EFFECTIVENESS OF FRAGILITY FRACTURE INTEGRATED REHABILITATION MANAGEMENT FOR IMPROVING ACTIVITY OF DAILY LIVING AND QUALITY OF LIFE IN GERIATRIC POPULATION AFTER HIP FRACTURE

soi: 21- 2017/re-trjvol04iss01p139

Abstract

Objective: The objective of the study was to determine the efficacy of Fragility Integrated Rehabilitation Management (FIRM) on the quality of life and activities of daily living in geriatric population with hip fracture and to reduce the recurrence of hip fracture. Material and Method: A single-group, pretest–posttest design was conducted at Seoul National University for a time period from August 2017 to January 2018 in Bundang Hospital, South Korea. Patients with age of 55 years and above, had diagnosed femoral neck fractures, reduction and internal fixation, intertrochanteric and sub-trochanteric fractures, total hip replacement (THR), bipolar hemi-arthroplasty were included in the study. Quality of life was assessed through the Euro-QOL (EQ-5D) questionnaire, while ADL’s was measured through Modified Barthal Index (MBI). Non-parametric Wilcoxon Sign Rank test was used for pre- post analysis by using SPSS version 21. The level of significance was set at 95% CI (p<0.05). Results: Wilcoxon signed rank test showed a significant improvement in activities of daily living (p<0.05). Furthermore, significant improvement has also been determined in the quality of life (p<0.05), after the 10th Fragility Integrated Rehabilitation Management (FIRM) and 4 Occupational Therapy (OT) sessions. Conclusion: Fragility Integrated Rehabilitation Management showed a significant improvement in the Activities of Daily Living (ADLs) and Quality of Life (QOL).

Keywords: Fragility fracture,geriatric, hip fracture, physical therapy, occupationaltherapy, rehabilitation.