Physical Therapy Management of Older Adults With Hip Fracture
Hip fracture is a leading cause of profound morbidity in individuals aged 65 years and older, ranking in the top 10 causes of loss of disability-adjusted life-years for older adults. Worldwide, the number of people with hip fracture is expected to rise significantly due to the aging population and other factors. Physical therapist management is recommended within medical, surgical, and multidisciplinary clinical practice guideline (CPGs) and is considered to be the standard of care in rehabilitation for people with hip fracture.
Physical therapists must provide structured exercise, including progressive high-intensity resistive strength, balance, weight bearing, and functional mobility training, to older adults after hip fracture.
Clinicians must provide opportunities for additional therapies if strength, balance, and functional deficits remain beyond 8 to 16 weeks after fracture. The additional therapies should include strength, balance, functional, and gait training to address existing impairments and activity limitations and fall risk.
Physical therapists may use electrical stimulation for quadriceps strengthening if other approaches have not been effective.
Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical Therapy and the Academy of Geriatric Physical Therapy of the American Physical Therapy Association AUTHORS
Journal of Orthopaedic & Sports Physical Therapy Published Online:January 31, 2021Volume51Issue2PagesCPG1-CPG81
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