Physical Therapy for Patients With Hip Fracture: What Are the Optimal Approaches?

Participants: Kathleen Kline Mangione, PT, PhD, GCS, and David R Sinacore, PT, PhD, FAPTA. Moderator: Daniel L Riddle, PT, PhD, FAPTA

Files in this Data Supplement:

• Discussion Podcast - As noted by Moderator Daniel Riddle, it's been estimated that 350,000 people per year in the United States sustain a hip fracture. The health care costs are enormous. In this podcast, Kathleen Kline Mangione, PT, PhD, GCS, and David Sinacore, PT, PhD, talk frankly about how rehabilitation services need to change.

  "Usual care for patients with hip fracture really hasn't changed much in the last 2-3 decades."

  "We know that the major health care expense for patients with hip fracture is not in the rehabilitation."

  "Patients are left functioning at the home level, not in the community level anymore."

  The discussion centers around the following articles:

  Mangione KK, Lopopolo RB, Neff NP, et al. Interventions used by physical therapists in home care for people after hip fracture. Phys Ther. 2008;88:199-210.

  Binder EF, Brown M, Sinacore DR, et al. Effects of extended outpatient rehabilitation after hip fracture: a randomized controlled trial. JAMA. 2004;292:837–846.

  References

  In the debate, Mangione refers to the following:

  Hauer K, Specht N, Schuler M, et al. Intensive physical training in geriatric patients after severe falls and hip surgery. Age Aging. 2002;31:49-57.

  Rooks DS, Huang J, Bierbaum BE, et al. The effect of preoperative exercise on measures of functional status in men and women undergoing total hip and knee arthroplasty. Arthritis Rheum. 2006;55:700-708.

  Running time: 21:01 (9,855 KB)