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Measurement of Function Post Hip Fracture: Testing a Comprehensive Measurement Model of Physical Function

Resnick, Barbara PhD, CRNP1; Gruber-Baldini, Ann L. PhD2; Hicks, Gregory PhD, PT3; Ostir, Glen PhD2; Klinedinst, Jennifer N. PhD, MPH, RN1; Orwig, Denise PhD2; Magaziner, Jay PhD, M.S.Hyg.2

Rehabilitation Nursing Journal: July 2016 - Volume 41 - Issue 4 - p 230–247
doi: 10.1002/rnj.235
Continuing Education

Background: Measurement of physical function post hip fracture has been conceptualized using multiple different measures.

Purpose: This study tested a comprehensive measurement model of physical function.

Design: This was a descriptive secondary data analysis including 168 men and 171 women post hip fracture.

Methods: Using structural equation modeling, a measurement model of physical function which included grip strength, activities of daily living, instrumental activities of daily living, and performance was tested for fit at 2 and 12 months post hip fracture, and among male and female participants. Validity of the measurement model of physical function was evaluated based on how well the model explained physical activity, exercise, and social activities post hip fracture.

Findings: The measurement model of physical function fit the data. The amount of variance the model or individual factors of the model explained varied depending on the activity.

Conclusion: Decisions about the ideal way in which to measure physical function should be based on outcomes considered and participants.

Clinical Relevance: The measurement model of physical function is a reliable and valid method to comprehensively measure physical function across the hip fracture recovery trajectory.

1 University of Maryland School of Nursing, Baltimore, MD, USA

2 Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA

3 Department of Physical Therapy, University of Delaware, Newark, DE, USA


Barbara Resnick, University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201.


Grant numbers: R37 AG09901 R01 AG029315 P60 AG12583.

© 2016 Association of Rehabilitation Nurses.
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