ReviewFrontiers in medicine2026
Changes in lower limb muscle strength and corresponding gait changes following hip fractures in older adults: a narrative review.
Review in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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Who cites it
0 citing papers in PubMed.
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Authors and funding
5 authors.
Funding
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Abstract
This narrative review synthesizes available evidence on changes in lower limb muscle strength and corresponding gait alterations following hip fracture in older adults, aiming to provide a biomechanically grounded framework for precision rehabilitation. A structured literature search was conducted across major electronic databases (PubMed, Scopus, Web of Science, Embase, and the Cochrane Library) from inception to January 31, 2026, and findings were synthesized descriptively. The evidence indicates that muscle strength decline exhibits group-specific patterns: hip abductor weakness is associated with pelvic instability and Trendelenburg gait; quadriceps atrophy correlates with knee instability and limited flexion-extension; and weakness of the gluteus maximus and calf muscles appears linked to reduced stride length and diminished propulsive force. Recovery of muscle strength and gait typically follows a trajectory of rapid decline, gradual improvement within the first six months, and long-term persistence of sub-baseline levels, with bilateral asymmetry often lasting 1-2 years post-surgery; gait speed, stride length, and symmetry frequently remain impaired despite rehabilitation. These findings suggest that biomechanically informed, muscle group-specific training-guided by individual gait analysis-may enhance functional recovery and reduce fall risk, encouraging clinicians to move beyond generic lower-limb strengthening programs toward targeted, mechanism-based interventions.
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