TY - JOUR
T1 - The national clinical audit of falls and bone health
T2 - secondary prevention of falls and fractures: a physiotherapy perspective
AU - Goodwin, Victoria
AU - Martin, Finbarr C.
AU - Husk, Janet
AU - Lowe, Derek
AU - Grant, Robert
AU - Potter, Jonathan
PY - 2010/3
Y1 - 2010/3
N2 - OBJECTIVE: To establish current physiotherapy practice in the secondary management of falls and fragility fractures compared with national guidance. DESIGN: Web-based national clinical audit. PARTICIPANTS: Acute trusts (n=157) and primary care trusts (n=146) in England, Wales and Northern Ireland. RESULTS: Data were collected on 5642 patients with non-hip fragility fractures and 3184 patients with a hip fracture. Those patients who were bedbound or who declined assessment or rehabilitation were excluded from the analysis. Results indicate that of those with non-hip fractures, 28% received a gait and balance assessment, 22% participated in an exercise programme, and 3% were shown how to get up from the floor. For those with a hip fracture, the results were 68%, 44% and 7%, respectively. CONCLUSIONS: Physiotherapists have a significant role to play in the secondary prevention of falls and fractures. However, along with managers and professional bodies, more must be done to ensure that clinical practice reflects the evidence base and professional standards.
AB - OBJECTIVE: To establish current physiotherapy practice in the secondary management of falls and fragility fractures compared with national guidance. DESIGN: Web-based national clinical audit. PARTICIPANTS: Acute trusts (n=157) and primary care trusts (n=146) in England, Wales and Northern Ireland. RESULTS: Data were collected on 5642 patients with non-hip fragility fractures and 3184 patients with a hip fracture. Those patients who were bedbound or who declined assessment or rehabilitation were excluded from the analysis. Results indicate that of those with non-hip fractures, 28% received a gait and balance assessment, 22% participated in an exercise programme, and 3% were shown how to get up from the floor. For those with a hip fracture, the results were 68%, 44% and 7%, respectively. CONCLUSIONS: Physiotherapists have a significant role to play in the secondary prevention of falls and fractures. However, along with managers and professional bodies, more must be done to ensure that clinical practice reflects the evidence base and professional standards.
KW - Primary care and other community based clinical subjects
UR - http://www.ncbi.nlm.nih.gov/pubmed/20113761
U2 - 10.1016/j.physio.2009.07.003
DO - 10.1016/j.physio.2009.07.003
M3 - Article
C2 - 20113761
SN - 0031-9406
VL - 96
SP - 38
EP - 43
JO - Physiotherapy
JF - Physiotherapy
IS - 1
ER -