Proposed Topic (Most preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors (including presenting author) :
Chow TC (1), Chan YLD (1), Lau WLC (1), Lee YT (1), Kan HY (1), Cheung CY (1), Lau KF (1)
Affiliation :
(1) Department of Occupational Therapy, Kowloon Hospital
Introduction :
Hip fracture is a debilitating injury that can lead to significant impairments in functional independence. Local rehabilitation hospitals have established occupational therapy services for post-hip fracture rehabilitation by offering predominantly component-based training. Recent evidence suggests that task-oriented training may be more effective than component-focused training in promoting functional improvements during rehabilitation. Task-oriented exercises emphasize direct relevance to daily life. In contrast to conventional training that primarily targets specific deficits such as range of motion, group task-oriented training focus on integrating environmental considerations and replicating real-life conditions. This helps patients to adapt to changing environments, and promote skill integration in post-discharge life. When conducted in a group therapy session, patients are expected to benefit from peer support and social interaction that result in greater satisfaction. Our study is intended to investigate the effects of implementing group task-oriented training on hip fracture patients in enhancing functional performance and fall efficacy.
Objectives :
* To investigate whether implementing group task-oriented circuit training can improve functional outcomes and fall self-efficacy for hip fracture patients
* To compare the effects of improvement of functional outcomes and fall self-efficacy between group task-oriented circuit training and conventional component-based training
* To evaluate patient’s level of satisfaction towards the group task-oriented circuit training model in facilitating their functional participation
Methodology :
Around 18 hip fracture patients, aged 60 or above living in community before admission, will be recruited from Occupational Therapy Department to undergo group task-oriented circuit training. Retrospective data of an equivalent number of patients who underwent conventional component-based training will be retrieved from medical. Group Task-oriented Circuit Training (GTCT) is an enhancement of the current conventional rehabilitation training. ADL zones are set up according to areas of daily activities, each with multiple stations of remedial activities. Patient will receive task-oriented training exercises in each zone arranged in a circuit, followed by a circuit group therapy session daily. In contrast with the conventional training, the new model offers more comprehensive, daily life related individual and group therapy. Modified Barthel Index (MBI) and Fall Efficacy Scale (FES) will be used to evaluate subjects’ performance on admission and before discharge. A survey will be conducted to collect their feedback towards their satisfaction of the group training.
Result & Outcome :
Group task-oriented circuit training is expected to deliver positive improvement in ADL performance and fall efficacy. The findings of this research will contribute to informing future clinical practice and enhancing hip fracture rehabilitation outcomes.
