Physical Therapy Management of Older Adults With Hip Fracture

J Orthop Sports Phys Ther. 2021 Feb;51(2):CPG1-CPG81. doi: 10.2519/jospt.2021.0301.


Hip fracture is a leading cause of profound morbidity in individuals aged 65 years and older, ranking in the top 10 causes of loss of disability-adjusted life-years for older adults. Worldwide, the number of people with hip fracture is expected to rise significantly due to the aging population and other factors. Physical therapist management is recommended within medical, surgical, and multidisciplinary clinical practice guideline (CPGs) and is considered to be the standard of care in rehabilitation for people with hip fracture. The goal of this CPG was to review the evidence relevant to physical therapist management and to provide evidence-based recommendations for physical therapy diagnosis, prognosis, intervention, and assessment of outcome in adults with hip fracture. J Orthop Sports Phys Ther 2021;51(2):CPG1-CPG81. doi:10.2519/jospt.2021.0301.

Keywords: Academy of Orthopaedic Physical Therapy; clinical practice guidelines; geriatrics; hip; hip fracture; older adults.

Publication types

  • Practice Guideline

MeSH terms

  • Accidental Falls / prevention & control
  • Aged
  • Hip Fractures / physiopathology
  • Hip Fractures / therapy*
  • Humans
  • Outcome Assessment, Health Care
  • Pain Management
  • Pain Measurement
  • Physical Examination
  • Physical Therapy Modalities*