![]() ![]() Moreover, mental health and quality of life are severely impacted by hip fracture. Globally, each hip fracture can cost an estimated $10,075 USD for hospitalisation, and $43,669 for health and social care costs at 1 year. The impact of hip fracture is huge, with significant costs of treatment, rehabilitation, assistance and, in some cases, long-term care. Sustaining a hip fracture is a serious consequence of falls and a leading cause of disability among older adults. However, there remains a need for larger, higher quality randomised controlled trials targeting FoF after hip fracture in order to guide clinical practice. Only two instruments (FES-I and FFQ-R) have been validated for measuring FoF in the hip fracture population. ConclusionįoF is prevalent after hip fracture and is consistently associated with poorer physical function. Exercise-based interventions with or without a psychological component were not effective in reducing FoF after hip fracture compared to a control condition. Ten of 14 intervention studies were considered high risk of bias. FoF after hip fracture was consistently associated with measures of physical function including balance, gait speed, composite physical performance measures and self-reported function. The ‘Falls Efficacy Scale – International’ (FES-I) and ‘Fear of Falling Questionnaire – Revised’ (FFQ-R) were found to be reliable, internally consistent, and valid tools in hip fracture patients. Prevalence rates for FoF after hip fracture ranged between 22.5% and 100%, and prevalence tended to decrease as time progressed post hip fracture. Resultsģ6 studies (37 articles) with 5099 participants were included (mean age 80.2 years and average 78% female). The quality of the studies was appraised using the ‘Risk of Bias Tool for Prevalence Studies’, ‘COSMIN Risk of Bias checklist for Patient-reported outcome measures’, modified version of the ‘Appraisal Tool for Cross-sectional studies’, and the ‘Cochrane Risk of Bias 2’ tools for each research question, respectively. ![]() Data in relation to each research question was extracted and analysed. This review focussed on four research questions: In the hip fracture population: (1) What is the prevalence of FoF? (2) What FoF assessment tools are validated? (3) What is the relationship between FoF and physical function? (4) What interventions are effective for reducing FoF? MethodsĪ systematic search was undertaken in EBSCO Health, Scopus and PsychINFO in January 2021 (and updated December 2022) for articles on FoF after hip fracture. An updated systematic review to synthesize existing literature on FoF after hip fracture is needed. Fear of falling (FoF) and related constructs (balance confidence and falls efficacy) may impede rehabilitation after hip fracture. Hip fracture is a common and debilitating injury amongst older adults. ![]()
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