Effects of Progressive Resistance Training After Hip Fracture: A Systematic Review.
Study Goal
The researchers aimed to determine the effects of progressive resistance training programs on various outcomes in adults recovering from hip fracture.
Results Summary
Progressive resistance training improved functional capacity, strength, balance, walking speed, flexibility, and cardiorespiratory fitness in post-hip fracture patients, but effects on independence, quality of life, self-reported physical disability, depression, and cognitive ability were inconclusive.
Population
Adults over 65 years (mean age 77.80) recovering from hip fracture, typically 3-12 months post-fracture.
Effective Dosage
Intensity progressed from 60% to 80% of 1RM, with 3-4 lower limb exercises (hip and knee movements).
Duration
Typically 3 months.
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
progressive resistance training program | increase | functional capacity | adults after hip fracture | - | generally show an improvement | #1 |
progressive resistance training program | increase | strength | adults after hip fracture | - | generally show an improvement | #2 |
progressive resistance training program | increase | balance | adults after hip fracture | - | generally show an improvement | #3 |
progressive resistance training program | increase | walking speed | adults after hip fracture | - | generally show an improvement | #4 |
progressive resistance training program | increase | flexibility | adults after hip fracture | - | generally show an improvement | #5 |
progressive resistance training program | increase | cardiorespiratory fitness | adults after hip fracture | - | generally show an improvement | #6 |
progressive resistance training program | no change | independence | adults after hip fracture | - | do not show conclusive results | #7 |
progressive resistance training program | no change | quality of life | adults after hip fracture | - | do not show conclusive results | #8 |
progressive resistance training program | no change | self-reported physical disability | adults after hip fracture | - | do not show conclusive results | #9 |
progressive resistance training program | no change | depression | adults after hip fracture | - | do not show conclusive results | #10 |
progressive resistance training program | no change | cognitive ability | adults after hip fracture | - | do not show conclusive results | #11 |
Hip fracture presents high morbidity, mortality, and healthcare costs. Some programs have focused on the effect of progressive strength work on post-hip fracture recovery. Therefore, the objective of this systematic review was to understand the effect of a progressive resistance training program on different variables in adults after hip fracture. This review includes randomized controlled trials that apply progressive strength programs in subjects after a hip fracture. The selected databases are PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), and Ebsco. A total of 7 studies were selected after screening. These studies were published between 2005 and 2022. Most of the research included adults over 65 years of age, showing a mean age of 77.80 years. In the majority of cases, the programs are applied between 3 and 12 months post-fracture. The most commonly applied intervention time is 3 months. The intervention time of the programs typically lasts for 3 months and includes 3-4 lower limb exercises involving, mainly hip and knee movements. All the investigations assess functional capacity and nearly all research the strength. It is shown that the intensity of strength work progresses from 60 to 80% of 1RM. Progressive strength training programs in post-hip fracture patients generally show an improvement in functional capacity, strength, balance, walking speed, flexibility, and cardiorespiratory fitness. However, the effects on independence, quality of life, self-reported physical disability, depression, and cognitive ability do not show conclusive results, and there is little research in this regard.