An evaluation of the usefulness of Comprehensive Geriatric Assessment in patients after a fracture within the proximal femoral epiphysis while staying at a nursing home – a pilot study

Q3 Health Professions Physiotherapy Quarterly Pub Date : 2023-01-01 DOI:10.5114/pq.2023.125752

Wioletta Dziubek, J. Kowalska

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Abstract

Introduction. The aim of this study was to evaluate the usefulness of Comprehensive Geriatric Assessment (CGA) in patients after a fracture within the proximal femoral epiphysis, staying at a nursing home (NH). Methods. The study was conducted at a NH centre on 15 people after a fracture within the proximal femoral epiphysis (mean aged 76.9 ± 10.8). The CGA assessment was performed twice: before and after a 12 week stay at the centre. Physiotherapy was carried out five times a week for one hour (Monday to Friday). Results. The analysis showed a significant improvement in the Activities of daily Living scale (AdL). in the case of the physical condition of the patients, the physiotherapy led to significant improvements, predominantly in the gait and balance of the patients. Significant correlations, at the start and end of the study, were found between the AdL and Tinetti scale. Conclusions. There was a significant relationship found between the functional status and physical health of the patients undergoing physiotherapy staying at the NH. The systematic 3-month physiotherapy significantly improved the functional and physical condition of elderly patients. CGA can be a tool for evaluating the efficacy of the rehabilitation process of elderly patients staying at a NH. The results are a pilot study, but confirm that CGA can and should be routinely used in geriatric centres in Poland.

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综合老年评估在住院期间股骨近端骨骺骨折患者中的有效性评估——一项初步研究

介绍。本研究的目的是评估综合老年评估(CGA)对住在养老院(NH)的股骨近端骨骺骨折患者的有用性。方法。该研究是在NH中心对15名股骨近端骨骺骨折患者(平均年龄76.9±10.8岁)进行的。CGA评估进行了两次:在中心停留12周之前和之后。物理治疗每周进行5次，每次1小时(周一至周五)。结果。分析显示，日常生活活动量表(AdL)有显著改善。在病人的身体状况方面，物理治疗带来了显著的改善，主要是在病人的步态和平衡方面。在研究开始和结束时，AdL和Tinetti量表之间发现了显著的相关性。结论。在NH接受物理治疗的患者的功能状态与身体健康之间存在显著的关系。系统的3个月物理治疗明显改善了老年患者的功能和身体状况。CGA可作为评估老年住院患者康复过程疗效的工具。结果是一项试点研究，但证实了CGA可以而且应该在波兰的老年中心常规使用。

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来源期刊

Physiotherapy Quarterly Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

0.80

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Physiotherapy Quarterly ISSN 2544-4395 (formerly Fizjoterapia ISSN 1230-8323) is an international scientific peer-reviewed journal, published in both paper and electronic format by the University School of Physical Education in Wroclaw, Poland. The original version of the journal is its paper issue. The Editorial Office accepts original papers on various aspects of physiotherapy and rehabilitation for publication. Manuscripts in basic science and clinical physiotherapy science are published at the highest priority. Letters to the Editor, reports from scientific meetings and book reviews are also considered. Physiotherapy Quarterly publishes papers that show depth, rigor, originality and high-quality presentation. The scope of the journal: evidence-based rehabilitation; the mechanisms of function or dysfunction; modern therapy methods; best clinical practice; clinical reasoning and decision-making processes; assessment and clinical management of disorders; exploration of relevant clinical interventions; multi-modal approaches; psychosocial issues; expectations, experiences, and perspectives of physiotherapists. Quantitative, qualitative and mixed methods research articles are welcomed, together with systematic and high-quality narrative reviews.