Trial reportJournal of the American Geriatrics Society2011
Meaningful improvement in gait speed in hip fracture recovery.
Trial report in Journal of the American Geriatrics Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials.BMC geriatrics · 2019Pooled it
- Longitudinal studies that use data collected as part of usual care risk reporting biased results: a systematic review.BMC medical research methodology · 2017Pooled it
- BIO101 in Sarcopenic Seniors at Risk of Mobility Disability: Results of a Double-Blind Randomised Interventional Phase 2b Trial.Journal of cachexia, sarcopenia and muscle · 2025Trial
- Improving rehabilitation in sarcopenia: a randomized-controlled trial utilizing a muscle-targeted food for special medical purposes.Journal of cachexia, sarcopenia and muscle · 2020Trial
- Trial
- Trial
- Enhanced medical rehabilitation increases therapy intensity and engagement and improves functional outcomes in postacute rehabilitation of older adults: a randomized-controlled trial.Journal of the American Medical Directors Association · 2012Trial
- Creatine monohydrate supplementation for older adults and clinical populations.Journal of the International Society of Sports Nutrition · 2025Review
- Thigh Muscle Composition and Its Relationship to Functional Recovery Post Hip Fracture Over Time and Between Sexes.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Randomized Trials With Repeatedly Measured Outcomes: Handling Irregular and Potentially Informative Assessment Times.Epidemiologic reviews · 2022Review
- [Acute geriatric treatment of older trauma patients : Influence on mobility, autonomy and postdischarge destination].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Claudicating patients with peripheral artery disease have meaningful improvement in walking speed after supervised exercise therapy.Journal of vascular surgery · 2021Article
- Depressive symptom heterogeneity among older adults after hip fracture.Age and ageing · 2021Article
- Application of SDOC Cut Points for Low Muscle Strength for Recovery of Walking Speed After Hip Fracture.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Article
- The Nursing Home Physical Performance Test: A Secondary Data Analysis of Women in Long-Term Care Using Item Response Theory.The Gerontologist · 2018Article
- Persistence of depressive symptoms and gait speed recovery in older adults after hip fracture.International journal of geriatric psychiatry · 2018Article
- Gait Speed and Mobility Disability: Revisiting Meaningful Levels in Diverse Clinical Populations.Journal of the American Geriatrics Society · 2018Article
- Gait outcomes of older adults receiving subacute hospital rehabilitation following orthopaedic trauma: a longitudinal cohort study.BMJ open · 2017Article
- Gait Performance in Hypertensive Patients on Angiotensin-Converting Enzyme Inhibitors.Journal of the American Medical Directors Association · 2016Article
- Feasibility and inter-rater reliability of physical performance measures in acutely admitted older medical patients.PloS one · 2015Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectivesTo estimate meaningful improvements in gait speed observed during recovery from hip fracture and to evaluate the sensitivity and specificity of gait speed changes in detecting change in self-reported mobility.
designSecondary longitudinal data analysis from two randomized controlled trials
settingTwelve hospitals in the Baltimore, Maryland, area.
participantsTwo hundred seventeen women admitted with hip fracture. MEASUREMENTS: Usual gait speed and self-reported mobility (ability to walk 1 block and climb 1 flight of stairs) measured 2 and 12 months after fracture.
resultsEffect size-based estimates of meaningful differences were 0.03 for small differences and 0.09 for substantial differences. Depending on the anchor (stairs vs walking) and method (mean difference vs regression), anchor-based estimates ranged from 0.10 to 0.17 m/s for small meaningful improvements and 0.17 to 0.26 m/s for substantial meaningful improvement. Optimal gait speed cutpoints yielded low sensitivity (0.39-0.62) and specificity (0.57-0.76) for improvements in self-reported mobility.
conclusionResults from this sample of women recovering from hip fracture provide only limited support for the 0.10-m/s cut point for substantial meaningful change previously identified in community-dwelling older adults experiencing declines in walking abilities. Anchor-based estimates and cut points derived from receiver operating characteristic curve analysis suggest that greater improvements in gait speed may be required for substantial perceived mobility improvement in female hip fracture patients. Furthermore, gait speed change performed poorly in discriminating change in self-reported mobility. Estimates of meaningful change in gait speed may differ based on the direction of change (improvement vs decline) or between patient populations.
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Registered trials
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