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(Department of Rehabilitation Medicine CHA Bundang Medical Center CHA University School of Medicine) (Department of Rehabilitation Medicine Seoul National University College of Medicine Seoul National) (Department of Physical Medicine and Rehabilitation Anam Hospital Korea University College of Medici) (Department of Rehabilitation Medicine Seoul National University College of Medicine SMG-SNU Boramae) (Department of Rehabilitation Medicine Seoul National University Hospital National Traffic Injury Re) (Namdarun Rehabilitation Clinic Yongin) (Department of Physical Medicine and Rehabilitation Soonchunhyang University Hospital Soonchunhyang) (Department of Rehabilitation Medicine Yeouido Saint Mary’s Hospital College of Medicine The Catholi) (Physical Therapy Department of Rehabilitation Medicine Seoul National University Bundang Hospital S) (Department of Rehabilitation Medicine Chungbuk National University College of Medicine Chungbuk Nat) (Department of Orthopaedic Surgery Daejeon Eulji Medical Center Eulji University School of Medicine) (Department of Physical Medicine and Rehabilitation Yeungnam University College of Medicine Daegu) (Department of Internal Medicine Seoul National University Bundang Hospital Seoul National Universit) (Department of Physical and Rehabilitation Medicine Samsung Medical Center Sungkyunkwan University S) (Department of Physical Medicine and Rehabilitation Veterans Health Service Medical Center Seoul) (Department of Physical and Rehabilitation Medicine Chonnam National University Medical School &) (Division of Geriatrics Department of Internal Medicine Asan Medical Center University of Ulsan Coll) (Department of Food and Nutrition Services Hanyang University Hospital Seoul) (Department of Physical Medicine and Rehabilitation Kyung Hee University Hospital at Gangdong Seoul) (Department of Physical Medicine and Rehabilitation Chung-Ang University Hospital Chung-Ang Universi) (Howareyou Rehabilitation Clinic Seoul) (Department of Physical Therapy Eulji University Seongnam) (Department of Rehabilitation Medicine Asan Medical Center University of Ulsan College of Medicine S) (Department of Physical Medicine and Rehabilitation Myongji Hospital Goyang) (Nutrition Team Kyung Hee University Medical Center Seoul) (Department of Rehabilitation Medicine Konkuk University School of Medicine and Medical Center Seou) (Department of Rehabilitation Medicine Daejeon St. Mary’s Hospital College of Medicine The Catholic) (Department of Physical Medicine and Rehabilitation Pusan National University Yangsan Hospital Yangs) (Department of Rehabilitation Medicine St. Vincent’s Hospital College of Medicine The Catholic Unive) (Department of Physical Medicine and Rehabilitation Ulsan University Hospital University of Ulsan Co) (Department of Rehabilitation Medicine Gangnam Severance Hospital Rehabilitation Institute of Neurom) (Department of Nursing Konkuk University Chungju) (Department of Food and Nutrition Hanyang University Seoul) (Department of Rehabilitation Medicine Seoul National University College of Medicine Seoul National) (Occupational Therapy Department of Rehabilitation Medicine Asan Medical Center Seoul) (Department of Rehabilitation Medicine Ewha Woman’s Research Institute and Hospital National Cancer) (Department of Physical Medicine and Rehabilitation Veterans Health Service Medical Center Seoul) (Department of Rehabilitation Medicine Research Institute and Hospital National Cancer Center Goyang) (Department of Orthopaedic Surgery Gyeongsang National University Hospital Jinju Korea) (Department of Physical Medicine and Rehabilitation Kyung Hee University Hospital at Gangdong Seoul) (Department of Rehabilitation Medicine Asan Medical Center University of Ulsan College of Medicine S) (Department of Rehabilitation Medicine Seoul National University College of Medicine Seoul National)
저널정보
대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제45권 제3호
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    초록·키워드

    Objective The incidence of hip fractures is increasing worldwide with the aging population, causing a challenge to healthcare systems due to the associated morbidities and high risk of mortality. After hip fractures in frail geriatric patients, existing comorbidities worsen and new complications are prone to occur. Comprehensive rehabilitation is essential for promoting physical function recovery and minimizing complications, which can be achieved through a multidisciplinary approach. Recommendations are required to assist healthcare providers in making decisions on rehabilitation post-surgery. Clinical practice guidelines regarding rehabilitation (physical and occupational therapies) and management of comorbidities/complications in the postoperative phase of hip fractures have not been developed. This guideline aimed to provide evidence-based recommendations for various treatment items required for proper recovery after hip fracture surgeries. Methods Reflecting the complex perspectives associated with rehabilitation post-hip surgeries, 15 key questions (KQs) reflecting the complex perspectives associated with post-hip surgery rehabilitation were categorized into four areas: multidisciplinary, rehabilitation, community-care, and comorbidities/complications. Relevant literature from four databases (PubMed, EMBASE, Cochrane Library, and KoreaMed) was searched for articles published up to February 2020. The evidence level and recommended grade were determined according to the grade of recommendation assessment, development, and evaluation method. Results A multidisciplinary approach, progressive resistance exercises, and balance training are strongly recommended. Early ambulation, weigh-bearing exercises, activities of daily living training, community-level rehabilitation, management of comorbidities/complication prevention, and nutritional support were also suggested. This multidisciplinary approach reduced the total healthcare cost. Conclusion This guideline presents comprehensive recommendations for the rehabilitation of adult patients after hip fracture surgery.

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