Evidence map›Paper›PMID 19627913›Full record

Trial reportPM & R : the journal of injury, function, and rehabilitation2009

Design and implementation of a home-based exercise program post-hip fracture: the Baltimore hip studies experience.

Janet A Yu-Yahiro, Barbara Resnick, Denise Orwig, Gregory Hicks, Jay Magaziner

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PM & R : the journal of injury, function, and rehabilitation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Interventions for improving mobility after hip fracture surgery in adults.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Meaningful improvement in gait speed in hip fracture recovery.Journal of the American Geriatrics Society · 2011
    Trial
  8. Trial
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Janet A Yu-YahiroDepartment of Orthopaedic Research, The Union Memorial Hospital, 3333 N. Calvert Street, Suite 400, Baltimore, MD 21218, USA. grace.nasrallah@medstar.net
Barbara Resnick
Denise Orwig
Gregory Hicks
Jay Magaziner

Funding

Sequelae of Hip Fracture in Men: An Epidemiologic StudyR37AG009901 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY · 1992 to 2018
$11.3M
UPPER EXTREMITY TRAINING FOR CHRONIC STROKEP60AG012583 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI GOLDBERG, ANDREW P · 1994 to 2005
$7.8M
TESTING THE EXERCISE PLUS PROGRAM FOLLOWING HIP FRACTURER01AG017082 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI RESNICK, BARBARA M · 1999 to 2002
$1.6M
NIA NIH HHS P60 AG012583NIA NIH HHS P60 AG12583NIA NIH HHS R01 AG017082NIA NIH HHS R01 AG17082-01NIA NIH HHS R37 AG009901NIA NIH HHS R37 AG09901
6 · The paper itself

Abstract

objectiveThe objectives are to describe for the first time a home-based exercise intervention for frail elderly hip fracture patients and to describe the feasibility of this exercise program.

designA home-based exercise program was used in a randomized controlled trial in which the authors investigated exercise intervention versus no exercise intervention in patients after hip fracture.

settingThis program was implemented at the patients' own home or place of residence after discharge.

participantsWomen 65 years of age or older were recruited within 15 days of hip fracture. Eligible patients were those with a nonpathologic fracture who were admitted within 72 hours of injury, had surgical repair of the hip fracture, and met medical inclusion criteria. Participants initially were randomized to exercise groups and then assigned to exercise trainers.

interventionThe exercise contained strength training and aerobic components. Participants were expected to exercise 5 days per week by performing a combination of supervised and independently performed exercise sessions. Intensity and duration were increased gradually by trainers in a standardized way. The frequency of the supervised sessions decreased as participants became more independent. Treatment fidelity visits ensured that the intervention was being delivered as intended across trainers and across participants. MAIN OUTCOME MEASUREMENT: This work describes the feasibility and challenges of administering an intensive home-based exercise program in this population of older adults.

resultsOf those patients randomized to exercise, 82% were followed by a trainer and almost all advanced to higher levels in both aerobic and strength programs. Overall, participants received an average of 44 (78.5%) of the prescribed visits by the trainer.

conclusionsThis study showed that it was possible to engage a frail older population of post-hip fracture patients in a program of aerobic and strength training exercise with a high rate of participation.

Indexed as

Home Care ServicesAgedAged, 80 and overExerciseExercise TherapyFeasibility StudiesFemaleFrail ElderlyHip FracturesHumansMotivationPatient CompliancePatient Education as TopicResistance Training

Identifiers

PMID19627913
PMCPMC3568511

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.