Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 12 , Pages 2125-2130 , December 2009

Body Weight–Supported Treadmill Training for Patients With Hip Fracture: A Feasibility Study

  • Lora M. Giangregorio, PhD

      Affiliations

    • Department of Kinesiology, University of Waterloo, Waterloo, and Toronto Rehabilitation Institute, Toronto
    • Department of Kinesiology, McMaster University, Hamilton, ON, Canada
    • Corresponding Author InformationCorrespondence to Lora Giangregorio, PhD, Department of Kinesiology, University of Waterloo, 200 University Ave W, Waterloo, ON, N1H 8K4
    • ,
  • Lehana Thabane, PhD

      Affiliations

    • Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
    • Centre for Evaluation of Medicines, St Joseph's Healthcare, Hamilton, ON, Canada
    • ,
  • Justin deBeer, MD, FRCSC(Orth), FCSSA(Orth)

      Affiliations

    • Department of Surgery, McMaster University, Hamilton, ON, Canada
    • ,
  • Leonardo Farrauto, MD, FRCPC

      Affiliations

    • Department of Medicine, McMaster University, Hamilton, ON, Canada
    • ,
  • Neil McCartney, PhD

      Affiliations

    • Department of Kinesiology, McMaster University, Hamilton, ON, Canada
    • ,
  • Jonathan D. Adachi, MD, FRCPC

      Affiliations

    • Department of Medicine, McMaster University, Hamilton, ON, Canada
    • ,
  • Alexandra Papaioannou, MD, FRCPC

      Affiliations

    • Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
    • Department of Medicine, McMaster University, Hamilton, ON, Canada

References 

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  2. Papaioannou A, Wiktorowicz ME, Adachi JD, et al. Mortality, independence in living and re-fracture, one year following hip fracture in Canadians. J Soc Obstet Gynaecol Can. 2000;22:591–597
  3. Wiktorowicz ME, Goeree R, Papaioannou A, Adachi JD, Papadimitropoulos E. Economic implications of hip fracture: health service use, institutional care and cost in Canada. Osteoporos Int. 2001;12:271–278
  4. Adachi JD, Loannidis G, Berger C, et al. The influence of osteoporotic fractures on health-related quality of life in community-dwelling men and women across Canada. Osteoporos Int. 2001;12:903–908
  5. Petrella RJ, Payne M, Myers A, Overend T, Chesworth B. Physical function and fear of falling after hip fracture rehabilitation in the elderly. Am J Phys Med Rehabil. 2000;79:154–160
  6. Borgquist L, Ceder L, Thorngren KG. Function and social status 10 years after hip fracture: prospective follow-up of 103 patients. Acta Orthop Scand. 1990;61:404–410
  7. Fitzgerald JF, Dittus RS. Institutionalized patients with hip fractures: characteristics associated with returning to community dwelling. J Gen Intern Med. 1990;5:298–303
  8. Lamb SE, Morse RE, Evans JG. Mobility after proximal femoral fracture: the relevance of leg extensor power, postural sway and other factors. Age Ageing. 1995;24:308–314
  9. Madsen OR, Lauridsen UB, Sorensen OH. Quadriceps strength in women with a previous hip fracture: relationships to physical ability and bone mass. Scand J Rehabil Med. 2000;32:37–40
  10. Jones GR, Miller TA, Petrella RJ. Evaluation of rehabilitation outcomes in older patients with hip fractures. Am J Phys Med Rehabil. 2002;81:489–497
  11. Eastwood EA, Magaziner J, Wang J, et al. Patients with hip fracture: subgroups and their outcomes. J Am Geriatr Soc. 2002;50:1240–1249
  12. Haentjens P, Autier P, Barette M, Boonen S. Predictors of functional outcome following hip fracture in elderly women: a one-year prospective cohort study. Injury. 2005;36:842–850
  13. 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
  14. Handoll HH, Sherrington C. Mobilisation strategies after hip fracture surgery in adults. Cochrane Database Syst Rev. 2007;(Issue 1):CD001704
  15. Visintin M, Barbeau H, Korner-Bitensky N, Mayo NE. A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation. Stroke. 1998;29:1122–1128
  16. Hesse S, Werner C, Seibel H, et al. Treadmill training with partial body-weight support after total hip arthroplasty: a randomized controlled trial. Arch Phys Med Rehabil. 2003;84:1767–1773
  17. Binkley JM, Stratford PW, Lott SA, Riddle DL. The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application (North American Orthopaedic Rehabilitation Research Network). Phys Ther. 1999;79:371–383
  18. Podsiadlo D, Richardson S. The Timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142–148
  19. Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J Gerontol. 1990;45:239–243
  20. Armstrong R, Waters E, Moore L, et al. Improving the reporting of public health intervention research: advancing TREND and CONSORT. J Public Health (Oxf). 2008;30:103–109
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  22. Refaat M. Data preparation for data mining using SAS. New York: Morgan Kaufmann; 2007;
  23. Giangregorio L, Papaioannou A, Thabane L, et al. Do patients perceive a link between a fragility fracture and osteoporosis?. BMC Musculoskelet Disord. 2008;9:38
  24. Baker PA, Evans OM, Lee C. Treadmill gait retraining following fractured neck-of-femur. Arch Phys Med Rehabil. 1991;72:649–652

 Supported by the Hamilton Health Sciences New Investigator Fund (grant no. NIF-05055).

 Clinical trial registration no.: NCT00197496.

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

 Reprints are not available from the author.

PII: S0003-9993(09)00724-2

doi: 10.1016/j.apmr.2009.06.022

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 12 , Pages 2125-2130 , December 2009

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