Shinichiro Maeshima, MD, PhD, Aiko Osawa, MD, PhD, Daisuke Nishio, RPT, MA, Yoshitake
Hirano, RPT, Hiroshi Kigawa, MD
Jpn J Compr Rehabil Sci 3: 72-77, 2012
Purpose: Factors that influence activities of daily
living (ADL) and the discharge destination of hip
fracture patients hospitalized in convalescent
rehabilitation wards were examined from the viewpoint
of the amount of time spent in rehabilitation sessions
and the duration of hospitalization.
Methods: The study subjects were 50 patients
suffering from hip fracture. We evaluated the preinjury
condition, cognitive function, uninjured side leg
extensor muscle strength, and activities of daily living
(ADL) for each patient. The discharge destination was
generally divided into a ghomeh group and a gfacility/
hospital transferh group, and a comparative examination
was carried out regarding the relationship between the
overall number of rehabilitation sessions conducted,
including physiotherapy and occupational therapy, and
the daily number of sessions.
Results: FIM efficiency declined greatly from 0.32 (n
= 30) for the 4th through 6th weeks after hospitalization
to 0.11 (n = 20) for the 6th to 8th weeks, and in a post
hoc test, a significant difference (p = 0.0069) was
observed in FIM efficiency between weeks 2-4 and
weeks 6-8.
Conclusion: The results suggest that for hip fracture
patients, about 6 weeks after being admitted to a
convalescent rehabilitation ward, post-discharge
guidance including nursing care service and family
coaching is necessary.
Key words: hip fractures, convalescent rehabilitation wards, number of sessions, length of stay