health, School of Medicine, University of Maryland, Suite 200, 660 West Redwood Street, Baltimore, MD 21030, USA. Electronic address: dorwig@epi.umaryland.edu.<br/>The George Institute for Global Health, Sydney Medical School, University of Sydney, NSW 2006, Australia. Electronic address: csherrington@george.org.au.<br/>Department of Epidemiology and Public Health, School of Medicine, University of Maryland, Suite 200, 660 West Redwood Street, Baltimore, MD 21030, USA. Electronic address: jmagazin@epi.umaryland.edu.
AN - 24836335
BT - Best Practice and Research. Clinical Rheumatology
DP - NLM
ET - 2014/05/20
LA - Eng
LB - MSK
M1 - 6
N1 - Beaupre, Lauren A<br/>Binder, Ellen F<br/>Cameron, Ian D<br/>Jones, C Allyson<br/>Orwig, Denise<br/>Sherrington, Cathie<br/>Magaziner, Jay<br/>REVIEW<br/>Best Pract Res Clin Rheumatol. 2013 Dec;27(6):771-788. doi: 10.1016/j.berh.2014.01.001.
N2 - <p>
This review discusses factors affecting recovery following hip fracture in frail older people as well as interventions associated with improved functional recovery. Prefracture function, cognitive status, co-morbidities, depression, nutrition and social support impact recovery and may interact to affect post-fracture outcome. There is mounting evidence that exercise is beneficial following hip fracture with higher-intensity/duration programmes showing more promising outcomes. Pharmacologic management for osteoporosis has benefits in preventing further fractures, and interest is growing in pharmacologic treatments for post-fracture loss of muscle mass and strength. A growing body of evidence suggests that sub-populations - those with cognitive impairment, residing in nursing homes or males - also benefit from rehabilitation after hip fracture. Optimal post-fracture care may entail the use of multiple interventions; however, more work is needed to determine optimal exercise components, duration and intensity as well as exploring the impact of multimodal interventions that combine exercise, pharmacology, nutrition and other interventions.
</p>

PY - 2013
SN - 1532-1770 (Electronic)<br/>1521-6942 (Linking)
SP - 771
EP - 788
T2 - Best Practice and Research. Clinical Rheumatology
TI - Maximising functional recovery following hip fracture in frail seniors
VL - 27
ER -