A single home visit by an occupational therapist reduces the risk of falling after hip fracture in elderly women: a quasi-randomized controlled trial

J Rehabil Med. 2008 Jun;40(6):446-50. doi: 10.2340/16501977-0206.


Objective: To assess the effectiveness of a single home visit by an occupational therapist in the reduction of fall risk after hip fracture in elderly women.

Design: Quasi-randomized controlled trial.

Participants: Ninety-five women aged 60 years or older, living in the community, who sustained a fall-related hip fracture.

Methods: The women were allocated alternately to intervention or control groups. All the women underwent a multidisciplinary programme targeted at fall prevention during in-patient rehabilitation. Additionally, the intervention group received a home visit by an occupational therapist a median of 20 days after discharge. Falls were recorded at a 6-month follow-up.

Results: Thirteen of the 50 women in the control group sustained 20 falls during 9231 days, whereas 6 of the 45 women in the intervention group sustained 9 falls during 8970 days. After adjustment for observation periods, Barthel Index scores, and body height, a significantly lower proportion of fallers was found in the intervention group: the odds ratio was 0.275 (95% confidence interval 0.081-0.937, p=0.039).

Conclusion: A single home visit by an occupational therapist after discharge from a rehabilitation hospital significantly reduced the risk of falling in a sample of elderly women following hip fracture.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Accidental Falls / prevention & control*
  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Female
  • Follow-Up Studies
  • Hip Fractures / complications
  • Hip Fractures / rehabilitation*
  • House Calls*
  • Humans
  • Middle Aged
  • Occupational Therapy*
  • Outcome Assessment, Health Care
  • Risk Factors
  • Workforce