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Improvement in aerobic fitness during rehabilitation after hip fracture.
Arch Phys Med Rehabil. 2008 Apr; 89(4):609-17.AP

Abstract

OBJECTIVE

To evaluate the effect of an upper-body exercise program on cardiorespiratory fitness in older adults with hip fracture during inpatient rehabilitation.

DESIGN

Randomized controlled trial using a convenience sample.

SETTING

An inpatient rehabilitation unit.

PARTICIPANTS

Twenty older patients (age, 81.3+/-7.2y; 14 women).

INTERVENTION

Patients were randomly assigned to a control group (n=10) or a training group (n=10). Both groups attended physical and occupational therapy sessions 5 times a week during rehabilitation (mean length of stay, 32.9+/-5.3d). Patients in the training program used an arm crank ergometer 3 times a week for 4 weeks.

MAIN OUTCOME MEASURE

Peak oxygen consumption (Vo(2)peak).

RESULTS

Vo(2)peak increased significantly in the training group (8.9+/-1.4 to 10.8+/-1.7mL x kg(-1) x min(-1)) and did not change in the control group (8.9+/-1.2 to 8.8+/-1.6mL x kg(-1).min(-1)). At discharge, both groups were significantly improved in all functional outcome measures (Timed Up & Go [TUG] test, Berg Balance Scale [BBS], FIM instrument, two-minute walk test [2MWT], and ten-minute walk test [10MWT]). The training group performed significantly better in mobility (TUG, 2MWT, 10MWT) and balance (BBS) compared with the control group. There was a significant correlation between Vo(2)peak and the 2MWT (r=.81) and 10MWT (r=.85) in the training group at discharge.

CONCLUSIONS

The upper-body exercise program had a significant effect on aerobic power. Our results suggest that aerobic endurance exercise should be integrated into standard rehabilitation to enhance patients' aerobic fitness and mobility after hip fracture surgery.

Authors+Show Affiliations

School of Kinesiology, University of Western Ontario, London, ON, Canada.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18373989

Citation

Mendelsohn, Marissa E., et al. "Improvement in Aerobic Fitness During Rehabilitation After Hip Fracture." Archives of Physical Medicine and Rehabilitation, vol. 89, no. 4, 2008, pp. 609-17.
Mendelsohn ME, Overend TJ, Connelly DM, et al. Improvement in aerobic fitness during rehabilitation after hip fracture. Arch Phys Med Rehabil. 2008;89(4):609-17.
Mendelsohn, M. E., Overend, T. J., Connelly, D. M., & Petrella, R. J. (2008). Improvement in aerobic fitness during rehabilitation after hip fracture. Archives of Physical Medicine and Rehabilitation, 89(4), 609-17. https://doi.org/10.1016/j.apmr.2007.09.036
Mendelsohn ME, et al. Improvement in Aerobic Fitness During Rehabilitation After Hip Fracture. Arch Phys Med Rehabil. 2008;89(4):609-17. PubMed PMID: 18373989.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improvement in aerobic fitness during rehabilitation after hip fracture. AU - Mendelsohn,Marissa E, AU - Overend,Tom J, AU - Connelly,Denise M, AU - Petrella,Robert J, PY - 2007/07/28/received PY - 2007/09/07/revised PY - 2007/09/16/accepted PY - 2008/4/1/pubmed PY - 2008/5/1/medline PY - 2008/4/1/entrez SP - 609 EP - 17 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 89 IS - 4 N2 - OBJECTIVE: To evaluate the effect of an upper-body exercise program on cardiorespiratory fitness in older adults with hip fracture during inpatient rehabilitation. DESIGN: Randomized controlled trial using a convenience sample. SETTING: An inpatient rehabilitation unit. PARTICIPANTS: Twenty older patients (age, 81.3+/-7.2y; 14 women). INTERVENTION: Patients were randomly assigned to a control group (n=10) or a training group (n=10). Both groups attended physical and occupational therapy sessions 5 times a week during rehabilitation (mean length of stay, 32.9+/-5.3d). Patients in the training program used an arm crank ergometer 3 times a week for 4 weeks. MAIN OUTCOME MEASURE: Peak oxygen consumption (Vo(2)peak). RESULTS: Vo(2)peak increased significantly in the training group (8.9+/-1.4 to 10.8+/-1.7mL x kg(-1) x min(-1)) and did not change in the control group (8.9+/-1.2 to 8.8+/-1.6mL x kg(-1).min(-1)). At discharge, both groups were significantly improved in all functional outcome measures (Timed Up & Go [TUG] test, Berg Balance Scale [BBS], FIM instrument, two-minute walk test [2MWT], and ten-minute walk test [10MWT]). The training group performed significantly better in mobility (TUG, 2MWT, 10MWT) and balance (BBS) compared with the control group. There was a significant correlation between Vo(2)peak and the 2MWT (r=.81) and 10MWT (r=.85) in the training group at discharge. CONCLUSIONS: The upper-body exercise program had a significant effect on aerobic power. Our results suggest that aerobic endurance exercise should be integrated into standard rehabilitation to enhance patients' aerobic fitness and mobility after hip fracture surgery. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/18373989/Improvement_in_aerobic_fitness_during_rehabilitation_after_hip_fracture_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(07)01842-4 DB - PRIME DP - Unbound Medicine ER -