Hip Fracture Rehabilitation: Literature Review
Description
Hip fractures are a major source of disability in older adults. This course, based on six recent peer-reviewed open-access articles, provides rehab professionals with current information on topics relevant to this patient population. The first article summarizes existing literature on the difference in outcomes between internal fixation, hemiarthroplasty, and total hip arthroplasty for femoral neck fractures in older adults. The second article reviews chemical VTE prevention regimens and provides recommendations for intervention after hip or knee arthroplasty. The third article examines complications after hip fracture surgery among patients on Coumadin. The fourth and fifth articles discuss home-based rehabilitation after hip fracture as compared to outpatient or skilled nursing facility care. The final article examines the relationship between measurable sarcopenia and health-related outcomes and mortality rates after hip fracture surgery. The information presented in this course can help improve and update the clinical practice of any rehab professional who treats older patients who have sustained a hip fracture.
Physicourses is an AOTA Approved Provider of professional development. Course approval ID# 6295. This distance learning-independent course is offered at 0.7 CEUs Intermediate Level, OT Service Delivery, Foundational Knowledge. AOTA does not endorse specific course content, products, or clinical procedures.
Available Course Credits
| Alaska State PT & OT Board | 7.00 | ||
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AOTA | 7.00 | |
| Arizona State Board of Physical Therapy | 7.00 | ||
| Arkansas State Board of Physcial Thearpy | 7.00 | ||
| California Physical Therapy Board | 7.00 | ||
| Colorado Division of Professions and Occupations | 7.00 | ||
| Connecticut Department of Public Health | 7.00 | ||
| Delaware Examining Board of Physical Therapists and Athletic Trainers | 7.00 | ||
| District Of Columbia Department of Health | 7.00 | ||
| FPTA | 7.00 | ||
| Georgia State Board of Physical Therapy | 7.00 | ||
| Hawaii Board of Physical Therapy | 7.00 | ||
| Idaho Physical Therapy Licensure Board | 7.00 | ||
| Indiana Physical Therapy Board | 7.00 | ||
| Iowa Board of Physical Therapy and Occupational Therapy | 7.00 | ||
| Kansas State Board of Healing Arts | 7.00 | ||
| Kentucky Board of Physical Therapy | 7.00 | ||
| Louisiana Physical Therapy Board | 7.00 | ||
| Maine Board of Physical Therapy | 7.00 | ||
| Maryland Board of Physical Therapy | 0.70 | ||
| Massachusetts Board of Allied Health Professionals | 7.00 | ||
| Michigan Board of Physical Therapy | 7.00 | ||
| Mississippi State Board of Physical Therapy | 7.00 | ||
| Missouri Advisory Commission for Physical Therapists | 7.00 | ||
| Montana Board of Physical Therapy Examiners | 7.00 | ||
| Nebraska Department of Health and Human Services | 7.00 | ||
| New Mexico Physical Therapy Board | 7.00 | ||
| New York State Education Department | 7.00 | ||
| North Carolina Board of Physical Therapy Examiners | 7.00 | ||
| North Dakota Board of Physical Therapy | 7.00 | ||
| Office of Professional Regulation, Vermont Secretary of State | 7.00 | ||
| Oklahoma Physical Therapy Board | 7.00 | ||
| Oregon Board of Physical Therapy | 7.00 | ||
| Pennsylvania State Board of Physical Therapy | 7.00 | ||
| Physical Therapy Governing Board New Hampshire | 7.00 | ||
| South Carolina Board of Physical Therapy | 7.00 | ||
| South Dakota Physical Therapy License Board | 7.00 | ||
| State of Alabama Board of Physical Therapy | 7.00 | ||
| State of Rhode Island Department of Health | 7.00 | ||
| Tennessee Board of Physical Therapy | 7.00 | ||
| Texas Physical Therapy Association | 7.00 | ||
| Utah Physical Therapy Licensing Board | 7.00 | ||
| Virginia Board of Physical Therapy | 7.00 | ||
| Washington State Board of Physical Therapy | 7.00 | ||
| West Virginia Board of Physical Therapy | 7.00 | ||
| Wisconsin Physical Therapy License Board | 7.00 | ||
| Wyoming Board of Physical Therapy | 7.00 |
Course Content
| 1412 Hip Fracture Rehabilitation: Literature Review | Module | ||
| Course Evaluation | Module |
Sarah R.Stillings, MA, PT, MPT, CHT
Sarah R. (Sally) Stillings is a PT and Certified Hand Therapist in Texas. She received her physical therapy degree from the University of North Carolina at Chapel Hill. Prior to becoming a therapist, Sally taught university-level writing courses and was assistant editor of The Journal of Craniomandibular Practice. In her extensive career as a PT, she has held a variety of clinical, teaching, administrative, and business roles, including general PT practitioner, upper extremity specialist, clinic manager, hand therapy clinic coordinator, continuing education (CE) instructor, and CE course administrator. She has also served as Executive Director of the Kellermann Foundation, a U.S. nonprofit organization supporting healthcare and community development in Uganda, East Africa. Her work now focuses on creating evidence-based CE materials for rehab professionals. Sally is a lifelong runner who celebrates all those who cover the ground.
1412 Hip Fracture Rehabilitation: Literature Review—Course Objectives
After successfully completing this continuing education course, the learner should be able to: 1. Differentiate among the main surgical treatments of choice for femoral neck fractures based on their Garden classifications.
- Identify the pros and cons of cemented vs. noncemented prostheses for femoral neck fractures.
- Recognize the various mechanisms of preventing venous thromboembolism (VTE) after hip or knee arthroplasty based on the pharmaceutical agent that is used, and recall the authors’ recommendations regarding VTE chemical prophylaxis.
- Identify the study design, objectives, strengths, and limitations of the included studies. 5. Indicate the post-hip-fractures outcomes found in the studies, including: a. Complications in patients on Coumadin based on INR value groups
- Factors in whether patients are discharged home or to skilled nursing care c. Differences among inpatient, outpatient, and home-based rehab
- Association between probable sarcopenia and outcomes
- Recall the main conclusions of each article presented.
- Indicate ways in which the information presented in these articles may contribute to functional, occupation-focused practice.
- Identify how application of the information presented may:
- Guide assessment and intervention choices
- Help meet patient-specific rehabilitation goals
- Improve patient outcomes
1412 Hip Fracture Rehabilitation: Literature Review—Table of Contents
Hour 1
Course Instructions 3 About the Authors
Course Description
Course Objectives 6
Introduction 9 Article 1: 10 Surgical treatment of femoral neck fractures: a brief review (15 pages) Hour 2
Article 1 (continued)
Hour 3
Article 2: 11 Review of therapeutic options for the prevention of VTE in TJA (15 pages) Hour 4
Article 2 (continued)
Article 3: 12 Postop complications of hip fracture patients on chronic Coumadin (7 pages) Hour 5
Article 4: 13 Factors determining home vs. rehab discharge following primary TJA (6 pages)
Article 5: 14 Outpatient and home-based treatment…for hip fracture rehab (10 pages) Hour 6
Article 5 (continued)
Article 6: 15 Knee extension strength measures indicating probable sarcopenia (13 pages) Hour 7
Article 6 (continued)
Examination 17 Evaluation 23
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Educational Level: Intermediate
Target Audience: PT, PTA, OT, OTA
Course Completion Requirements: Passing an online exam with 70% or greater will be required to earn continuing education credit
This course is approved for 0.7 CEUS. 7 contact hours
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