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Sat, Oct 10, 2026
Volume 24, Issue 3 (September 2026)
Iranian Rehabilitation Journal 2026, 24(3): 311-320 |
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Jitmal R, Vongsirinavarat M, Kunanusornchai W, Leelahavarong P, Pramuksun P. Development of Physical Therapy Home-based Rehabilitation Protocol Following Hip Fracture Surgery: A Delphi Study. Iranian Rehabilitation Journal 2026; 24 (3) :311-320
URL: http://irj.uswr.ac.ir/article-1-2710-en.html
URL: http://irj.uswr.ac.ir/article-1-2710-en.html
Rapeepat Jitmal1 
, Mantana Vongsirinavarat *1 , Wanlop Kunanusornchai1 , Pattara Leelahavarong2 , Piyaporn Pramuksun3
, Mantana Vongsirinavarat *1 , Wanlop Kunanusornchai1 , Pattara Leelahavarong2 , Piyaporn Pramuksun3
1- Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.
2- Siriraj Health Policy Unit, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
3- Department of Physical Medicine and Rehabilitation, Bhumibol Adulyadej Hospital, Bangkok, Thailand.
2- Siriraj Health Policy Unit, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
3- Department of Physical Medicine and Rehabilitation, Bhumibol Adulyadej Hospital, Bangkok, Thailand.
Abstract: (1631 Views)
Objectives: This study aimed to develop the therapy protocol based on the international classification of functioning, disability and health framework for home-based rehabilitation following hip fracture surgery.
Methods: A three-round Delphi study was conducted. Eight health professionals involved in hip fracture care were recruited. They were asked to score and provide recommendations regarding home-based rehabilitation following hip fracture surgery. Agreement was considered at least 75%.
Results: Eight experts completed three Delphi rounds. After iterative revisions, all retained components achieved ≥75% consensus, with agreement ranging from 87.5% to 100%. Several key components reached 100% agreement. No significant differences were observed between the second and third rounds (P>0.05), indicating response stability. The final protocol included domains of knowledge, assessment, exercise training, functional mobility, and education.
Discussion: This study developed a home-based physical therapy rehabilitation protocol following hip fracture surgery. This protocol was developed by consensus among health professionals and included all important domains in hip fracture rehabilitation.
Methods: A three-round Delphi study was conducted. Eight health professionals involved in hip fracture care were recruited. They were asked to score and provide recommendations regarding home-based rehabilitation following hip fracture surgery. Agreement was considered at least 75%.
Results: Eight experts completed three Delphi rounds. After iterative revisions, all retained components achieved ≥75% consensus, with agreement ranging from 87.5% to 100%. Several key components reached 100% agreement. No significant differences were observed between the second and third rounds (P>0.05), indicating response stability. The final protocol included domains of knowledge, assessment, exercise training, functional mobility, and education.
Discussion: This study developed a home-based physical therapy rehabilitation protocol following hip fracture surgery. This protocol was developed by consensus among health professionals and included all important domains in hip fracture rehabilitation.
Article type: Original Research Articles |
Subject:
Physiotherapy
Received: 2026/01/8 | Accepted: 2026/06/8 | Published: 2026/09/26
Received: 2026/01/8 | Accepted: 2026/06/8 | Published: 2026/09/26
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