Effects of tele-rehabilitation compared with home-based in-person rehabilitation for older adult’s function after hip fracture

Mariana Ortiz-Piña, Pablo Molina-Garcia*, Pedro Femia, Maureen C. Ashe, Lydia Martín-Martín, Susana Salazar-Graván, Zeus Salas-Fariña, Rafael Prieto-Moreno, Yolanda Castellote-Caballero, Fernando Estevez-Lopez, Patrocinio Ariza-Vega

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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This study aimed to examine the effect of a multidisciplinary tele-rehabilitation program on functional recovery of older adults with hip fracture compared with home-based in-person rehabilitation. In this single-blinded, non-randomized clinical trial, we included older with hip fracture. The tele-rehabilitation group received a 12-week tele-rehabilitation program (supervised by their family caregivers). The control group received the usual postoperative rehabilitation provided by the Andalusian health system (Spain). The primary outcome was the patient-reported functional status assessed with the Functional Independence Measure. We also measured performance-based functional recovery using the Timed Up and Go Test and Short Physical Performance Battery. We performed both a per-protocol (62 participants; 28 tele-rehabilitation and 34 control groups) and an intention-to-treat analysis (71 participants; 35 tele-rehabilitation and 36 control groups). Participants who used the tele-rehabilitation program had higher Functional Independence Measure scores (high effect size: 0.98 Cohen’s d; p < 0.001) and better performance in the Timed Up and Go Test (medium effect size: 0.63 Cohen’s d; p = 0.025) compared with the control group. Differences between groups post-intervention were not statistically significant in the Short Physical Performance Battery. The tele-rehabilitation intervention proposed in this study is a valuable treatment option in the recovery process for older adults with hip fracture. ClinicalTrials.gov Identifier: NCT02968589.

Original languageEnglish
Article number5493
JournalInternational Journal of Environmental Research and Public Health
Issue number10
Publication statusPublished - 2 May 2021


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