Effect of home-based rehabilitation for hip fracture: A meta-analysis of randomized controlled trials

Journal of Rehabilitation Medicine
Desheng WuShaowei Zhang

Abstract

Home-based rehabilitation following hip fracture may be beneficial; however, the evidence is controversial. The aim of this systematic review and meta-analysis was to evaluate the effectiveness of home-based rehabilitation in patients with hip fracture. PubMed, Embase, Web of Science, EBSCO, and Cochrane Library databases were searched systematically. Randomized controlled trials (RCTs) assessing the effect of home-based rehabilitation for patients with hip fracture were included. Two investigators independently searched articles, extracted data, and assessed the quality of included studies. Primary outcomes were mobility and daily activity. Meta-analysis was performed using the random-effect model. Nine RCTs involving 887 patients were included in the meta-analysis. Overall, compared with control intervention for hip fracture, home-based rehabilitation was found to significantly improve mobility (standard mean difference (SMD) 0.56; 95% confidence interval (95% CI) 0.24-0.87; p = 0.006), daily activity (SMD 0.72; 95% CI 0.12-1.33; p = 0.02), instrumental activity (SMD 0.85; 95% CI 0.06-1.64; p = 0.03) and balance (SMD 0.89; 95% CI 0.06-1.73; p = 0.04), but resulted in no significant influence on walking outdoors (risk ratio (R...Continue Reading

Citations

Sep 25, 2019·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Konstantinos G MakridisTheofilos S Karachalios
Nov 18, 2018·Research in Nursing & Health·Mariana Ortiz-PiñaPatrocinio Ariza-Vega
Sep 22, 2020·Hip & Pelvis·Kyung-Jae LeeYoung-Hun Kim
Sep 8, 2019·International Journal of Orthopaedic and Trauma Nursing·Panagiota Copanitsanou
Feb 2, 2021·The Journal of Orthopaedic and Sports Physical Therapy·Christine M McDonoughKathleen Kline Mangione
Jun 3, 2021·International Journal of Environmental Research and Public Health·Mariana Ortiz-PiñaPatrocinio Ariza-Vega
May 25, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Sana G CheemaMary K Mulcahey
Jul 25, 2021·International Journal of Environmental Research and Public Health·Haneul Lee, Seon-Heui Lee
Jul 25, 2021·Journal of Clinical Medicine·Marina KotsaniAthanase Benetos
Nov 12, 2020·Gerontology·Wendy L CookMaureen C Ashe
Nov 11, 2021·The Australian Journal of Rural Health·Angela Vratsistas-CurtoSteven G Faux
Nov 13, 2021·The Cochrane Database of Systematic Reviews·Helen Hg HandollTerence P Finnegan

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