200 Section - Functional and Activity-Related Factors Influencing Early Walking Recovery After Hip Fracture Surgery

Wednesday, May 20, 2026

6:00 PM - 7:30 PM PT

Presenting Author/Autor expositor(s)

hS

hiroyuki Sato, BS

Physical Therapist
St.Luke's international hospital
yokohama, Kanagawa, Japan

Co-Author/Coautor(s)

SM

Shota Mashimo, MPH

Physical Therapist
St.Luke's international hospital
tyuouku, Tokyo, Japan
JK

Junya Kubota, BS

Physical Therapist
St.Luke's international hospital
tyuouku, Tokyo, Japan
EM

Erina Murosaki, BS

Physical Therapist
St.Luke's international hospital
tyuouku, Tokyo, Japan
HT

Haruka Takayama, PhD

Registered Dietitian
St.Luke's international hospital
tyuouku, Tokyo, Japan
NK

Nobuto Kitamura, MD PhD

Vice Director, Director of the Department of Rehabilitation Medicine, Chief of Orthopedic Surgery, D
St.Luke's international hospital
tyuouku, Tokyo, Japan

Objectives : Early ambulation is crucial for functional recovery and reducing postoperative complications following hip fracture (HF) surgery. However, the duration of out-of-bed activity and the volume of walking have not been well investigated. This study aimed to identify factors associated with early walking recovery after HF surgery.

Design: Forty-five HF patients aged over 65 years were included. Patient demographic characteristics, days to ambulation, modified Time Up and Go test (TUG), Barthel Index (BI), Cumulated Ambulation Score (CAS), physical activity volume during the first two postoperative weeks, and nutritional indicators were extracted from medical records. Patients were categorized into a Good Recovery group or a Poor Recovery group based on the 2-week postoperative TUG time (cut-off: 36 seconds). Fisher’s exact test and the Mann-Whitney U test were used for group comparisons.

Results: The Good Recovery group included 25 patients (mean age: 81.0), while the Poor Recovery group included 20 patients (mean age: 85.0). There were no significant differences between the groups regarding patient demographic characteristics, days to ambulation, or nutritional indicators (p >0.05). The Good Recovery group showed significantly higher BI scores than the Poor Recovery group at baseline and day-14 (30 vs 20, p=0.048, 65 vs 45, p< 0.001) and a higher CAS on day-14 (5.0 vs 3.0, p< 0.001). Additionally, the time spent in activity of 2-3 METs was significantly longer in the Good Recovery group than the Poor Recovery group (55.1 minutes vs 29.4 minutes, p=0.030).

Conclusion: Patients who achieved good walking recovery within two weeks after HF surgery demonstrated greater functional independence and spent a longer duration in activities at 2–3 METs. These findings suggest that promoting dynamic daily activity, such as standing and walking, is important for improving postoperative physical function, beyond emphasizing early ambulation alone.