Key result
Comprehensive geriatric rehabilitation after proximal femoral fracture surgery can improve functional recovery and autonomy.
Why the study?
The aging population is increasing rapidly, necessitating effective rehabilitation programs after orthopedic surgery for proximal femoral fractures to improve functioning and quality of life.
Provides definitions and context for physical and rehabilitation medicine in the context of an aging population.
May support geriatric rehab after proximal femoral fracture surgery in older adults; leaves open need for RCTs to guide practice.
According the prognostics of United Nations 3 the number of people over 60 years will duplicate at 2050.Older population is growing faster than the younger population.4,5 According the data of EUROSTAT the longevity is increasing.6 Physical medicine, rehabilitation, ergo therapyAccording the Definition 7 amended by the Council of the European Union of Medical Specialists (UEMS): "The medical act encompasses all the professional action, e.g.scientific, teaching, training and educational, clinical and medico-technical steps, performed to promote health and functioning, prevent diseases, provide diagnostic or therapeutic and rehabilitative care to patients, individuals, groups or communities in the framework of the respect of ethical and deontological value.It is the responsibility of, and must always be performed by a registered medical doctor / physician or under his or her direct supervision and/or prescription."According the definitions 8,9,10 in the White Book of the specialty Physical and Rehabilitation Medicine (PRM), formulated by the UEMS -PRM Section and Board: PRM is an "independent medical specialty, oriented to the promotion of physical and cognitive functioning, activities (including environment), participation (including quality of life) and changes in personal factors and environment.It is thus responsible for the prevention, diagnosis, treatments and rehabilitation management of people with disabling medical conditions and co-morbidity across all ages."PRM is a "Medicine of Functioning", focusing on the improvement of functioning.Our work is based on the International Classification of Diseases 11 and on the International Classification of Functioning, disability and Health 12 [ICF] (Figure 1). Figure 1 ICF.
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Yoshinov et al. (2020) conducted a review in Proximal femoral fractures. Geriatric rehabilitation was evaluated. A comprehensive geriatric rehabilitation program after orthopedic surgery for proximal femoral fractures can improve functional recovery, autonomy, and quality of life in older patients.
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