Design and Implementation of a Home-Based Exercise Program Post-Hip Fracture: the Baltimore Hip Studies Experience $0.00

Design and Implementation of a Home-Based Exercise Program Post-Hip Fracture: the Baltimore Hip Studies Experience

By: Phil Page, PhD, PT, ATC, CSCS, FACSM | Jul 23, 2019
Design and Implementation of a Home-Based Exercise Program Post-Hip Fracture: the Baltimore Hip Studies Experience

Summary

Hip fracture rates are estimated to increase to 650,000 people by 2030. As many as one-third of hip fracture patients die within a year of their injury. Researchers at Union Memorial Hospital in Baltimore have been conducting a long-term trial of a home-based exercise program after hip fracture. The TheraBand Academy has supported the study for several years with TheraBand products. A recent article in Physical Medicine and Rehabilitation journal described the success of the program in terms of implementation and design.

In the randomized, controlled trial, 180 frail elderly females over 65 years old were randomly assigned to a control group of non-exercise and an experimental exercise group. Exercise started after discharge from acute therapy, and included TheraBand resistance bands with handles and cuff weights. Patients performed 3 sets of 10 repetitions of each exercise and gradually increased the resistance using the TheraBand system of color progression. Sessions were held 5 times per week with some supervised sessions at home.

The authors noted that experts doubted that it would be possible to get frail older adults to exercise after hip fracture; however, the study was successful with an 82% participation rate and 78.5% compliance rate. The Baltimore Hip Study confirmed that TheraBand resistance can be successfully used for frail post-hip fracture patients.

Yu-Yahiro JA, et al. Design and implementation of a home-based exercise program post-hip fracture: the Baltimore hip studies experience. PM R. 2009;1(4):308–318. doi:10.1016/j.pmrj.2009.02.008

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