Article

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.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS