{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T22:24:03Z","timestamp":1778451843714,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T00:00:00Z","timestamp":1353456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine whether functional performance upon hospital discharge is influenced by pain in the region of the hip fracture or related to the fracture type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A 20\u2010bed orthopedic hip fracture unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>Fifty\u2010five cognitively intact patients (20 men and 35 women; ages 75.8 \u00b1 10 years), 33 with a cervical hip fracture and 22 with an intertrochanteric hip fracture, all of whom were allowed to bear full weight after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients were evaluated upon discharge from the hospital to their own homes at a mean of 10 \u00b1 6 days after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measurements<\/jats:title><jats:p>The Timed Up &amp; Go (TUG) test, supervised by a physical therapist, was used to evaluate functional performance, and a 5\u2010point verbal ranking scale (0 = no pain to 4 = intolerable pain) was used to evaluate pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients took an average of 22.7 \u00b1 11.7 seconds to perform the TUG. No significant differences were observed in baseline characteristics or pain medication given for patients with a cervical versus an intertrochanteric fracture (<jats:italic>P<\/jats:italic> \u2265 .22), but patients with an intertrochanteric fracture presented more often with moderate to severe pain during testing (<jats:italic>P<\/jats:italic> &lt; .001), with associated poorer performances on the TUG test (29.4 \u00b1 12.8 seconds versus 18.3 \u00b1 8.5 seconds). Univariate analysis showed that TUG scores were associated with age, prefracture function evaluated by the New Mobility Score, fracture type, day of TUG performance, and pain intensity. Multivariate linear regression analyses (fracture type not included) showed that only greater age (B = 0.34), low prefracture function (B = 7.9), and experiencing moderate to severe pain (B = 8.7) were independently associated with having a poorer TUG score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hip fracture\u2212related pain primarily compromises the functional performance of patients with an intertrochanteric hip fracture upon discharge from hospital. Physical therapists should be involved in new and optimized fracture\u2010type stratified pain management strategies.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2012.10.006","type":"journal-article","created":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T13:01:48Z","timestamp":1353502908000},"page":"135-141","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Hip Fracture\u2212Related Pain Strongly Influences Functional Performance of Patients With an Intertrochanteric Fracture Upon Discharge From the Hospital"],"prefix":"10.1002","volume":"5","author":[{"given":"Morten Tange","family":"Kristensen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,21]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2011.05.013"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1159\/000315490"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52566.x"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01675"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2007.03.012"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aen345"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(02)00458-X"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2008.02611.x"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03293.x"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1991.tb01616.x"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2010.487240"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.05.013"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2010.01.021"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2010.02373.x"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(99)00092-5"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200506000-00020"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(00)00113-5"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.02063.x"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0217"},{"key":"e_1_2_7_21_2","first-page":"A4447","article-title":"Most patients regain prefracture basic mobility after hip fracture surgery in a fast\u2010track programme","volume":"59","author":"Kristensen M.T.","year":"2012","journal-title":"Dan Med J"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B5.8376443"},{"key":"e_1_2_7_23_2","first-page":"111","article-title":"New classification of physical status","volume":"24","author":"American Society of Anesthesiologists","year":"1963","journal-title":"Anesthesiology"},{"key":"e_1_2_7_24_2","volume-title":"Hip Fractures, Functional Assessments and Factors Influencing In\u2010Hospital Outcome: A Physiotherapeutic Perspective [thesis]","author":"Kristensen M.T.","year":"2010"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2008.10.003"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/pri.414"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02606.x"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afm161"},{"key":"e_1_2_7_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1998.tb06644.x"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.pmrj.2012.10.006","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148212016346?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148212016346?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2012.10.006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T22:34:16Z","timestamp":1694730856000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.pmrj.2012.10.006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11,21]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1016\/j.pmrj.2012.10.006"],"URL":"https:\/\/doi.org\/10.1016\/j.pmrj.2012.10.006","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11,21]]},"assertion":[{"value":"2012-04-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-10-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-11-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}