Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 4 , Pages 609-617 , April 2008

Improvement in Aerobic Fitness During Rehabilitation After Hip Fracture

  • Marissa E. Mendelsohn, PhD

      Affiliations

    • School of Kinesiology, University of Western Ontario, London, ON, Canada
  • ,
  • Tom J. Overend, PhD, PT

      Affiliations

    • School of Physical Therapy, University of Western Ontario, London, ON, Canada
    • Lawson Health Research Institute, St. Joseph’s Health Care, London, ON, Canada.
    • Corresponding Author InformationReprint requests to Tom J. Overend, PhD, PT, School of Physical Therapy, University of Western Ontario, Rm 1445, Elborn College, 1201 Western Rd, London, ON N6G 1H1, Canada
  • ,
  • Denise M. Connelly, PhD, PT

      Affiliations

    • School of Physical Therapy, University of Western Ontario, London, ON, Canada
    • Lawson Health Research Institute, St. Joseph’s Health Care, London, ON, Canada.
  • ,
  • Robert J. Petrella, MD, PhD

      Affiliations

    • School of Kinesiology, University of Western Ontario, London, ON, Canada
    • Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada
    • Lawson Health Research Institute, St. Joseph’s Health Care, London, ON, Canada.

References 

  1. Cauley JA, Thompson DE, Ensrud KC, Scott JC, Black D. Risk of mortality following clinical fractures. Osteoporos Int. 2000;11:556–561
  2. Koot VC, Peeters PH, de Jong JR, Clevers GJ, van der Werken C. Functional results after treatment of hip fracture: a multicentre, prospective study in 215 patients. Eur J Surg. 2000;166:480–485
  3. Cooper C, Campion G, Melton LJ. Hip fractures in the elderly: a world-wide projection. Osteoporos Int. 1992;2:285–289
  4. Hannan EL, Magaziner J, Wang JJ, et al. Mortality and locomotion 6 months after hospitalization for hip fracture: risk factors and risk-adjusted hospital outcomes. JAMA. 2001;285:2736–2742
  5. Leibson CL, Tosteson AN, Gabriel SE, Ransom JE, Melton LJ. Mortality, disability, and nursing home use for persons with and without hip fracture: a population-based study. J Am Geriatr Soc. 2002;50:1644–1650
  6. Mossey JM, Mutran E, Knott K, Craik R. Determinants of recovery 12 months after hip fracture: the importance of psychosocial factors. Am J Public Health. 1989;79:279–286
  7. Magaziner J, Hawkes W, Hebel JR, et al. Recovery from hip fracture in eight areas of function. J Gerontol A Biol Sci Med Sci. 2000;55:M498–M507
  8. Tolo ET, Bostrom MP, Simic PM, Lyden JP, Cornell CM, Thorngren KG. The short term outcome of elderly patients with hip fractures. Int Orthop. 1999;23:279–282
  9. Magaziner J, Fredman L, Hawkes W, et al. Changes in functional status attributable to hip fracture: a comparison of hip fracture patients to community-dwelling aged. Am J Epidemiol. 2003;157:1023–1031
  10. Magaziner J, Simonsick EM, Kashner TM, Hebel JR, Kenzora JE. Predictors of functional recovery one year following hospital discharge for hip fracture: a prospective study. J Gerontol. 1990;45:M101–M107
  11. Huusko TM, Karppi P, Avikainen V, Kautiainen H, Sulkava R. Intensive geriatric rehabilitation of hip fracture patients: a randomized, controlled trial. Acta Orthop Scand. 2002;73:425–431
  12. Röder F, Schwab M, Aleker T, Mörike K, Thon KP, Klotz U. Proximal femur fracture in older patients, rehabilitation and clinical outcome. Age Ageing. 2003;32:74–80
  13. Cameron I, Crotty M, Currie C, et al. Geriatric rehabilitation following fractures in older people: a systematic review. Health Technol Assess. 2000;4:1–111
  14. Jones GR, Vandervoort AA, Overend TJ. Laboratory-based physiological assessment of older adults. In:  Jones CJ,  Rose DJ editor. Physical activity instruction of older adults. Champaign: Human Kinetics; 2005;p. 96–110
  15. Paterson DH, Cunningham DA, Koval JJ, St Croix CM. Aerobic fitness in a population of independently living men and women aged 55-86 years. Med Sci Sports Exerc. 1999;31:1813–1820
  16. American College of Sports Medicine. American College of Sports Medicine position stand (Exercise and physical activity for older adults). Med Sci Sports Exerc. 1998;30:992–1008
  17. Cherubini A, Donahue JL, Lowenthal DT, et al. The effects of aging and endurance exercise on cardiovascular performance in healthy elderly: a review of the literature. Am J Geriatr Cardiol. 1998;7:25–32
  18. Crotty M, Whitehead CH, Gray S, Finucane PM. Early discharge and home rehabilitation after hip fracture achieves functional improvements: a randomized controlled trial. Clin Rehabil. 2002;16:406–413
  19. Hauer K, Specht N, Schuler M, Bärtsch P, Oster P. Intensive physical training in geriatric patients after severe falls and hip surgery. Age Ageing. 2002;31:49–57
  20. Jones GR, Miller T, Petrella RJ. An evaluation of rehabilitation outcomes in older hip fracture patients. Am J Phys Med Rehabil. 2002;81:489–497
  21. Lauridsen UB, Bang B, Gottschalck L, Svensson BH. Intensive physical therapy after hip fracture: a randomized clinical trial. Dan Med Bull. 2002;49:70–72
  22. Handoll H, Sherrington C. Mobilisation strategies after hip fracture surgery in adults. Cochrane Database Syst Rev. 2007;(1):CD001704
  23. Toussant EM, Kohia M. A critical review of literature regarding the effectiveness of physical therapy management of hip fracture in elderly persons. J Gerontol A Biol Sci Med Sci. 2005;60:1285–1291
  24. Lieberman D, Friger M, Lieberman D. Inpatient rehabilitation outcome after hip fracture surgery in elderly patients: a prospective cohort study of 946 patients. Arch Phys Med Rehabil. 2006;87:167–171
  25. Host HH, Sinacore DR, Bohnert KL, Steger-May K, Brown M, Binder EF. Training-induced strength and functional adaptations after hip fracture. Phys Ther. 2007;87:292–303
  26. Buchner DM, Larson EB, Wagner EH, Koepsell TD, de Lateur BJ. Evidence for a non-linear relationship between leg strength and gait speed. Age Ageing. 1996;25:386–391
  27. Guccione AA, Fagerson TL, Anderson JJ. Regaining functional independence in the acute care setting following hip fracture. Phys Ther. 1996;76:818–826
  28. Maire J, Dugué B, Faillenet-Maire AF, et al. Recovery after total hip joint arthroplasty in elderly patients with osteoarthritis: positive effect of upper limb interval-training. J Rehabil Med. 2003;35:174–179
  29. Maire J, Faillenet-Maire AF, Grange C, et al. A specific arm-interval exercise program could improve the health status and walking ability of elderly patients after total hip arthroplasty: a pilot study. J Rehabil Med. 2004;36:92–94
  30. Birkett WA, Edwards DF. The use of one-arm crank ergometry in the prediction of upper body aerobic capacity. Clin Rehabil. 1998;12:319–327
  31. McLaughlin JG, King GA, Howley ET, Bassett DR, Ainsworth BE. Validation of the Cosmed K4b2 portable metabolic system. Int J Sports Med. 2001;22:280–284
  32. Borg G. Borg’s perceived exertion and pain scales. Champaign: Human Kinetics; 1998;
  33. Franklin BA. Aerobic exercise training programs for the upper body. Med Sci Sports Exerc. 1989;21:S141–S148
  34. American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. 7th ed.. Philadelphia: Lippincott Williams & Wilkins; 2005;
  35. Podsiadlo D, Richardson S. The timed “Up and Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142–155
  36. Berg KO, Wood-Dauphinee SL, Williams JI, Gayton D. Measuring balance in the elderly: preliminary development of an instrument. Physiother Can. 1989;41:304–311
  37. Granger CV, Hamilton BB, Linacre JM, Heinemann AW, Wright BD. Performance profiles of the functional independence measure. Am J Phys Med Rehabil. 1993;72:84–89
  38. Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. Two-, six-, and 12-minute walking tests in respiratory disease. BMJ (Clin Res Ed). 1982;284:1607–1608
  39. Solway S, Brooks D, Lacasse Y, Thomas S. A qualitative systematic overview of the measurement properties used in the cardiorespiratory domain. Chest. 2001;119:256–270
  40. Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J Gerontol. 1990;45:P239–P243
  41. Overend TJ, Chesworth BM, Sandrin M, Stroud S, Petrella RJ, McCalden R. Determination of prefracture physical function in community-dwelling people who fracture their hip. J Gerontol A Biol Sci Med Sci. 2000;55:M698–M702
  42. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed.. Hillsdale: Lawrence Erlbaum Associates; 1988;
  43. Vincent WJ. Statistics in kinesiology. In: 3rd ed.. Champaign: Human Kinetics; 2005;p. 183–200
  44. Colton T. Statistics in medicine. Boston: Little, Brown; 1974;
  45. Husko TM, Karppi P, Avikainen V, Kautiainen H, Sulkava R. Randomised, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: subgroup analysis of patients with dementia. BMJ. 2000;321:1107–1111
  46. Walker RD, Nawaz S, Wilkinson CH, Saxton JM, Pockley AG, Wood RF. Influence of upper- and lower-limb exercise training on cardiovascular function and walking distances in patients with intermittent claudication. J Vasc Surg. 2000;31:662–669
  47. Zwierska I, Walker RD, Choksy SA, Male JS, Pockley AG, Saxton JM. Upper- vs lower-limb aerobic exercise rehabilitation in patients with symptomatic peripheral arterial disease: a randomized controlled trial. J Vasc Surg. 2005;42:1122–1130
  48. Loftin M, Boileau RA, Massey BH, Lohman TG. Effect of arm training on central and peripheral circulatory function. Med Sci Sports Exerc. 1988;20:136–141
  49. Bhambhani YN, Eriksson P, Gomes PS. Transfer effects of endurance training with the arms and legs. Med Sci Sports Exerc. 1991;23:1035–1041
  50. Nagel MJ, Rice MS. Cross-transfer effects in the upper extremity during an occupationally embedded exercise. Am J Occup Ther. 2001;55:317–323
  51. Tordi N, Belli A, Mougin F, Rouillon JD, Gimenez M. Specific and transfer effects induced by arm or leg training. Int J Sports Med. 2001;22:517–524
  52. Lewis S, Thompson P, Areskog NH. Transfer effects of endurance training to exercises with untrained limbs. Eur J Appl Physiol. 1980;44:25–34
  53. Rösler K, Hoppeler H, Conley KE, Claassen H, Gehr P, Howald H. Transfer effect in endurance exercise: adaptations in trained and untrained muscles. Eur J Appl Physiol. 1985;54:355–362
  54. Nyquist-Battie C, Fletcher G, Fletcher B, Carlson JM, Castello R, Oken K. Upper-extremity exercise training in heart failure. J Cardiopulm Rehabil Prev. 2007;27:42–45
  55. Tinetti ME, Baker DI, Gottschalk M, et al. Home-based multicomponent rehabilitation program for older persons after hip fracture: a randomized trial. Arch Phys Med Rehabil. 1999;80:916–922
  56. Jones GR, Jakobi JM, Taylor AW, Petrella RJ, Vandervoort AA. Community exercise program for older adults recovering from hip fracture: a pilot study. J Aging Phys Act. 2006;14:439–455
  57. Mendelsohn ME, Connelly DM, Overend TJ, Petrella RJ. Reliability and validity of responses to submaximal all-extremity semirecumbent exercise in older adults. J Aging Phys Act. 2007;15:184–194
  58. Looney MA, Rimmer JH. Aerobic exercise equipment preferences among older adults: a preliminary investigation. J Appl Meas. 2003;4:43–58
  59. Stratford PW, Binkley JM, Solomon P. Defining the minimum level of detectable change for the Roland-Morris questionnaire. Phys Ther. 1996;76:359–365
  60. Stratford PW, Goldsmith CH. Use of the standard error as a reliability index of interest: an applied example using elbow flexor strength data. Phys Ther. 1997;77:745–750
  61. Atkinson G, Nevill AM. Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine. Sports Med. 1998;26:217–238
  62. Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. In: 2nd ed.. Oxford: Oxford Univ Pr; 1995;p. 104–127

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(07)01842-4

doi: 10.1016/j.apmr.2007.09.036

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 4 , Pages 609-617 , April 2008