Prolonged strength training in older patients after hip fracture: a randomised controlled trial

Age Ageing. 2012 Mar;41(2):206-12. doi: 10.1093/ageing/afr164. Epub 2011 Dec 23.


Objective: the aim of this study was to assess the effect of a 12-week once-a-week prolonged strength-training programme in a group of home-dwelling older hip fracture patients.

Design: randomised, controlled; single-blind parallel-group trial.

Setting: intervention at outpatient's clinic.

Subjects: 95 patients with surgical fixation for a hip fracture completed a preceding 3-month progressive strength-training programme twice a week.

Methods: the programme comprised four exercises, performed at 80% of maximum capacity. Measurements were taken after 12 weeks of intervention. Outcome measurements were Berg Balance Scale (BBS), the sit-to-stand test, timed up-and-go test, maximal gait speed, 6-min walk test, Nottingham Extended Activities of Daily Living scale and the Short Form-12 questionnaire.

Results: we found no statistically significant difference between groups in the primary outcome BBS, presumably because of a ceiling effect. The intervention group showed significant improvements in strength, gait speed and gait distance, instrumental activities of daily living and self-rated health.

Conclusions: twelve weeks of progressive strength training performed once a week, as a follow-up to a more intensive training period, seemed to improve strength and endurance and resulted in better self-reported NEADL and self-rated health after hip fracture. Hip fracture patients seem to constitute a group that needs long-term follow-up to achieve the improvements necessary for independent functioning.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging
  • Analysis of Variance
  • Chi-Square Distribution
  • Female
  • Fracture Fixation
  • Hip Fractures / physiopathology
  • Hip Fractures / rehabilitation*
  • Hip Fractures / surgery
  • Hospitals, University
  • Humans
  • Male
  • Muscle Strength
  • Norway
  • Outpatient Clinics, Hospital
  • Physical Endurance
  • Postural Balance
  • Recovery of Function
  • Resistance Training*
  • Single-Blind Method
  • Surveys and Questionnaires
  • Time Factors
  • Treatment Outcome
  • Walking