Exercise Therapy Is Effective at Improving Short- and Long-Term Mobility, Activities of Daily Living, and Balance in Older Patients Following Hip Fracture: A Systematic Review and Meta-Analysis.
J Gerontol A Biol Sci Med Sci
; 77(4): 861-871, 2022 04 01.
Article
em En
| MEDLINE
| ID: mdl-34387664
ABSTRACT
BACKGROUND:
A systematic review and meta-analysis was performed to evaluate the short- and long-term effects of exercise therapy on physical function, independence, and well-being in older patients following hip fracture and, secondly, whether the effect was modified by trial-level characteristics such as intervention modality, duration, and initiation timepoint.METHOD:
Medline, CENTRAL, Embase, CINAHL, and PEDro were searched up to November 2020. Eligibility criteria were randomized controlled trials investigating the effect of exercise therapy on physical function, independence, and well-being in older patients following hip fracture, initiated from time of surgery up to 1 year.RESULTS:
Forty-nine studies involving 3 905 participants showed a small-to-moderate effect of exercise therapy at short term (end of intervention) on mobility (standardized mean difference [SMD] 0.49, 95% confidence interval [CI] 0.22-0.76); activities of daily living (ADL) (SMD 0.31, 95% CI 0.16-0.46); lower limb muscle strength (SMD 0.36, 95% CI 0.13-0.60); and balance (SMD 0.34, 95% CI 0.14-0.54). At long term (closest to 1 year), small-to-moderate effects were found for mobility (SMD 0.74, 95% CI 0.15-1.34), ADL (SMD 0.42, 95% CI 0.23-0.61), balance (SMD 0.50, 95% CI 0.07-0.94), and health-related quality of life (SMD 0.31, 95% CI 0.03-0.59). Certainty of evidence was evaluated using Grading of Recommendations Assessment, Development and Evaluation ranging from moderate to very low, due to study limitation and inconsistency.CONCLUSION:
We found low certainty of evidence for a moderate effect of exercise therapy on mobility in older patients following hip fracture at end of treatment and follow-up. Further, low evidence was found for small-to-moderate short-term effect on ADL, lower limb muscle strength and balance. CLINICAL TRIALS REGISTRATION NUMBER CRD42020161131.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Atividades Cotidianas
/
Fraturas do Quadril
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article