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

Sylliaas, Hilde; Brovold, Therese; Wyller, Torgeir Bruun; Bergland, Astrid
Journal article, Peer reviewed
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URI
https://hdl.handle.net/10642/1035
Date
2011-01-18
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  • HV - Institutt for fysioterapi (GAMMEL) [336]
Original version
Sylliaas, H., Brovold, T., Wyller, T. B. & Bergland, A. (2011). Progressive strength training in older patients after hip fracture : a randomised controlled trial. Age and Ageing, 40 (2), 221-227   http://dx.doi.org/10.1093/ageing/afq167
Abstract
Objective: 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.

Design: randomised, controlled; single-blind parallel-group trial.

Setting: intervention at outpatient’s clinic.

Subjects: one hundred and fifty patients with surgical fixation for a hip fracture.

Methods: 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.

Results: 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.

Conclusion: 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.
Publisher
Oxford University Press
Series
Age and Ageing;40 (2)

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