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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-fa.html

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.