Physical Activity After a Hip Fracture: Effect of a Multicomponent Home-Based Rehabilitation Program—A Secondary Analysis of a Randomized Controlled Trial

6533b7d0fe1ef96bd125a335

RESEARCH PRODUCT

Physical Activity After a Hip Fracture: Effect of a Multicomponent Home-Based Rehabilitation Program—A Secondary Analysis of a Randomized Controlled Trial

Timo Törmäkangas Marja Arkela Mauri Kallinen Mauri Kallinen Sirpa Hartikainen Anu Salpakoski Maija Pesola Johanna Edgren Riku Nikander Katri Turunen Sarianna Sipilä

subject

Counseling Male medicine.medical_specialty medicine.medical_treatment physical activity Physical Therapy Sports Therapy and Rehabilitation Walking Gee law.invention 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Randomized controlled trial law Intervention (counseling)Activities of Daily Living medicine Humans 030212 general & internal medicine Mobility Limitation Exercise Generalized estimating equation ta316 Aged Aged 80 and over Hip fracture Rehabilitation Mini–Mental State Examination medicine.diagnostic_test Hip Fractures business.industry Rehabilitation ta3141 Odds ratio medicine.disease Home Care Services lonkkamurtumat Exercise Therapy hip fracture Hip fractures Physical therapy Patient Compliance kuntoutus Female business fyysinen aktiivisuus 030217 neurology & neurosurgery

description

Objectives To investigate the effect of a yearlong multicomponent rehabilitation program on the level of physical activity (PA) and the maintenance of the level of PA over 1-year follow-up among older people recovering from a recent hip fracture. Design Secondary analysis of a randomized, controlled, parallel-group trial. Setting Home-based rehabilitation; measurements in university laboratory. Participants Community-dwelling people (N=81) aged ≥60 years recovering from a hip fracture. Participants were randomly assigned to an intervention (n=40) or a control (n=41) group, on average, 42±23 days after discharge from the hospital. Intervention A yearlong intervention included evaluation and modification of environmental hazards, guidance for safe walking, nonpharmacologic pain management, a progressive home exercise program, PA counseling, and standard care. Main Outcome Measures The outcome was the level of PA, which was assessed with the questionnaire (a modified Grimby scale) at baseline, and 3, 6, 12, and 24 months after baseline. Three PA categories were defined: inactivity, light PA, and moderate to heavy PA. Physical function was assessed using the Short Physical Performance Battery (SPPB) at baseline. The effects of the intervention were analyzed with generalized estimating equations. Results In the intervention group, a significant increase was observed in the level of PA after the intervention (interaction P=.005) and after 1-year follow-up (P=.021) compared with the standard care only. The benefit was particularly evident among the participants with a baseline SPPB score of ≥7 (interaction P<.001). Conclusions The 12-month individualized multicomponent rehabilitation program increased PA among older patients with hip fracture. The increase was found to be maintained at the 1-year follow-up.

year	journal	country	edition	language
2017-01-01	Archives of Physical Medicine and Rehabilitation

https://doi.org/10.1016/j.apmr.2017.01.004