Rehabilitation After Hip Fracture Surgery in Older Adults: Early Mobilization in Hospital and Home-Based Exercise After Discharge

Physical therapists and physical therapist assistants who treat older adults after hip fracture surgery in acute care, inpatient rehabilitation, skilled nursing, home health or outpatient settings.

Licensed physical therapists and physical therapist assistants. Also relevant to occupational therapists, nurses and rehabilitation managers involved in hip fracture care pathways.

Intended audience

Physical Therapy

Level

Intermediate

Delivery format

Online, asynchronous, self-paced course: interactive reading with audio or video, and a scored post-test.

Based on

This course is built on two peer-reviewed systematic reviews with meta-analysis:

• Zhao L, Zhao X, Dong B, Li X. Effectiveness of home-based exercise for functional rehabilitation in older adults after hip fracture surgery: A systematic review and meta-analysis of randomized controlled trials. PLoS One. 2024;19(12):e0315707. doi:10.1371/journal.pone.0315707
• Sarkies MN, Testa L, Carrigan A, Roberts N, Gray R, Sherrington C, Mitchell R, Close JCT, McDougall C, Sheehan K. Perioperative interventions to improve early mobilization and physical function after hip fracture: a systematic review and meta-analysis. Age Aging. 2023;52(8). doi:10.1093/ageing/afad154

After completing this course, you will be able to:

1. Describe what the home-based exercise review and the perioperative interventions review each found regarding mobility and physical function after hip fracture surgery, and how certain the authors were about each finding.
2. Distinguish the outcomes that improved from those that showed no clear difference in each review, including the outcomes on which the two bodies of evidence say different things.
3. State the limitations the authors of both reviews identified and explain what each review's conclusions could mean for care from the hospital ward through to home.

1. Start Here: How This Course Works
2. Audio Overview: Hip Fracture Rehabilitation From Ward to Home (about 24 minutes)
3. Why Home-Based Exercise After Hip Fracture Was Reviewed
4. Who Was in the Home-Based Exercise Trials
5. How the Home-Based Exercise Review Was Conducted
6. What Home-Based Exercise Improved and What It Did Not
7. Timing, Program Type and Safety in the Home-Based Trials
8. Limits of the Home-Based Exercise Evidence and What the Authors Concluded
9. Why Perioperative Care Was Reviewed for Mobilization and Function
10. Who Was Studied and How the Perioperative Review Was Built
11. What Helped People Move Earlier in Hospital
12. What Showed No Effect in the Perioperative Review
13. Limits of the Perioperative Evidence and the Authors' Conclusions
14. Where the Two Reviews Agree
15. Where the Two Reviews Diverge and Who Found What
16. From Ward to Home: What the Evidence Supports at Each Stage
17. Key Takeaways
18. Post-Test and Course Evaluation

Quinn Millington, PT, DPT, ECS is the instructor of record: the licensed clinician who reviewed this course and signed off on it. The name and credentials print on the certificate.

Disclosures. This course was developed by The ConEd Solution, which has a financial interest in its sale. No outside funding or sponsorship was received. The instructor of record has no affiliation with the authors of the source publication or their institutions.

This course awards 1.0 contact hour (60 min). How you earn them:

1. Complete the course. Every lesson, in order.
2. Pass the post-test. Score 80% or higher. Retakes are allowed.
3. Complete the evaluation. A short form rating each learning objective and the course.
4. Download your certificate. It is issued on completion and stays available in My Account.

The episode time is its measured length. Reading, post-test and evaluation times are estimates.

This course is designed to satisfy the quality requirements state boards set for continuing education. Requirements vary by state, and confirming that a course fits your renewal is up to you. Each state’s own acceptance statement is in the credit panel on this page.

1. Zhao L, Zhao X, Dong B, Li X. Effectiveness of home-based exercise for functional rehabilitation in older adults after hip fracture surgery: A systematic review and meta-analysis of randomized controlled trials. PLoS One. 2024;19(12):e0315707. doi:10.1371/journal.pone.0315707
2. Sarkies MN, Testa L, Carrigan A, Roberts N, Gray R, Sherrington C, Mitchell R, Close JCT, McDougall C, Sheehan K. Perioperative interventions to improve early mobilisation and physical function after hip fracture: a systematic review and meta-analysis. Age Ageing. 2023;52(8). doi:10.1093/ageing/afad154