Journal article
Rehabilitation Interventions for Older Individuals With Cognitive Impairment Post-Hip Fracture: A Systematic Review
Journal of the American Medical Directors Association, Vol.17(3), pp.200-205
03/01/2016
DOI: 10.1016/j.jamda.2015.10.004
PMCID: PMC4769900
PMID: 26612482
Abstract
Currently, most rehabilitation services for individuals who sustain a hip fracture are not designed to meet the complex needs of those who also have cognitive impairment. The goal of this review was to identify current best practices for rehabilitation in long-term care settings and approaches to optimize outcomes among individuals with dementia and other cognitive impairments post-hip fracture.
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement was used to guide the review. Five electronic databases, including PubMed, EMBASE, CINAHL (EBSCO), Medline (EBSCO), and PsycINFO (EBSCO), were searched for intervention studies published in English language journals. Studies were eligible if they focused on rehabilitation interventions post-hip fracture among older individuals (≥ 65 years) with cognitive impairment who were living in or transferred to long-term care or postacute/rehabilitation settings post-hip fracture. Studies were excluded if they did not enroll individuals with cognitive impairment, the study was descriptive without any intervention content, or the intervention components were only medication, surgical approach or medical treatment.
A total of 4478 records were identified, 1915 of which were duplicative, 2563 were relevant based on title, and after careful review 7 studies were included. Two included studies were randomized controlled trials, one was a single group pre- and post-test, one a descriptive comparison between those with and without cognitive impairment, one a case controlled matched trial, one a nonequivalent groups trial, and one a case report. The interventions varied between manipulating the type and amount of exercise or testing multifactorial issues including environmental interventions and the use of an interdisciplinary team to address psychosocial factors, medication management, use of assistive devices, and specific preferences or concerns of the individuals.
The evidence summarized in this review suggests that it is feasible to implement rehabilitation programs focused on individuals with cognitive impairment in postacute care settings. Moreover, there was evidence to suggest that intensive rehabilitation and exercise activities are beneficial, although innovative approaches may be needed to engage individuals with cognitive impairment.
Details
- Title: Subtitle
- Rehabilitation Interventions for Older Individuals With Cognitive Impairment Post-Hip Fracture: A Systematic Review
- Creators
- Barbara Resnick - Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, MDLauren Beaupre - University of AlbertaKatherine S McGilton - Toronto Rehabilitation InstituteElizabeth Galik - Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, MDWen Liu - University of IowaMark D Neuman - University of PennsylvaniaAnn L Gruber-Baldini - University of Maryland, BaltimoreDenise Orwig - University of Maryland, BaltimoreJay Magaziner - University of Maryland, Baltimore
- Resource Type
- Journal article
- Publication Details
- Journal of the American Medical Directors Association, Vol.17(3), pp.200-205
- DOI
- 10.1016/j.jamda.2015.10.004
- PMID
- 26612482
- PMCID
- PMC4769900
- NLM abbreviation
- J Am Med Dir Assoc
- ISSN
- 1525-8610
- eISSN
- 1538-9375
- Grant note
- AG043548 / NIA NIH HHS P60 AG012583 / NIA NIH HHS K08 AG043548 / NIA NIH HHS R01 AG046217-01 / NIA NIH HHS R01 AG017082 / NIA NIH HHS NR013736-01A1 / NINR NIH HHS P30 AG028747 / NIA NIH HHS R21 NR013736 / NINR NIH HHS
- Language
- English
- Date published
- 03/01/2016
- Academic Unit
- Nursing
- Record Identifier
- 9984370640602771
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