PT Professor Mangione Published Research on Hip Fracture Exercise

November 16, 2010 Donna Whitlock

Health and Medicine Week  (Atlanta, Ga.) published a study by Dr. Kathleen Mangione and her colleagues on “Findings from Arcadia University provide new insights into hip fracture.”

“In this recently published study, investigators in the United States conducted a study “To compare the effectiveness of a short-term leg-strengthening exercise program with that of attentional control on improving strength, walking abilities, and function 1 year after hip fracture. Randomized controlled pilot study.  Patients’ homes.”

“Community-dwelling older adults (n=26) 6 months after hip fracture at baseline. Exercise and control participants received interventions from physical therapists twice a week for 10 weeks. The exercise group received high-intensity leg-strengthening exercises. The control group received transcutaneous electrical nerve stimulation and mental imagery. Isometric force production of lower extremity muscles, usual and fast gait speed, 6-minute walk (6-MW) distance, modified Physical Performance Test (mPPT), and Medical Outcomes Study 36-item Short Form Survey (SF-36) physical function. The primary endpoint was 1 year after fracture. Isometric force production (P=.006), usual (P=02) and fast (P=.03) gait speed, 6-MW distance (P=.005), and mPPT  score (P<.001) were improved 1 year after fracture were exercise. Effect sizes were 0.79 for strength, 0.81 for mPPT score, 0.56 for gait speed, 0.49 for 6-MW, and 0.30 for SF-36 score. More patients in the exercise group made meaningful changes in gait speed and 6-MW distance than control patients (chi-square P=.004). A 10-week home-based progressive resistance exercise program was sufficient to achieve moderate to large effects on physical performance and quality of life and may offer an alternative intervention mode for patients with hip fracture who are unable to leave home by 6 months after the fracture,” wrote K.K. Mangione and colleagues, Arcadia University.

The researchers concluded: “The effects were maintained at 3 months after completion of the training program.”

Mangione and colleagues published their study in the Journal of the American Geriatrics Society (Home-Based Leg Strengthening Exercise Improves Function 1 Year After Hip Fracture: A Randomized Controlled Study.  Journal of the American Geriatrics Society, 2010;58 (10): 1911-1917).

physical therapy