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Home-Based Multidisciplinary Rehabilitation following Hip Fracture Surgery: What Is the Evidence?

机译：髋部骨折手术后的家庭多学科康复：证据是什么？

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Objective. To determine the effects of multidisciplinary home rehabilitation (MHR) on functional and quality of life (QOL) outcomes following hip fracture surgery.Methods. Systematic review methodology suggested by Cochrane Collboration was adopted. Reviewers independently searched the literature, selected the studies, extracted data, and performed critical appraisal of studies. Summary of the results of included studies was provided.Results. Five studies were included. Over the short-term, functional status and lower extremity strength were better in the MHR group compared to the no treatment group (NT). Over the long-term, the MHR group showed greater improvements in balance confidence, functional status, and lower extremity muscle strength compared to NT group, whereas the effect on QOL and mobility was inconsistent across the studies. Several methodological issues related to study design were noted across the studies.Conclusion. The MHR was found to be more effective compared to the NT in improving functional status and lower extremity strength in patients with hip fracture surgery. Results of this review do not make a strong case for MHR due to high risk of bias in the included studies. Further research is required to accurately characterize the types of disciplines involved in MHR and frequency and dosage of intervention.
机译：目的。为了确定髋关节骨折手术后多学科家庭康复（MHR）对功能和生活质量（QOL）结果的影响。采用了Cochrane Collboration建议的系统评价方法。审稿人独立地搜索文献，选择研究，提取数据并进行研究的严格评估。提供了纳入研究结果的摘要。包括五项研究。在短期内，与未治疗组（NT）相比，MHR组的功能状态和下肢力量更好。从长期来看，与NT组相比，MHR组在平衡信心，功能状态和下肢肌肉力量方面显示出更大的改善，而在整个研究中对QOL和活动性的影响却不一致。在研究中指出了与研究设计相关的几个方法学问题。发现MHR与NT相比在髋部骨折手术患者中改善功能状态和降低下肢力量更有效。由于纳入研究的偏倚风险很高，因此该综述的结果不能作为MHR的有力依据。需要进一步的研究来准确地描述参与MHR的学科类型以及干预的频率和剂量。

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