PDF(Pubmed)
Abstract：
BACKGROUND: Older people with hip fracture are often medically frail, and many do not regain their walking ability and level of physical activity. The aim of this study was to examine the relationship between pre-fracture recalled mobility, fear of falling, physical activity, walking habits and walking speed one year after hip fracture.
METHODS: The study had a longitudinal design. Measurements were performed 3-5 days postoperatively (baseline) and at one year after the hip fracture. The measurements at baseline were all subjective outcome measures recalled from pre-fracture: The New Mobility Scale (NMS), the \'Walking Habits\' questionnaire, The University of California, Los Angeles (UCLA) Activity Scale, Fear of Falling International (FES-I) and demographic variables. At one year 4-meter walking speed, which was a part of the Short Physical Performance Battery (SPPB) was assessed.
RESULTS: At baseline 207 participants were included and 151 were assessed after one year. Their age was mean (SD) 82.7 (8.3) years (range 65-99 years). Those with the fastest walking speed at one year had a pre-fracture habit of regular walks with a duration of ≥ 30 min and/or a frequency of regular walks of 5-7 days a week. Age (p =.020), number of comorbidities (p <.001), recalled NMS (p <.001), and recalled UCLA Activity Scale (p =.007) were identified as predictors of walking speed at one year. The total model explained 54% of the variance in walking speed.
CONCLUSIONS: Duration and frequency of regular walks before the hip fracture play a role in walking speed recovery one year following the fracture. Subjective outcome measures of mobility and physical activity, recalled from pre-fracture can predict walking speed at one year. They are gentle on the old and medically frail patients in the acute phase after hip fracture, as well as clinically less time consuming.
METHODS: The study had a longitudinal design. Measurements were performed 3-5 days postoperatively (baseline) and at one year after the hip fracture. The measurements at baseline were all subjective outcome measures recalled from pre-fracture: The New Mobility Scale (NMS), the \'Walking Habits\' questionnaire, The University of California, Los Angeles (UCLA) Activity Scale, Fear of Falling International (FES-I) and demographic variables. At one year 4-meter walking speed, which was a part of the Short Physical Performance Battery (SPPB) was assessed.
RESULTS: At baseline 207 participants were included and 151 were assessed after one year. Their age was mean (SD) 82.7 (8.3) years (range 65-99 years). Those with the fastest walking speed at one year had a pre-fracture habit of regular walks with a duration of ≥ 30 min and/or a frequency of regular walks of 5-7 days a week. Age (p =.020), number of comorbidities (p <.001), recalled NMS (p <.001), and recalled UCLA Activity Scale (p =.007) were identified as predictors of walking speed at one year. The total model explained 54% of the variance in walking speed.
CONCLUSIONS: Duration and frequency of regular walks before the hip fracture play a role in walking speed recovery one year following the fracture. Subjective outcome measures of mobility and physical activity, recalled from pre-fracture can predict walking speed at one year. They are gentle on the old and medically frail patients in the acute phase after hip fracture, as well as clinically less time consuming.
摘要：
背景：髋部骨折的老年人通常在医学上很虚弱，许多人没有恢复他们的行走能力和身体活动水平。这项研究的目的是检查骨折前召回活动之间的关系，害怕跌倒，身体活动,髋部骨折后一年的步行习惯和步行速度。
方法：本研究采用纵向设计。测量在术后3-5天（基线）和髋部骨折后一年进行。基线时的测量值都是从骨折前召回的主观结果测量值：新流动性量表（NMS），“行走习惯”问卷，加州大学,洛杉矶（UCLA）活动量表，对国际衰落的恐惧(FES-I)和人口统计学变量。以一年4米的步行速度，对短物理性能电池（SPPB）的一部分进行了评估。
结果：在基线时，纳入了207名参与者，并在一年后评估了151名参与者。他们的年龄为平均（SD）82.7（8.3）岁（范围65-99岁）。那些在一年内行走速度最快的人有骨折前的定期行走习惯，持续时间≥30分钟和/或每周定期行走5-7天。年龄（p=0.020），合并症数量(p<.001)，召回NMS（p<.001），回顾UCLA活动量表（p=.007）被确定为一年步行速度的预测因子。总模型解释了54％的步行速度方差。
结论：髋部骨折前定期步行的持续时间和频率在骨折后一年的步行速度恢复中起作用。移动性和身体活动的主观结果测量，从骨折前召回可以预测一年的步行速度。在髋部骨折后的急性期，他们对老年和医学上虚弱的患者很温和，以及临床上花费更少的时间。
方法：本研究采用纵向设计。测量在术后3-5天（基线）和髋部骨折后一年进行。基线时的测量值都是从骨折前召回的主观结果测量值：新流动性量表（NMS），“行走习惯”问卷，加州大学,洛杉矶（UCLA）活动量表，对国际衰落的恐惧(FES-I)和人口统计学变量。以一年4米的步行速度，对短物理性能电池（SPPB）的一部分进行了评估。
结果：在基线时，纳入了207名参与者，并在一年后评估了151名参与者。他们的年龄为平均（SD）82.7（8.3）岁（范围65-99岁）。那些在一年内行走速度最快的人有骨折前的定期行走习惯，持续时间≥30分钟和/或每周定期行走5-7天。年龄（p=0.020），合并症数量(p<.001)，召回NMS（p<.001），回顾UCLA活动量表（p=.007）被确定为一年步行速度的预测因子。总模型解释了54％的步行速度方差。
结论：髋部骨折前定期步行的持续时间和频率在骨折后一年的步行速度恢复中起作用。移动性和身体活动的主观结果测量，从骨折前召回可以预测一年的步行速度。在髋部骨折后的急性期，他们对老年和医学上虚弱的患者很温和，以及临床上花费更少的时间。
