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Validity and responsiveness of Barthel index for measuring functional recovery after hemiarthroplasty for femoral neck fracture.
- Source :
-
Archives of Orthopaedic & Trauma Surgery . Dec2018, Vol. 138 Issue 12, p1671-1677. 7p. 5 Charts, 1 Graph. - Publication Year :
- 2018
-
Abstract
- <bold>Introduction: </bold>To investigate the validity of Barthel Index (BI) compared with de Morton Mobility Index (DEMMI), EuroQol-visual analog scale (EQ-VAS), 2-min walk test (2MWT), and timed get-up-and-go test (TUG), and to evaluate the responsiveness of all outcome measures for assessing functional recovery in older patients who underwent hemiarthroplasty after femoral neck fracture.<bold>Material and Method: </bold>Eighty-one femoral neck fracture patients who were enrolled in a study evaluating functional recovery after bisphosphonate therapy during 2013 to 2015, and who had data available at both baseline and 12 months after surgery were included in this study.<bold>Results: </bold>All scores improved significantly from baseline to the 1-year follow-up. BI had moderate to strong correlation with DEMMI, 2MWT, and TUG (r-value: 0.490-0.843), and mild to moderate correlation with EQ-VAS (r-value: 0.278-0.323). All outcome measurements had high effect estimates. The minimal clinically important difference (MCID) of BI at 12 months was 9.8 points.<bold>Conclusion: </bold>Since BI was shown to have good validity (moderate to strong correlation with DEMMI and performance-based tests, and mild to moderate correlation with EQ-VAS), BI can be used to accurately assess functional recovery in patients who undergo hemiarthroplasty after femoral neck fracture. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HEMIARTHROPLASTY
*FRACTURE fixation
*ORTHOPEDICS
*ORTHOPEDIC surgery
*SURGICAL complications
*CLINICAL trials
*COMPARATIVE studies
*CONVALESCENCE
*BONE fractures
*HIP joint injuries
*RANGE of motion of joints
*LONGITUDINAL method
*RESEARCH methodology
*MEDICAL cooperation
*RESEARCH
*TOTAL hip replacement
*EVALUATION research
*TREATMENT effectiveness
*RETROSPECTIVE studies
*BARTHEL Index
RESEARCH evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 09368051
- Volume :
- 138
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- Archives of Orthopaedic & Trauma Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 132904678
- Full Text :
- https://doi.org/10.1007/s00402-018-3020-z