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Progressive strength training in older patients after hip fracture: a randomised controlled trial.

https://arctichealth.org/en/permalink/ahliterature137788
Source
Age Ageing. 2011 Mar;40(2):221-7
Publication Type
Article
Date
Mar-2011
Author
Hilde Sylliaas
Therese Brovold
Torgeir Bruun Wyller
Astrid Bergland
Author Affiliation
Department of Geriatric Medicine, Oslo University Hospital, Ullevål, Oslo, Norway. hilde.sylliaas@medisin.uio.no
Source
Age Ageing. 2011 Mar;40(2):221-7
Date
Mar-2011
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Age Factors
Aged
Aged, 80 and over
Aging
Chi-Square Distribution
Exercise Test
Female
Fracture Fixation
Hip Fractures - physiopathology - rehabilitation - surgery
Humans
Independent living
Male
Muscle strength
Norway
Postural Balance
Questionnaires
Recovery of Function
Resistance Training
Single-Blind Method
Time Factors
Treatment Outcome
Walking
Abstract
the aim of this study was to assess the effect of a 3-month strength-training programme on functional performance and self-rated health in a group of home-dwelling older hip fracture patients.
randomised, controlled; single-blind parallel-group trial.
intervention at outpatient's clinic.
one hundred and fifty patients with surgical fixation for a hip fracture.
strength training was integrated into all stages of the programme. The programme comprised four exercises, half of them in a standing position, performed at 80% of maximum. Measurements were taken after the 3-month intervention. The primary outcome measurement was the Berg Balance Scale (BBS). Secondary outcomes were results of 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 SF-12 health status questionnaire.
at baseline, there were no significant between-group differences. At follow-up, the intervention group showed highly significant improvements both in the primary endpoint (BBS, mean difference 4.7 points) and in secondary endpoints of tapping strength, mobility and instrumental activities of daily living.
home-dwelling hip fracture patients can benefit from an extended supervised strength-training programme in a rehabilitation setting. These patients are capable of high-intensity strength training, which should optimise gains in physical function, strength and balance. Resistance exercise training seems to influence functional performance adaptation.
PubMed ID
21247887 View in PubMed
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