CPG Fun Quiz: Physical Therapy Management of Older Adults With Hip Fracture

Thank you to all of the Authors who helped to create this CPG and for all the expert and public reviewers for your contributions.

CHRISTINE M. MCDONOUGH, PT, PhD • MARCIE HARRIS-HAYES, PT, DPT, MSCI • MORTEN TANGE KRISTENSEN, PT, PhD • JAN ARNHOLTZ OVERGAARD, PT, MSc • THOMAS B. HERRING, DPT • ANNE M. KENNY, MD • KATHLEEN KLINE MANGIONE, PT, PhD, FAPTA

Journal of Orthopaedic & Sports Physical Therapy
Volume 51, Issue 2 • February 2021 • Published online January 31, 2021

https://www.jospt.org/doi/pdf/10.2519/jospt.2021.0301

Question Title

* 1. Which measurement to evaluate pain is recommended in older adults with hip fracture?

Visual Analog Scale (VAS)

Verbal Rating Scale (VRS)

Numeric Rating Scale (NRS)

Question Title

* 2. Should Clinicians provide physical therapy/rehabilitation to patients with mild to moderate dementia using similar interventions and prescriptions as for those without dementia?

Yes

Question Title

* 3. In which of the following settings can progressive strength training of knee-extensor muscles safely instigated after surgery for an acute hip fracture?

Acute care setting

Subacute 24-hour rehabilitation setting

Outpatient setting

Home-based setting

None of the above

Question Title

* 4. Early recovery of pre-fracture basic mobility status, evaluated with the Cumulated Ambulation Score (CAS), reduces risk of mortality and readmission within 30 days of hospital discharge, following surgery for an acute hip fracture.

True

False

Question Title

* 5. The Timed Up & Go test is commonly used to monitor and for the evaluation of progress in the functional mobility level, both in clinical practice and in research, after hip fracture. Different assistive devices are commonly used among patients and at the different time-points during rehabilitation, which might influence the interpretation and comparison of performances. Which of the following devices, used during testing, should performances be interpreted with extra caution?

Please select all that apply.

1 or 2 elbow crutches

Front-wheeled walker

4-legged walker

4-wheeled walker

4-whelled rollator

Question Title

* 6. Which of the following measures is strongly recommended (must or should) to be performed with patients post hip fracture in all practice settings?

Gait Speed

Short Physical Performance Battery

6-minute walk test

SF-36

None of the above

Question Title

* 7. Better functional outcomes have been shown with patients who receive Multidisciplinary management (including orthopaedics, geriatric assessment, physical therapy) versus the standard of care.

True

False

Question Title

* 8. Evidence supports weight-bearing as tolerated as early as possible after surgery based on lack of adverse events or complications and improvements in balance and mobility outcomes.

True

False

Question Title

* 9. Which of the follow risk factors for functional and mortality outcomes after hip fracture can be modified by physical therapy?

Check all that apply

Age

Comorbidities

Lower pre-fracture ADL performance

Dementia

Sex

Post fracture hip pain

Inadequate nutrition

Knee extension strength deficit

Impaired perception and vision

Depressive symptoms

Delayed post-op ambulation

All of the above

None of the above

Question Title

* 10. Slower walking speed is a fall risk factor, and an independent predictor of hip fracture.

True

False

Question Title

* 11. Please add any additional comments about the CPG or Quiz here.

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50% of survey complete.

CPG Fun Quiz: Physical Therapy Management of Older Adults With Hip Fracture

Question Title

Question Title

* 1. Which measurement to evaluate pain is recommended in older adults with hip fracture?

Question Title

* 2. Should Clinicians provide physical therapy/rehabilitation to patients with mild to moderate dementia using similar interventions and prescriptions as for those without dementia?

Question Title

* 3. In which of the following settings can progressive strength training of knee-extensor muscles safely instigated after surgery for an acute hip fracture?

Question Title

* 4. Early recovery of pre-fracture basic mobility status, evaluated with the Cumulated Ambulation Score (CAS), reduces risk of mortality and readmission within 30 days of hospital discharge, following surgery for an acute hip fracture.

Question Title

Question Title

* 6. Which of the following measures is strongly recommended (must or should) to be performed with patients post hip fracture in all practice settings?

Question Title

* 7. Better functional outcomes have been shown with patients who receive Multidisciplinary management (including orthopaedics, geriatric assessment, physical therapy) versus the standard of care.

Question Title

* 8. Evidence supports weight-bearing as tolerated as early as possible after surgery based on lack of adverse events or complications and improvements in balance and mobility outcomes.

Question Title

* 9. Which of the follow risk factors for functional and mortality outcomes after hip fracture can be modified by physical therapy?Check all that apply

Question Title

* 10. Slower walking speed is a fall risk factor, and an independent predictor of hip fracture.

Question Title

* 11. Please add any additional comments about the CPG or Quiz here.

* 9. Which of the follow risk factors for functional and mortality outcomes after hip fracture can be modified by physical therapy?

Check all that apply