Effect of Lower-Limb Progressive Resistance Exercise After Hip Fracture Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Studies
- Authors
- Lee, Sang Yoon; Yoon, Byung-Ho; Beom, Jaewon; Ha, Yong-Chan; Lim, Jae-Young
- Issue Date
- Dec-2017
- Publisher
- ELSEVIER SCIENCE INC
- Keywords
- Resistance training; postoperative; hip fracture; rehabilitation; meta-analysis
- Citation
- JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, v.18, no.12, pp 1096.e19 - 1096.e26
- Journal Title
- JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
- Volume
- 18
- Number
- 12
- Start Page
- 1096.e19
- End Page
- 1096.e26
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/3509
- DOI
- 10.1016/j.jamda.2017.08.021
- ISSN
- 1525-8610
1538-9375
- Abstract
- Objective: Although several studies have reported the effect of progressive resistance exercise (PRE) after hip fracture surgery, little is known about the functional efficacy of PRE. Thus, we conducted a meta-analysis to evaluate whether PRE can improve (1) mobility and (2) other physical functions in elderly patients after hip fracture surgery. Methods: Eight randomized controlled trials investigating the effects of PRE after hip fracture surgery were retrieved from a PubMed, Embase, and Cochrane Library search. Our pair-wise meta-analysis used a fixed or random effects model. Results: PRE significantly improved participants' overall physical functions after hip fracture surgery compared with the control group (standardized mean difference = 0.408; 95% confidence interval, 0.238-0.578; P <.001). It was particularly effective in the areas of mobility (standardized mean difference = 0.501; 95% confidence interval, 0.297-0.705; P <.001), activities of daily living, balance, lower-limb strength or power, and performance task. Conclusions: Our meta-analysis revealed that PRE after hip fracture surgery improves mobility, activities of daily living, balance, lower-limb strength or power, and performance task outcomes. Because of the small sample size in this meta-analysis and considering the increasing incidence of hip fractures, there is a need for large-scale randomized controlled trials to confirm the functional improvement and adverse effects of PRE. (C) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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