Efficacy of Telerehabilitation Programs for Patients Undergoing Hip Fracture Surgery. Systematic Review
Abstract
Introduction: Hip fracture is the leading cause of hospitalization in frail geriatric patients, due to osteoporosis and frequent falls. They affect 18% of women and 6% of men. The global number of hip fractures is expected to increase to 4.5 million by 2050. Surgery remains the predominant treatment of choice, and clinical practice guidelines recommend starting rehabilitation early. However, patients often have difficulty attending physical therapy clinics. Objective: To evaluate the effectiveness of telerehabilitation programs for patients undergoing hip fracture surgery. Materials and Methods: A review was carried out following the PRISMA guidelines. The databases of PubMed, Cinahl, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, CENTRAL, SciELO, and WOS were consulted. The Cochrane tool was used to assess the risk of bias. Results: 59 articles were retrieved from all databases. After applying the inclusion criteria, 5 clinical studies remained. The total sample was 282 patients operated on for hip fractures. The total duration of telerehabilitation ranged from 3 to 12 weeks. All studies showed safety and good tolerability. Conclusions: Telerehabilitation is effective in patients undergoing hip fracture surgery. This method improves mobility, quality of life, effectiveness of falls, anxiety, depression, and supports physical recovery to pre-fracture levels.Downloads
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