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 editors: Soukkio, 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 series: Journal of the American Geriatrics Society
ISSN: 0002-8614
eISSN: 1532-5415
Publication year: 2022
Publication date: 18/05/2022
Volume: 70
Issue number: 9
Pages range: 2561-2570
Publisher: Wiley-Blackwell
Publication country: United States
Publication language: English
DOI: https://doi.org/10.1111/jgs.17824
Publication open access: Openly available
Publication channel open access: Partially open access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/81226
Abstract
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.
Keywords: bone fractures; hip; surgical treatment; medical rehabilitation; exercise therapy; physical functioning; older people
Free keywords: functioning; hip fracture; home-based exercise; physical performance
Contributing organizations
Ministry reporting: Yes
Reporting Year: 2022
Preliminary JUFO rating: 3
