With more than 250,000 people in the United States suffering hip fractures each year, how can you improve your chances of a full recovery? In addition to the common physical therapy and rehabilitation for hip injuries, certain home exercise programs exist that can offer increased mobility and improved physical function.
A few facts about those recovering from hip fracture (via CDC):
In 2010, there were 258,000 hospital admissions for hip fractures among people aged 65 and older.
More than 95% of hip fractures are caused by falling, most often by falling sideways onto the hip.
One out of five hip fracture patients dies within a year of their injury.
Women sustain three-quarters of all hip fractures.
How Can You Improve Chances for Hip Recovery?
Nancy K. Latham, Ph.D., P.T., of Boston University, and colleagues randomized 232 functionally limited older adults who had completed traditional rehabilitation after a hip fracture to a home exercise hip rehabilitation program comprising functionally oriented exercises (such as standing from a chair, climbing a step) taught by a physical therapist and performed independently by the participants in their homes for 6 months (n = 120); or in-home and telephone-based cardiovascular nutrition education (n = 112).
Among the 232 randomized patients, 195 were followed up at 6 months and included in the primary analysis. The intervention group (n=100) showed improvement relative to the control group (n=95) in functional mobility on various measures. In addition, balance significantly improved in the intervention group compared with the control group at 6 months.
“The traditional approach to rehabilitation for hip fracture leaves many patients with long-term functional limitations that could be reduced with extended rehabilitation. However, it is unlikely that additional months of highly supervised rehabilitation can be provided to patients with hip fracture,” the authors write.
“Exercise programs are challenging for people to perform on their own without clear feedback about whether they are performing the exercises accurately and safely and without guidance as to how to change the exercises over time. The findings from our study suggest that [the approach used in this study] could be introduced to patients after completion of traditional physical therapy following hip fracture and may provide a more effective way for these patients to continue to exercise in their own homes. However, future research is needed to explore whether the interventions in this trial can be disseminated in a cost-effective manner in real clinical environments.”
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Nova Medical Centers recently announced that all of our medical providers are credentialed with the National Registry of Certified Medical Examiners (NRCME) for the Federal Motor Carrier Safety Administration’s (FMCSA) physical qualifications standards and guidelines to perform Department of Transportation (DOT) physicals.
Nova Medical Centers ensures each of its health care professionals complete the necessary training and testing to meet the certification requirements for the evaluation of CMV drivers. Utilizing Nova’s proprietary software, OCCUFLEX, all parties are able to access real-time, web-based reporting and medical information including DOT exam results instantly.
“Nova Medical Centers is working as a beta test site with FMCSA to report an increasingly large volume of DOT physical exam data daily,” Bruce Meymand, Chief Operating Officer of Nova Medical Centers, said. “This type of innovation is why employers look to Nova as the leader in occupational medicine.”
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Shifting employees with any type of musculoskeletal injury away from hospital emergency rooms and into an occupational medicine center can significantly lower healthcare costs, improve access to care and reduce the impact of extended time missed from work.
Just as retail and urgent care clinics have seen a rise in business over the years for individuals and families, so have occupational medicine facilities for employees. Occupational centers provide services for minor emergencies, injury care, physical therapy and a range of occupational health services.
What these clinics also do is reduce expensive visits to emergency rooms and provide employees with an accessible, professional healthcare alternative. They extend a local health system’s reach and scope of services. The hours, the locations and the consistency of service increase patient satisfaction and help improve recovery times.
As the shortage of physicians continue to effect many towns throughout the U.S., the lack of having a primary care doctor will grow as well. Therefore, for an employee with no primary care doctor, an injury such as carpal tunnel syndrome may initially begin with a costly ER visit and end with continued hospital visits, which are not convenient or nearby for follow-up care, which instead could be treated effectively and efficiently in an occupational medicine center.
Occupational facilities are a win-win — providing employees with improved patient access to health services and providing employers with significant cost savings and a strong and healthy workforce.
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