At-Home Exercise After Formal Rehab for Hip Fracture Yields Modest Improvements in Physical Function — Physician’s First Watch
At-Home Exercise After Formal Rehab for Hip Fracture Yields Modest Improvements in Physical Function
By Amy Orciari Herman
A home-based exercise intervention improves some measures of physical function in adults who've completed a standard rehabilitation program for hip fracture, a JAMA study finds.
Some 200 older adults with limited function after finishing rehab were randomized to home exercises or a control group. The exercise group were taught functional tasks (such as climbing steps) during home visits by a physical therapist and then were instructed to perform them on their own three times weekly for 6 months. The control group received nutrition education.
At 6 months, physical function — as measured by standing balance, gait speed, and chair rise — showed clinically important improvements in the exercise versus control group.
Thomas Schwenk, a family medicine physician with NEJM Journal Watch, asks "whether some or even all of the usual structured outpatient rehabilitation could be moved to a less expensive but longer period of home rehabilitation."