title: Sense of coherence: effect on adherence and response to resistance training in older people with hip fracture history.
abstract: Our aim was to study the effects of sense of coherence (SOC) on training adherence and interindividual changes in muscle strength, mobility, and balance after resistance training in older people with hip fracture history. These are secondary analyses of a 12-week randomized controlled trial of progressive resistance training in 60- to 85-year-old community-dwelling people 0.5-7 years after hip fracture (n = 45; ISRCTN34271567). Pre- and posttrial assessments included SOC, knee extension strength, walking speed, timed up-and-go (TUG), and Berg Balance Scale (BBS). Group-by-SOC interaction effects (repeated-measures ANOVA) were statistically significant for TUG (p = .005) and BBS (p = .040), but not for knee extension strength or walking speed. Weaker SOC was associated with poorer training adherence (mixed model; p = .009). Thus, more complicated physical tasks did not improve in those with weaker SOC, independently of training adherence. Older people with weaker SOC may need additional psychosocial support in physical rehabilitation programs to optimize training response.
authors.affiliation: Gerontology Research Center and Dept. of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
authors.forename: Erja
authors.initials: E
authors.lastname: Portegijs
authors.forename: Sanna
authors.initials: S
authors.lastname: Read
authors.forename: Inka
authors.initials: I
authors.lastname: Pakkala
authors.forename: Mauri
authors.initials: M
authors.lastname: Kallinen
authors.forename: Ari
authors.initials: A
authors.lastname: Heinonen
authors.forename: Taina
authors.initials: T
authors.lastname: Rantanen
authors.forename: Markku
authors.initials: M
authors.lastname: Alen
authors.forename: Ilkka
authors.initials: I
authors.lastname: Kiviranta
authors.forename: Sanna
authors.initials: S
authors.lastname: Sihvonen
authors.forename: Sarianna
authors.initials: S
authors.lastname: Sipilä
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005387:Finland; D006620:Hip Fractures / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation; D006801:Humans; D057187:Independent Living; D008297:Male; D051346:Mobility Limitation; D053580:Muscle Strength / Q000502:physiology*; D020380:Needs Assessment; D017063:Outcome Assessment, Health Care; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D055070:Resistance Training / Q000379:methods / Q000706:statistics & numerical data; D060685:Sense of Coherence; D012944:Social Support; D016138:Walking / Q000502:physiology*