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JFSF Vol 6, No 2, June 2021, p.57-65

doi: 10.22540/JFSF-06-057

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Original Article

Can the exercise-based and occupational therapy improve the posture, strength, and mobility in elderly Greek subjects with hip fracture? A non-randomized control trial

Nikolaos Terzis1, Konstantinos Salonikidis2, Paraskevi Apostolara3, Nikolaos Roussos4, Konstantinos Karzis4, Athanasios Ververidis1, Georgios Drosos1

  1. Medical School, Department of Medicine, Democritus University of Thrace, Alexandroupolis, Greece
  2. Laboratory of Neuromechanics, Department of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, Serres, Greece
  3. Nursing Department, Technological Educational Institute, Athens, Greece
  4. General Hospital Asklepieion Voulas, Athens, Greece

Keywords: Aging, Hip fracture, Mobility, Posture, Rehabilitation


Abstract

Objectives: The effects of a rehabilitation program on static balance, mobility, and strength of lower limbs in elderly fallers operated after a hip fracture and non-operated were studied. Methods: Ninety-one elderly (>65 years) were divided in two groups, the Operated Group (OG, 43 fallers) and the Non-Operated Group (NOG, 48 fallers). Posture during bipedal stance (30s), mobility (Up-and-Go, Falls Efficacy Scale, Berg Balance Scale) and isokinetic strength of several muscular groups in both limbs were evaluated before and after a rehabilitation intervention, consisting in 20 sessions (3 sessions/week) including kinesiotherapy and occupational therapy. Results: After intervention, the average velocity of Center of Pressure displacement decreased significantly for OG and NOG (p<0.005). Similarly, all other variables describing static balance, mobility (p<0.05) and isokinetic strength (p<0.005) were improved significantly for both groups. Conclusions: The applied intervention led to improvement in static balance, mobility, and strength of lower limbs after hip fracture. Physical and Rehabilitation Medicine physicians should prescribe evidence-based rehabilitation protocols in elderly fallers because they could show just as remarkable improvements as non-operated patients when the program is carefully designed.