ArticleJournal of physical therapy science2026
Physical activity measured using a triaxial accelerometer in early after surgery rehabilitation in patients with hip fracture affects walking ability: a retrospective observational study.
Article in Journal of physical therapy science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
[Purpose] To clarify the association between physical activity measured using a triaxial accelerometer in early after surgery rehabilitation sessions and short-term walking ability in older adult patients with hip fractures and investigate indicators for determining the appropriate intensity and volume of early mobilization. [Participants and Methods] We analyzed 109 patients aged ≥75 years (median, 88.0 years) with hip fractures who underwent surgical treatment. A triaxial accelerometer was used to quantify physical activity. We investigated the association between physical activity (≥1.6 METs) measured early after surgery and walking ability at 1 and 2 weeks after surgery. [Results] The rehabilitation intervention times were 119.0 [104.7-129.3] min/day. Factors associated with walking independence were as follows: 1 week after surgery, fracture type, cognitive function, and physical activity during rehabilitation sessions; 2 weeks after surgery, surgery type, cognitive function, and physical activity during rehabilitation sessions. The cutoff values for physical activity during rehabilitation sessions for determining walking independence were ≥21.6% and ≥17.8% at 1 and 2 weeks after surgery, respectively. [Conclusion] Physical activity during early after surgery rehabilitation sessions affects short-term walking ability. Our findings emphasize the importance of establishing indicators of physical activity and early mobilization during early after surgery rehabilitation sessions.
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