PHYSIOTHERAPEUTIC TREATMENT OF ELDERLY PEOPLE WITH HIP FRACTURE: CLINICAL PRACTICE GUIDELINE

Abstract

Hip fracture is a major global public health problem, with a significant impact on mortality, functional disability, and hospital costs. According to the 2021 Clinical Practice Guidelines of the American Physical Therapy Association and the Journal of Orthopaedic & Sports Physical Therapy, hip fracture is strongly related to population aging, frailty, osteoporosis, and low-energy falls. This paper delves into, in a detailed and well-founded manner, the recommendations for physiotherapists involving functional diagnosis, standardized assessment, structured interventions, interprofessional management, and progressive rehabilitation strategies. It also includes epidemiological data, fracture types, risk factors, biomechanical characteristics, and clinical evolution, relying exclusively on evidence selected from systematic reviews and meta-analyses included in the document. The study demonstrates that early and prolonged physiotherapy intervention is crucial for functional recovery, prevention of complications, and reduction of mortality, with the use of validated measures such as TUG, SPPB, AM-PAC, SF-36, and Gait Speed ​​Test being essential.