Thursday, February 27, 2014

Effect of a home-based exercise program on functional recovery following rehabilitation after hip fracture: a randomized clinical trial.

Effect of a home-based exercise program on functional recovery following rehabilitation after hip fracture: a randomized clinical trial.
JAMA. 2014 Feb 19;311(7):700-8
Authors: Latham NK, Harris BA, Bean JF, Heeren T, Goodyear C, Zawacki S, Heislein DM, Mustafa J, Pardasaney P, Giorgetti M, Holt N, Goehring L, Jette AM

IMPORTANCE: For many older people, long-term functional limitations persist after a hip fracture.
OBJECTIVE: To determine whether a home exercise program improved function after formal hip fracture rehabilitation ended.
DESIGN, SETTING, AND PARTICIPANTS: Randomized clinical trial conducted from September 2008 to October 2012 in the homes of 232 functionally limited older adults
INTERVENTIONS: The intervention group (n = 120) received functionally oriented exercises.The attention control group (n = 112) received in-home and telephone-based cardiovascular nutrition education.
CONCLUSIONS AND RELEVANCE: Among patients who had completed standard rehabilitation after hip fracture, the use of a home-based functionally oriented exercise program resulted in modest improvement in physical function at 6 months after randomization. The clinical importance of these findings remains to be determined.
TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00592813.

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