The national clinical audit of falls and bone health: secondary prevention of falls and fractures: a physiotherapy perspective

Goodwin, Victoria, Martin, Finbarr C., Husk, Janet, Lowe, Derek, Grant, Robert and Potter, Jonathan (2010) The national clinical audit of falls and bone health: secondary prevention of falls and fractures: a physiotherapy perspective. Physiotherapy, 96(1), pp. 38-43. ISSN (print) 0031-9406

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Abstract

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.

Item Type: Article
Research Area: Primary care and other community based clinical subjects
Other hospital based clinical subjects
Health services research
Faculty, School or Research Centre: Faculty of Health and Social Care Sciences (until 2013)
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Depositing User: Robert Grant
Date Deposited: 16 Aug 2010 08:53
Last Modified: 16 Aug 2010 08:53
URI: http://eprints.kingston.ac.uk/id/eprint/15652

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