Community-based rehabilitative exercise programs might be an effective means to improve functional outcomes for hip-fracture patients. The purpose of this study was to evaluate the effectiveness of a community exercise program (CEP) for older adults recovering from hip fracture. Twenty-five older adults (mean age 80.0 ± 6.0 years; 24 women; 71 ± 23 days post–hip fracture) participated in this pilot study (17 exercise, 8 control). The CEP involved functional stepping and lower extremity–strengthening exercises. Control participants received only standard outpatient therapy. Measures of functional mobility, balance confidence, falls efficacy, lower extremity strength, and daily physical activity were evaluated at baseline and at 16 weeks. Improvements for self-reported physical activity, mobility, balance, and knee-extensor strength were observed for the CEP group. This study demonstrated that a CEP is beneficial for community-dwelling older adults post–hip fracture.
Jones, Taylor, Petrella, and Vandervoort are with the Faculty of Health Sciences, and Petrella, the Schulich School of Medicine and Dentistry, University of Western Ontario, ON Canada N6H 1H1. Jakobi is with the Dept. of Kinesiology, University of Windsor, Windsor, ON Canada. Jones, Taylor, Petrella, and Vandervoort are also with the Canadian Centre for Activity and Aging, London, ON Canada.