Mobility training after hip fracture: a randomised controlled trial.
OBJECTIVE
to compare the effects of two different exercise programmes after hip fracture.


METHODS
assessor-blinded randomised controlled trial.


METHODS
hospital rehabilitation units, with continued intervention at home.


METHODS
160 people with surgical fixation for hip fracture transferred to inpatient rehabilitation.


METHODS
in addition to other rehabilitation strategies, the intervention group received a higher dose (60 min/day) exercise programme conducted whilst standing and the control group received a lower dose exercise programme (30 min/day) primarily conducted whilst seated/supine. The primary outcome measures were knee extensor muscle strength in the fractured leg and walking speed, measured at 4 and 16 weeks.


RESULTS
150 participants (94% of those recruited) completed the trial. There were no differences between the groups for the two primary outcome measures. Post hoc analyses revealed increased walking speed among those in the higher dose, weight-bearing exercise group with cognitive impairment at 4 and 16 weeks.


CONCLUSIONS
there was no benefit (or harm) due to the higher dose, weight-bearing exercise programme with respect to the primary outcome measures. However, people with hip fracture and cognitive impairment gained greater benefit from the higher dose programme than from the lower dose programme.
Moseley
Anne M
AM
The George Institute for International Health, University of Sydney, Sydney, NSW 2000, Australia. amoseley@george.org.au
Sherrington
Catherine
C
Lord
Stephen R
SR
Barraclough
Elizabeth
E
St George
Rebecca J
RJ
Cameron
Ian D
ID
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000503:physiopathology; D015444:Exercise / Q000523:psychology; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006620:Hip Fractures / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D051346:Mobility Limitation; D017063:Outcome Assessment, Health Care; D026741:Physical Therapy Modalities; D004856:Postural Balance / Q000502:physiology; D011788:Quality of Life; D055070:Resistance Training / Q000379:methods*