Rehabilitation after pelvic fragility fracture in older adults: a scoping review
- 16.06.2025
- Review
Erschienen in:
- Verfasst von
-
Carina Carter
Carina Carter
- Barts Health NHS Trust, London, UK
-
Stefanny Guerra
Stefanny Guerra
- Bone and Joint Health, Blizard Institute, Faculty of Medicine and Dentistry, Queen Mary, University of London, London, UK
-
Lenise Clothier
Lenise Clothier
- Barts Health NHS Trust, London, UK
-
Sophie Barlow
Sophie Barlow
- Royal National Orthopaedic Hospital NHS Trust, London, UK
-
Rostislav Axenciuc
Rostislav Axenciuc
- Barts Health NHS Trust, London, UK
-
Rhian Milton-Cole
Rhian Milton-Cole
- Bone and Joint Health, Blizard Institute, Faculty of Medicine and Dentistry, Queen Mary, University of London, London, UK
-
Xavier L Griffin
Xavier L Griffin
- Bone and Joint Health, Blizard Institute, Faculty of Medicine and Dentistry, Queen Mary, University of London, London, UK
-
Katie Jane Sheehan
Korrespondierender Autor Katie Jane Sheehan
- Bone and Joint Health, Blizard Institute, Faculty of Medicine and Dentistry, Queen Mary, University of London, London, UK
- Erschienen in
- Osteoporosis International | Ausgabe 7/2025
Abstract
Introduction
To synthesise the evidence available on components of reported rehabilitation interventions following pelvic fragility fracture in older adults and describe outcomes measured.
Methods
A scoping review reported according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Scoping Review extension. A systematic search of Cochrane CENTRAL, Embase, MEDLINE, and PEDro for studies of rehabilitation among patients 60 years and older with non-pathological pelvic fragility fractures, published up to May 2024. Single case studies were excluded. Screening and study selection were completed in duplicate by four independent reviewers. One reviewer completed extraction with accuracy checked by a second reviewer. A narrative synthesis approach was employed with text and tables.
Results
A total of 17 studies reporting on rehabilitation after pelvic fragility fracture were identified. For 13 studies, descriptors were limited to mobilisation strategies, with 9 citing unrestricted mobilisation as the first prescription. Three studies reporting multicomponent, multidisciplinary (physiotherapy-led) rehabilitation interventions across inpatient and community settings, incorporating exercise, psychological components, and education/advice were identified. A total of 31 outcome domains were identified, with key domains including pain, mobility, activities of daily living, quality of life, and mortality. There was an absence of consensus on which patient reported outcome instruments to use to measure relevant domains.
Conclusions
There is overall limited evidence to guide rehabilitation for older adults following fragility fracture of the pelvis. A standardised approach to rehabilitation should be designed which improves outcomes which matter most to those people affected.
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- Titel
- Rehabilitation after pelvic fragility fracture in older adults: a scoping review
- Verfasst von
-
Carina Carter
Stefanny Guerra
Lenise Clothier
Sophie Barlow
Rostislav Axenciuc
Rhian Milton-Cole
Xavier L Griffin
Katie Jane Sheehan
- Publikationsdatum
- 16.06.2025
- Verlag
- Springer London
- Erschienen in
-
Osteoporosis International / Ausgabe 7/2025
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965 - DOI
- https://doi.org/10.1007/s00198-025-07552-8
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