@article{20799, author = {Sherrington Catherine and Beaupre LA and Binder EF and Cameron I and Jones C and Orwig D and Magaziner J}, title = {Maximising functional recovery following hip fracture in frail seniors}, abstract = {
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.
}, year = {2013}, journal = {Best Practice and Research. Clinical Rheumatology}, volume = {27}, edition = {2014/05/20}, number = {6}, pages = {771-788}, isbn = {1532-1770 (Electronic)