Physiotherapy following fragility fractures

Injury. 2018 Aug;49(8):1413-1417. doi: 10.1016/j.injury.2018.06.026. Epub 2018 Jun 21.

Abstract

Physiotherapy can play a vital role in the pathway of care of people after fragility fracture and includes interventions of early mobilisation and prescription of structured exercise programmes for maximising functional recovery and reducing the risk of falls and further fractures. Although the optimal nature of physiotherapist interventions after hip and vertebral fracture requires further investigation in large-scale trials, evidence supports the prescription of high-intensity and extended exercise interventions. This article will overview interventions in the acute and chronic phases after hip fractures, interventions after vertebral fracture and the role of physiotherapy in the prevention of further fractures.

Keywords: Exercise; Fragility fractures; Physical therapy; Rehabilitation.

Publication types

  • Review

MeSH terms

  • Accidental Falls / prevention & control
  • Aged
  • Aged, 80 and over
  • Early Ambulation / methods*
  • Evidence-Based Practice
  • Frail Elderly
  • Humans
  • Osteoporotic Fractures / physiopathology
  • Osteoporotic Fractures / rehabilitation*
  • Patient Education as Topic
  • Physical Therapy Modalities*
  • Secondary Prevention / methods*