Effects of progressive resistance training on physical disability among older community-dwelling people with history of hip fracture
Edgren, J., Rantanen, T., Heinonen, A., Portegijs, E., Alén, M., Kiviranta, I., Kallinen, M., & Sipilä, S. (2012). Effects of progressive resistance training on physical disability among older community-dwelling people with history of hip fracture. Aging Clinical and Experimental Research, 24(2), 171-175. https://doi.org/10.1007/bf03325162
Julkaistu sarjassa
Aging Clinical and Experimental ResearchTekijät
Päivämäärä
2012Oppiaine
FysioterapiaGerontologia ja kansanterveysGerontologian tutkimuskeskusHyvinvoinnin tutkimuksen yhteisöPhysiotherapyGerontology and Public HealthGerontology Research CenterSchool of WellbeingTekijänoikeudet
© 2012, Editrice Kurtis. Published on this repository with the kind permission of the publisher.
Background and aims: Hip fracture is a common trauma in older people, and often leads to decreased muscle strength and increased physical disability. This randomized controlled trial examined whether three months of progressive resistance training (PRT) can reduce physical disability among older people with a history of hip fracture. Methods: A population-based sample of 60-85-year-old community-dwelling persons, with hip fractures sustained on average three years earlier, were enrolled in the study. Of 78 people participating in laboratory assessments, those without contraindications for participation in resistance training were randomly assigned to a training group (TG, n=22) or a control group (CG, n=21). TG took part in resistance training for three months twice a week. Training focused on lower limb muscles. Disability was assessed by a validated questionnaire containing six questions on activities of daily living (ADL) and nine on instrumental activities of daily living (IADL). A sum score was calculated separately for both items. High scores indicated more difficulties. Group differences were analysed with the Mann-Whitney and Chi-square tests. The effects of PRT on disability were tested with the McNemar test and by covariance analysis (ANCOVA). Results: TG and CG were comparable with respect to gender, age, chronic diseases, BMI, time since fracture, self-reported health, and level of physical activity at baseline. The ADL sum score in TG was 1.8 (2.0) at baseline and 1.1 (1.3) after follow-up; in CG values were 1.7 (1.8) and 1.5 (1.8) (ANCOVA p=0.034). IADL sum scores in TG were 3.9 (4.6) at baseline and 2.2 (3.8) after follow-up, and in CG 3.4 (3.6) and 2.4 (2.3) (ANCOVA p=0.529). Conclusions: Progressive resistance training reduced self-reported difficulties in ADL, even several years after fracture. More research is still needed on how to prevent physical disability among community-dwelling older people, especially after hip fracture.
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Julkaisija
Editrice KurtisISSN Hae Julkaisufoorumista
1594-0667Asiasanat
Alkuperäislähde
http://www.kurtis.it/aging/en/Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/21640013
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