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Can elderly patients who have had a hip fracture perform moderate- to high-intensity exercise at home?
Phys Ther. 2005 Aug; 85(8):727-39.PT

Abstract

BACKGROUND AND PURPOSE

The majority of patients after a hip fracture do not return to prefracture functional status. Depression has been shown to affect recovery. Although exercise can reduce impairments, access issues limit elderly people from participating in facility-based programs. The primary purpose of this study was to determine the effects and feasibility of a home exercise program of moderate- or high-intensity exercise. A secondary purpose was to explore the relationship of depression and physical recovery.

SUBJECTS

Thirty-three elderly people (24 women, 9 men; mean = 78.6 years of age, SD = 6.8, range = 64-89) who had completed a regimen of physical therapy following hip fracture participated in the study. Subjects were randomly assigned to a resistance training group, an aerobic training group, or a control group.

METHODS

Subjects were tested before and upon completion of the exercise trial. Isometric lower-extremity force, 6-minute-walk distance, free gait speed, mental status, and physical function were measured. Each exercise session was supervised by a physical therapist, and subjects received 20 visits over 12 weeks. The control group received biweekly mailings. The resistance training group performed 3 sets of 8 repetitions at the 8-repetition maximum intensity using a portable progressive resistance exercise machine. The aerobic training group performed activities that increased heart rate 65% to 75% of their age-predicted maximum for 20 continuous minutes.

RESULTS

Resistance and aerobic training were performed without apparent adverse effects, and adherence was 98%. All groups improved in distance walked, force produced, gait speed, and physical function. Isometric force improved to a greater extent in the intervention groups than in the control group. Depressive symptoms interacted with treatment group in explaining the outcomes of 6-minute-walk distance and gait speed.

DISCUSSION AND CONCLUSION

High-intensity exercise performed in the home is feasible for people with hip fracture. Larger sample sizes may be necessary to determine whether the exercise regimen is effective in reducing impairments and improving function. Depression may play a role in the level of improvement attained.

Authors+Show Affiliations

Arcadia University, Department of Physical Therapy, Health Sciences Center, Glenside, PA 19038, USA. mangione@arcadia.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16048421

Citation

Mangione, Kathleen K., et al. "Can Elderly Patients Who Have Had a Hip Fracture Perform Moderate- to High-intensity Exercise at Home?" Physical Therapy, vol. 85, no. 8, 2005, pp. 727-39.
Mangione KK, Craik RL, Tomlinson SS, et al. Can elderly patients who have had a hip fracture perform moderate- to high-intensity exercise at home? Phys Ther. 2005;85(8):727-39.
Mangione, K. K., Craik, R. L., Tomlinson, S. S., & Palombaro, K. M. (2005). Can elderly patients who have had a hip fracture perform moderate- to high-intensity exercise at home? Physical Therapy, 85(8), 727-39.
Mangione KK, et al. Can Elderly Patients Who Have Had a Hip Fracture Perform Moderate- to High-intensity Exercise at Home. Phys Ther. 2005;85(8):727-39. PubMed PMID: 16048421.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can elderly patients who have had a hip fracture perform moderate- to high-intensity exercise at home? AU - Mangione,Kathleen K, AU - Craik,Rebecca L, AU - Tomlinson,Susan S, AU - Palombaro,Kerstin M, PY - 2005/7/29/pubmed PY - 2005/9/30/medline PY - 2005/7/29/entrez SP - 727 EP - 39 JF - Physical therapy JO - Phys Ther VL - 85 IS - 8 N2 - BACKGROUND AND PURPOSE: The majority of patients after a hip fracture do not return to prefracture functional status. Depression has been shown to affect recovery. Although exercise can reduce impairments, access issues limit elderly people from participating in facility-based programs. The primary purpose of this study was to determine the effects and feasibility of a home exercise program of moderate- or high-intensity exercise. A secondary purpose was to explore the relationship of depression and physical recovery. SUBJECTS: Thirty-three elderly people (24 women, 9 men; mean = 78.6 years of age, SD = 6.8, range = 64-89) who had completed a regimen of physical therapy following hip fracture participated in the study. Subjects were randomly assigned to a resistance training group, an aerobic training group, or a control group. METHODS: Subjects were tested before and upon completion of the exercise trial. Isometric lower-extremity force, 6-minute-walk distance, free gait speed, mental status, and physical function were measured. Each exercise session was supervised by a physical therapist, and subjects received 20 visits over 12 weeks. The control group received biweekly mailings. The resistance training group performed 3 sets of 8 repetitions at the 8-repetition maximum intensity using a portable progressive resistance exercise machine. The aerobic training group performed activities that increased heart rate 65% to 75% of their age-predicted maximum for 20 continuous minutes. RESULTS: Resistance and aerobic training were performed without apparent adverse effects, and adherence was 98%. All groups improved in distance walked, force produced, gait speed, and physical function. Isometric force improved to a greater extent in the intervention groups than in the control group. Depressive symptoms interacted with treatment group in explaining the outcomes of 6-minute-walk distance and gait speed. DISCUSSION AND CONCLUSION: High-intensity exercise performed in the home is feasible for people with hip fracture. Larger sample sizes may be necessary to determine whether the exercise regimen is effective in reducing impairments and improving function. Depression may play a role in the level of improvement attained. SN - 0031-9023 UR - https://www.unboundmedicine.com/medline/citation/16048421/Can_elderly_patients_who_have_had_a_hip_fracture_perform_moderate__to_high_intensity_exercise_at_home L2 - https://medlineplus.gov/exerciseforolderadults.html DB - PRIME DP - Unbound Medicine ER -