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BioMed Research International
Volume 2013, Article ID 769645, 8 pages
http://dx.doi.org/10.1155/2013/769645
Clinical Study

Effects of a Rehabilitation Program on Perceived Environmental Barriers in Older Patients Recovering from Hip Fracture: A Randomized Controlled Trial

1Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, P.O. Box 35 (viv), 40014 Jyväskylä, Finland
2Department of Health Sciences, University of Jyväskylä, P.O. Box 35, 40014 Jyväskylä, Finland
3Department of Physiotherapy, Central Finland Central Hospital, Keskussairaalantie 19, 40620 Jyväskylä, Finland
4Department of Physical Medicine and Rehabilitation, Central Finland Central Hospital, Keskussairaalantie 19, 40620 Jyväskylä, Finland
5Department of Medical Rehabilitation, Oulu University Hospital, P.O. Box 21, 90029 Oulu, Finland

Received 24 April 2013; Revised 5 July 2013; Accepted 15 July 2013

Academic Editor: Corina O. Bondi

Copyright © 2013 Erja Portegijs et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. To study effects of a one-year multicomponent intervention on perceived environmental barriers in hip fracture patients. Design. Randomized controlled trial of a 12-month home-based rehabilitation aiming to improve mobility and function (ISRCTN53680197); secondary analyses. Subjects. Community-dwelling hip fracture patients on average 70 days after trauma ( ). Methods. Assessments at baseline, 3, 6, and 12 months later included perceived entrance-related barriers (e.g., indoor/outdoor stairs, lighting, floor surfaces, and storage for mobility devices) and perceived barriers in the outdoor environment (poor street condition, hilly terrain, long-distances, and lack of resting places). Sum scores for entrance-related and outdoor barriers were analyzed using general estimating equation models. Results. At baseline, 48% and 37% of the patients perceived at least one entrance-related barrier, and 62% and 60% perceived at least one outdoor barrier in the intervention and control group, respectively. Over time, ( ) the number of entrance-related barriers decreased in both groups (group ; interaction ). For outdoor barriers, time ( ), group ( ), and interaction effect ( ) were not significant. Conclusion. Our intervention had no additional benefit over standard care in hip fracture patients. Further study is warranted to determine whether perceived environmental barriers can be reduced by interventions targeted at the older individual. This trial is registered with ISRCTN53680197.