dc.contributor.author | Sheehan, KJ | en_US |
dc.contributor.author | Fitzgerald, L | en_US |
dc.contributor.author | Lambe, K | en_US |
dc.contributor.author | Martin, FC | en_US |
dc.contributor.author | Lamb, SE | en_US |
dc.contributor.author | Sackley, C | en_US |
dc.date.accessioned | 2024-04-16T14:48:32Z | |
dc.date.available | 2021-05-23 | en_US |
dc.date.issued | 2021-06-19 | en_US |
dc.identifier.uri | https://qmro.qmul.ac.uk/xmlui/handle/123456789/96171 | |
dc.description.abstract | UNLABELLED: There is limited evidence from 11 randomised controlled trials on the effect of rehabilitation interventions which incorporate outdoor mobility on ambulatory ability and/or self-efficacy after hip fracture. Outdoor mobility should be central (not peripheral) to future intervention studies targeting improvements in ambulatory ability. PURPOSE: Determine the extent to which outdoor mobility is incorporated into rehabilitation interventions after hip fracture. Synthesise the evidence for the effectiveness of these interventions on ambulatory ability and falls-related self-efficacy. METHODS: Systematic search of MEDLINE, Embase, PsychInfo, CINAHL, PEDro and OpenGrey for published and unpublished randomised controlled trials (RCTs) of community-based rehabilitation interventions incorporating outdoor mobility after hip fracture from database inception to January 2021. Exclusion of protocols, pilot/feasibility studies, secondary analyses of RCTs, nonrandomised and non-English language studies. Duplicate screening for eligibility, risk of bias, and data extraction sample. Random effects meta-analysis. Statistical heterogeneity with inconsistency-value (I2). RESULTS: RCTs (n = 11) provided limited detail on target or achieved outdoor mobility intervention components. There was conflicting evidence from 2 RCTs for the effect on outdoor walking ability at 1-3 months (risk difference 0.19; 95% confidence intervals (CI): 0.21, 0.58; I2 = 92%), no effect on walking endurance at intervention end (standardised mean difference 0.05; 95% CI: - 0.26, 0.35; I2 = 36%); and suggestive (CI crosses null) of a small effect on self-efficacy at 1-3 months (standardised mean difference 0.25; 95% CI: - 0.29, 0.78; I2 = 87%) compared with routine care/sham intervention. CONCLUSION: It was not possible to attribute any benefit observed to an outdoor mobility intervention component due to poor reporting of target or achieved outdoor mobility and/or quality of the underlying evidence. Given the low proportion of patients recovering outdoor mobility after hip fracture, future research on interventions with outdoor mobility as a central component is warranted. TRIAL REGISTRATION: PROSPERO registration: CRD42021236541. | en_US |
dc.format.extent | 99 - ? | en_US |
dc.language | eng | en_US |
dc.relation.ispartof | Arch Osteoporos | en_US |
dc.rights | This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. | |
dc.subject | Falls efficacy | en_US |
dc.subject | Fracture neck of femur | en_US |
dc.subject | Home-based | en_US |
dc.subject | Physiotherapy | en_US |
dc.subject | Walking | en_US |
dc.subject | Accidental Falls | en_US |
dc.subject | Hip Fractures | en_US |
dc.subject | Humans | en_US |
dc.subject | Self Efficacy | en_US |
dc.subject | Walking | en_US |
dc.title | Effectiveness of community-based rehabilitation interventions incorporating outdoor mobility on ambulatory ability and falls-related self-efficacy after hip fracture: a systematic review and meta-analysis. | en_US |
dc.type | Article | |
dc.rights.holder | © The Author(s) 2021 | |
dc.identifier.doi | 10.1007/s11657-021-00963-0 | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/34148132 | en_US |
pubs.issue | 1 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published online | en_US |
pubs.volume | 16 | en_US |
dcterms.dateAccepted | 2021-05-23 | en_US |
rioxxterms.funder | Default funder | en_US |
rioxxterms.identifier.project | Default project | en_US |