OBJECTIVE: the aim of this study was to assess the effect of a 12-week once-a-week prolonged strength-training programme in a group of home-dwelling older hip fracture patients. DESIGN: randomised, controlled; single-blind parallel-group trial. SETTING: intervention at outpatient's clinic. SUBJECTS:95 patients with surgical fixation for a hip fracture completed a preceding 3-month progressive strength-training programme twice a week. METHODS: the programme comprised four exercises, performed at 80% of maximum capacity. Measurements were taken after 12 weeks of intervention. Outcome measurements were Berg Balance Scale (BBS), the sit-to-stand test, timed up-and-go test, maximal gait speed, 6-min walk test, Nottingham Extended Activities of Daily Living scale and the Short Form-12 questionnaire. RESULTS: we found no statistically significant difference between groups in the primary outcome BBS, presumably because of a ceiling effect. The intervention group showed significant improvements in strength, gait speed and gait distance, instrumental activities of daily living and self-rated health. CONCLUSIONS: twelve weeks of progressive strength training performed once a week, as a follow-up to a more intensive training period, seemed to improve strength and endurance and resulted in better self-reported NEADL and self-rated health after hip fracture. Hip fracture patients seem to constitute a group that needs long-term follow-up to achieve the improvements necessary for independent functioning.
RCT Entities:
OBJECTIVE: the aim of this study was to assess the effect of a 12-week once-a-week prolonged strength-training programme in a group of home-dwelling older hip fracturepatients. DESIGN: randomised, controlled; single-blind parallel-group trial. SETTING: intervention at outpatient's clinic. SUBJECTS: 95 patients with surgical fixation for a hip fracture completed a preceding 3-month progressive strength-training programme twice a week. METHODS: the programme comprised four exercises, performed at 80% of maximum capacity. Measurements were taken after 12 weeks of intervention. Outcome measurements were Berg Balance Scale (BBS), the sit-to-stand test, timed up-and-go test, maximal gait speed, 6-min walk test, Nottingham Extended Activities of Daily Living scale and the Short Form-12 questionnaire. RESULTS: we found no statistically significant difference between groups in the primary outcome BBS, presumably because of a ceiling effect. The intervention group showed significant improvements in strength, gait speed and gait distance, instrumental activities of daily living and self-rated health. CONCLUSIONS: twelve weeks of progressive strength training performed once a week, as a follow-up to a more intensive training period, seemed to improve strength and endurance and resulted in better self-reported NEADL and self-rated health after hip fracture. Hip fracturepatients seem to constitute a group that needs long-term follow-up to achieve the improvements necessary for independent functioning.
Authors: K Renerts; K Fischer; B Dawson-Hughes; E J Orav; G Freystaetter; H-P Simmen; H-C Pape; A Egli; R Theiler; H A Bischoff-Ferrari Journal: Qual Life Res Date: 2019-02-09 Impact factor: 4.147
Authors: David J Keene; Colin Forde; Thavapriya Sugavanam; Mark A Williams; Sarah E Lamb Journal: BMC Musculoskelet Disord Date: 2020-07-04 Impact factor: 2.362
Authors: Lauren A Beaupre; Ellen F Binder; Ian D Cameron; C Allyson Jones; Denise Orwig; Cathie Sherrington; Jay Magaziner Journal: Best Pract Res Clin Rheumatol Date: 2013-12 Impact factor: 4.098
Authors: Marco Di Monaco; Carlotta Castiglioni; Elena De Toma; Luisa Gardin; Silvia Giordano; Rosa Tappero Journal: Medicine (Baltimore) Date: 2015-02 Impact factor: 1.889
Authors: Tyler D Ames; Corinne E Wee; Khoi M Le; Tiffany L Wang; Julie Y Bishop; Laura S Phieffer; Carmen E Quatman Journal: Clin Interv Aging Date: 2016-05-05 Impact factor: 4.458