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Review
. 2013 Dec;27(6):771-88.
doi: 10.1016/j.berh.2014.01.001.

Maximising functional recovery following hip fracture in frail seniors

Lauren A Beaupre  1 , Ellen F Binder  2 , Ian D Cameron  3 , C Allyson Jones  4 , Denise Orwig  5 , Cathie Sherrington  6 , Jay Magaziner  7
Affiliations
Review

Maximising functional recovery following hip fracture in frail seniors

Lauren A Beaupre et al. Best Pract Res Clin Rheumatol. 2013 Dec.

Abstract

This review discusses factors affecting recovery following hip fracture in frail older people as well as interventions associated with improved functional recovery. Prefracture function, cognitive status, co-morbidities, depression, nutrition and social support impact recovery and may interact to affect post-fracture outcome. There is mounting evidence that exercise is beneficial following hip fracture with higher-intensity/duration programmes showing more promising outcomes. Pharmacologic management for osteoporosis has benefits in preventing further fractures, and interest is growing in pharmacologic treatments for post-fracture loss of muscle mass and strength. A growing body of evidence suggests that sub-populations - those with cognitive impairment, residing in nursing homes or males - also benefit from rehabilitation after hip fracture. Optimal post-fracture care may entail the use of multiple interventions; however, more work is needed to determine optimal exercise components, duration and intensity as well as exploring the impact of multimodal interventions that combine exercise, pharmacology, nutrition and other interventions.

Keywords: Cognitive impairment; Exercise; Frailty; Hip fracture; Pharmacological management; Rehabilitation.

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Conflict of interest statement

Conflict of interest statement

Drs. Beaupre, Binder, Cameron, Jones, Orwig and Sherrington have no conflicts of interest to declare.

During the past year, Dr. Magaziner reports receiving consulting fees from Ammonett, OrgaNext, Regeneron and Novartis, and grant support from Eli Lilly.

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