A1 Journal article (refereed)
Effects of a 12-month home-based exercise program on functioning after hip fracture : Secondary analyses of an RCT (2022)


Soukkio, P. K., Suikkanen, S. A., Kukkonen‐Harjula, K. T., Kautiainen, H., Hupli, M. T., Aartolahti, E. M., Kääriä, S. M., Pitkälä, K. H., & Sipilä, S. (2022). Effects of a 12-month home-based exercise program on functioning after hip fracture : Secondary analyses of an RCT. Journal of the American Geriatrics Society, 70(9), 2561-2570. https://doi.org/10.1111/jgs.17824


JYU authors or editors


Publication details

All authors or editorsSoukkio, Paula K.; Suikkanen, Sara A.; Kukkonen‐Harjula, Katriina T.; Kautiainen, Hannu; Hupli, Markku T.; Aartolahti, Eeva M.; Kääriä, Sanna M.; Pitkälä, Kaisu H.; Sipilä, Sarianna

Journal or seriesJournal of the American Geriatrics Society

ISSN0002-8614

eISSN1532-5415

Publication year2022

Publication date18/05/2022

Volume70

Issue number9

Pages range2561-2570

PublisherWiley-Blackwell

Publication countryUnited States

Publication languageEnglish

DOIhttps://doi.org/10.1111/jgs.17824

Publication open accessOpenly available

Publication channel open accessPartially open access channel

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/81226


Abstract

Background
Long-term functional limitations are common after hip fractures. Exercise may alleviate these negative consequences but there is no consensus on an optimal training program. The objective was to study the effects of a 12-month home-based supervised, progressive exercise program on functioning, physical performance, and physical activity.

Methods
Secondary analysis of a randomized controlled trial targeting patients with surgical repair of a hip fracture, aged ≥60 years, Mini-Mental State Examination (MMSE) score of ≥12. The participants were randomized into Exercise (n = 61) or Usual care (n = 60). Assessments at baseline, 3, 6, and 12 months included Lawton's Instrumental Activities of Daily Living (IADL), Short Physical Performance Battery (SPPB), handgrip strength, and self-reported frequency of sessions of leisure-time physical activity. Analyzed using mixed-effects models.

Results
Participants' (n = 121) mean age was 81 years (SD 7), and 75% were women. The mean IADL score at baseline was 17.1 (SD 4.5) in the exercise group, and 17.4 (5.1) in the usual care group. The mean SPPB scores were 3.9 (1.6) and 4.2 (1.8), and handgrip strength was 17.7 (8.9) kg and 20.8 (8.0) kg, respectively. The age- and sex-adjusted mean changes in IADL over 12 months were 3.7 (95% CI 2.8–4.7) in the exercise and 2.0 (1.0–3.0) in the usual care group (between-group difference, p = 0.016); changes in SPPB 4.3 (3.6–4.9) and 2.1 (1.5–2.7) (p < 0.001); and changes in handgrip strength 1.2 kg (0.3–2.0) and 1.0 kg (−1.9 to −0.2) (p < 0.001), respectively. We found no between-group differences in changes in the frequency of leisure-time activity sessions.

Conclusion
A 12-month home-based supervised, progressive exercise program improved functioning and physical performance more than usual care among patients with hip fractures. However, the training did not increase leisure-time physical activity.


Keywordsbone fractureshipsurgical treatmentmedical rehabilitationexercise therapyphysical functioningolder people

Free keywordsfunctioning; hip fracture; home-based exercise; physical performance


Contributing organizations


Ministry reportingYes

Reporting Year2022

JUFO rating3


Last updated on 2024-03-04 at 19:06