title: Prolonged strength training in older patients after hip fracture: a randomised controlled trial.
abstract: OBJECTIVE
  the aim of this study was to assess the effect of a 12-week once-a-week prolonged strength-training programme in a group of home-dwelling older hip fracture patients.
  
  
  METHODS
  randomised, controlled; single-blind parallel-group trial.
  
  
  METHODS
  intervention at outpatient's clinic.
  
  
  METHODS
  95 patients with surgical fixation for a hip fracture completed a preceding 3-month progressive strength-training programme twice a week.
  
  
  METHODS
  the programme comprised four exercises, performed at 80% of maximum capacity. Measurements were taken after 12 weeks of intervention. Outcome measurements were Berg Balance Scale (BBS), 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 Short Form-12 questionnaire.
  
  
  RESULTS
  we found no statistically significant difference between groups in the primary outcome BBS, presumably because of a ceiling effect. The intervention group showed significant improvements in strength, gait speed and gait distance, instrumental activities of daily living and self-rated health.
  
  
  CONCLUSIONS
  twelve weeks of progressive strength training performed once a week, as a follow-up to a more intensive training period, seemed to improve strength and endurance and resulted in better self-reported NEADL and self-rated health after hip fracture. Hip fracture patients seem to constitute a group that needs long-term follow-up to achieve the improvements necessary for independent functioning.
authors.affiliation: Department of Geriatric Medicine, Oslo University Hospital, Kirkeveien 170, Oslo 0470, Norway. Hilde.Sylliaas@hioa.no
authors.forename: Hilde
authors.initials: H
authors.lastname: Sylliaas
authors.forename: Therese
authors.initials: T
authors.lastname: Brovold
authors.forename: Torgeir Bruun
authors.initials: TB
authors.lastname: Wyller
authors.forename: Astrid
authors.initials: A
authors.lastname: Bergland
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D005260:Female; D005592:Fracture Fixation; D006620:Hip Fractures / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D006785:Hospitals, University; D006801:Humans; D008297:Male; D053580:Muscle Strength; D009664:Norway; D010044:Outpatient Clinics, Hospital; D010807:Physical Endurance; D004856:Postural Balance; D020127:Recovery of Function; D055070:Resistance Training; D016037:Single-Blind Method; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D016138:Walking