| Titre : | Effect of Multicomponent Home-Based Training on Gait and Muscle Strength in Older Adults After Hip Fracture Surgery: A Single Site Randomized Trial (2023) |
| Auteurs : | Mei Zhen Huang ; Mark W. Rogers ; Douglas Pizac ; Ann L. Gruber-Baldini ; Denise Orwig ; Marc C. Hochberg ; Brock A. Beamer ; Robert A. Creath ; Douglas N. Savin ; Vincent M. Conroy ; Kathleen K Mangione ; Rebecca Craik ; Li-Qun Zhang ; Jay Magaziner |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 2, 2023) |
| Article en page(s) : | 169-178 |
| Note générale : | https://doi.org/10.1016/j.apmr.2022.08.974 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Démarche ; Force musculaire ; Fractures de la hanche ; Réadaptation ; Traitement par les exercices physiques |
| Résumé : | Objective To investigate the effect of 16-week home-based physical therapy interventions on gait and muscle strength. Design A single-blinded randomized controlled trial. Setting General community. Participants Thirty-four older adults (N=34) post hip fracture were randomly assigned to either experimental group (a specific multi-component intervention group [PUSH], n=17, 10 women, age=78.6+7.3 years, 112.1+39.8 days post-fracture) or active control (a non-specific multi-component intervention group [PULSE], n=17, 11 women, age=77.8+7.8 years, 118.2+37.5 days post-fracture). Intervention PUSH and PULSE groups received 32-40 sessions of specific or non-specific multi-component home-based physical therapy, respectively. Training in the PUSH group focused on lower extremity strength, endurance, balance, and function for community ambulation, while the PULSE group received active movement and transcutaneous electrical nerve stimulation on extremities. Main Outcome Measures Gait characteristics, and ankle and knee muscle strength were measured at baseline and 16 weeks. Cognitive testing of Trail Making Test (Part A: TMT-A; Part-B: TMT-B) was measured at baseline. Results At 16 weeks, both groups demonstrated significant increases in usual (P<.05 and fast walking speed while there was no significant difference in increases between the groups. only change lower limb muscle strength over time side groups such that push did better confidence interval:1.43 increase usual correlated with baseline trail-making test-b score p=".037)" improved fractured respectively. conclusion gait both home-based multicomponent physical therapy programs older adults after hip fracture surgery. of non-fractured group receiving specific training. interventions targeting modifiable factors as cognitive performance may assist recovery> |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322015647 |
Bibliothèques HE Vinci
