Author/Editor		Lukšič-Gorjanc, Mateja; Burger, Helena
Title		Ocenjevanje izida rehabilitacije po zlomu kolka v Zdravilišču Dolenjske Toplice
Translated title		Evaluation of rehabilitation outcomes after hip fractures in the health resort Dolenjske Toplice
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 73, št. 12
Publication year		2004
Volume		str. 933-7
Language		slo
Abstract		Background. Hip fracture is common among elderly people. It leads to immediate inability to walk, which may be dangerous for an older person. Consequences of hip fractures are impairments of body structure and functions and problems at activities. The aim of the present work was to find whether Functional Independence Measure and thc 9-minute walking test were appropriate for outcome measurement in health resorts. Additional aims were to find whether a third week of rehabilitation improved the rehabilitation outcome in subjects after hip fracture and which subjects would benefit, from longer rehabilitation. Methods. Functional Independence Measure (FIM) and the nine-minute walking test were performed at the admission and at the discharge of 60 subjects after hip fracture who had received rehabilitation in the Health Resort Dolenjske Toplice. Results. The subjects had higher FIM scores and walked longer distances after two weeks of rehabilitation (p < 0.05). The greatest improvement was achieved in the motor part of FIM. The subjects who had received rehabilitation for three weeks had a lower FIM score at the admission than the subjects who had received rehabilitation for only two weeks (p < 0.05) More subjects from the first group did not walk at the admission. Conclusions. Functional Independence Measure and the 9-minute walking test are appropriate for outcome measurement in health resorts.
Summary		Izhodišča. Zlom kolka je pogosta poškodba starejših. Povzroči takojšnjo nepomičnost, ki je za starejšega poškodovanca zaradi zapletov lahko usodna. Posledice zloma so okvare in težave pri opravljanju aktivnosti, zato bolniki potrebujejo rehabilitacijo. Namen našega dela je bil ugotoviti, ali sta Lestvica funkcijske neodvisnosti (FIM) in test devet minut hoje primerna za ocenjevanje izida rehabilitacije pri osebah po zlomu kolka v naravnem zdravilišču. Zanimalo nas je tudi, ali dodatni teden izboljša izid rehabilitacije in pri katerih osebah je smiselno rehabilitacijo podaljšati. Metode. Pri 60 osebah, ki so bile po zlomu kolka na rehabilitaciji v Zdravilišču Dolerajske Toplice, smo ob sprejemu in odpustu ocenili funkcijsko neodvisnost z lestvico FIM in opravili test devet minut hoje. Rezultati. Po dveh tednih rehabilitacije bolniki dosežejo višjo oceno po FIM-u in prehodijo daljšo razdaljo v devetih minutah (p < 0,05). Napredek je bil največji v motoričnem delu FIMa. Osebe, ki so bile na rehabilitaciji tri tedne, so imele nižje ocene FIM ob sprejemu kot osebe, ki so bile na rehabilitaciji le dva tedna (p < 0, O5) in več jih ob sprejemu ni hodilo. Zaključki. Ugotovili smo, da sta ocenjevalna lestvica FIM in test devet minut hoje primerna za ocenjevanje izida rehabilitacije v naravnem zdravilišču.
Descriptors		HIP FRACTURES GAIT ACTIVITIES OF DAILY LIVING