Physiotherapy works: Hip fracture
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Physiotherapy and rehabilitation increases function, reduces falls and improves quality of life
What is a hip fracture?
The hip is a ball-and-socket joint formed between the femur (thigh bone)
and the pelvis.Hip fractures commonly occur in the femur just below the
ball part of the joint and, in an ageing population, present a major
health and social care problem and the commonest reason for admission to
an orthopaedic trauma ward.
50% of people with hip fracture will be left with long term disability
Hip fractures in older adults often occur as a result of falling and may
happen more readily than in a younger population due to bone fragility.
Fragility fractures may also affect the wrist, arm and spine, but the
most serious fragility fractures occur at the hip and result from low
level trauma caused by mechanical forces that would not ordinarily
result in a fracture.(2) Hip fractures are the commonest
cause of accident-related death in older people – 20% die within four
months and 30% within a year.
Size of the problem
The health and
social care costs of fragility fractures are estimated at £2 billion per
year in the UK, most of which relates to hip fracture.(12)
Of total costs 45% is for acute care, 50% for social care and long term hospitalisation, and 5% drugs and follow-up.(9)
- 76,000 people per year suffer a hip fracture.(5)
- 76% of fractures occur in women.(10)
- Average age for a hip fracture is 84 years for men and 83 years for women.(10)
- 10% of people die within 1 month and approximately one third within 12 months.(5)
- 50% of people who have a hip fracture will be left with long term disability.(11)
- Only 30% of people fully recover.(1)
- Hip fracture incidence is expected to rise from 70,000 per year in
2006, to 91,500 in 2015, to 101,000 in 2020 due to an ageing population.(1)
Physiotherapy and hip fracture
Physiotherapists use specialist skills to provide evidence-based high
quality assessment and rehabilitation to people with hip fractures at
all stages of their care.
Prior to surgery, detailed assessment provides a clear understanding
of a person’s mobility and independence before their hip fracture.
This aids effective rehabilitation planning, which can contribute to shorter length of hospital stay.
Rehabilitation that starts soon after surgical repair of a hip fracture improves mobility,(4)
and it is recommended that all patients should have an assessment by a
physiotherapist the day following surgery, with regular reviews and
daily rehabilitation until discharge.(5)
Following discharge regular and frequent rehabilitation should be
provided at home or in outpatient settings to improve leg strength,
balance and mobility, helping people to regain useful function and
reducing the risk of complications.(5-7) Recent investigation
by the CSP has identified a gap in provision for people following hip
fracture, with many having to wait at least two weeks to receive
rehabilitation in the community.
Physiotherapists lead evidence-based falls prevention programmes
including strength and balance training in community and hospital
settings, which have been shown to reduce the risk of falls in older
adults.(8) Based on 2009/10 costs, each hip fracture prevented has been estimated to save £16,000 in health and social care costs.(9)
Well designed and appropriately funded physiotherapyservices can
provide excellent rehabilitation for people recovering from a hip
The innovative Bradford Teaching Hospitals NHS Foundation Trust Early
Supported Discharge (ESD) pathway helps people regain their
independence and function following hip fracture or other orthopaedic
problems. The ESD team of physiotherapists, OTs and therapy assistants
provide a direct link between acute and community services, delivering
intensive post-discharge rehabilitation immediately patients return
The team undertakes home visits twice a day for an average of 5
days, focusing on setting individual goals to promote independence
and optimise recovery. Liaison with other agencies helps to ensure
people receive the help they need to return to their normal lifestyle.
Between 2011-2013 the service saved the Trust a total of 2,698
orthopaedic bed days, equating to an estimated cost saving of more than
£600,000. Readmission rates fell from 10-12% to 5-6%. Other outcomes
included a reduction in falls risk, and standard measures evidenced
clinical improvements of between 25-50%.
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Our Physio & Rehab Expertise
Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
Areas of specialization
- physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
- hand therapy: forearm, wrist, hand and fingers
- podiatrist: leg, calf, ankle, foot and toes
- read more on our specializations here
All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.
Initially, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover. They then provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
To call for inquiries or appointments, please contact us at:
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SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
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We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.
The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.
The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at xx, thanks!