A1 Journal article (refereed)
Health-related quality of life after hip fracture : effects of a 12-month home-based exercise intervention - secondary analyses of an RCT (2024)
Soukkio, P. K., Suikkanen, S. A., Sintonen, H., Kukkonen-Harjula, K. T., Kautiainen, H., Kääriä, S. M., Hupli, M. T., Aartolahti, E. M., Pitkälä, K. H., & Sipilä, S. (2024). Health-related quality of life after hip fracture : effects of a 12-month home-based exercise intervention - secondary analyses of an RCT. Quality of Life Research, 33(2), 541-550. https://doi.org/10.1007/s11136-023-03545-4
JYU authors or editors
Publication details
All authors or editors: Soukkio, Paula K.; Suikkanen, Sara A.; Sintonen, Harri; Kukkonen-Harjula, Katriina T.; Kautiainen, Hannu; Kääriä, Sanna M.; Hupli, Markku T.; Aartolahti, Eeva M.; Pitkälä, Kaisu H.; Sipilä, Sarianna
Journal or series: Quality of Life Research
ISSN: 0962-9343
eISSN: 1573-2649
Publication year: 2024
Publication date: 07/11/2023
Volume: 33
Issue number: 2
Pages range: 541-550
Publisher: Springer
Publication country: Netherlands
Publication language: English
DOI: https://doi.org/10.1007/s11136-023-03545-4
Publication open access: Not open
Publication channel open access:
Publication is parallel published: https://urn.fi/URN:NBN:fi-fe202401254375
Abstract
In this randomized controlled trial, we analyzed the effects of a 12-month home-based exercise intervention on the health-related quality of life (HRQoL) of patients with a hip fracture.
Methods
Participants (n = 121) aged ≥ 60 years, with a Mini-Mental State Examination (MMSE) score of ≥ 12 and an operated hip fracture, were placed into Exercise (n = 61) or Usual care (n = 60) groups. Physiotherapist-supervised, home-based training was given twice a week over 12 months. HRQoL was assessed using the 15D instrument at baseline and at 3, 6, and 12 months. The total 15D scores and dimension scores were analyzed and compared to national age- and sex-matched reference data.
Results
The participants’ mean age was 81 years (SD 7), 75% were women, and 61% had a femoral neck fracture. The mean within-group change in total 15D score over 12 months was 0.023 (95% CI: −0.003 to 0.048) in the Usual care group, and 0.028 (CI: 0.003 to 0.054) in the Exercise group (between-group p = 0.76). We found a statistically significant change in total 15D score in the Exercise group, as well as in the dimension scores of mobility and usual activities in both groups. All 15D scores remained below the general population reference level.
Conclusion
Exercise training for 12 months did not enhance the HRQoL of home-dwelling patients with hip fractures any more than usual care. In addition, HRQoL remained below the population level in both groups.
Keywords: fractures; hip; rehabilitation; self-care; training; physiotherapy; quality of life
Free keywords: exercise; health-related quality of life; hip fracture; home-based; physiotherapy
Contributing organizations
Ministry reporting: Yes
VIRTA submission year: 2023
JUFO rating: 3
