Conclusion : Based on available evidence , older adults with hip fracture engage in prolonged sedentary behavior and have low levels of physical activity during rehabilitation and recovery
Objective : To synthesize evidence on older adults ’  sedentary behavior and physical activity during rehabilitation and recovery for hip fracture ( 1 ) across the care continuum and ( 2 ) from clinical interventions .
Patients receiving inpatient rehabilitation for lower limb orthopaedic conditions do much less physical activity than recommended in guidelines for healthy older adults: an observational study.
QUESTION Are ambulant patients who are admitted for inpatient rehabilitation for a lower limb orthopaedic condition active enough to meet current physical activity guidelines ? DESIGN Prospect i ve observational study . PARTICIPANTS Adults admitted for inpatient rehabilitation for a lower limb orthopaedic condition who were cognitively alert and able to walk independently or with assistance . OUTCOME MEASURES Participants wore an activity monitor for three full days .  Daily time spent in moderate intensity physical activity  was used to determine whether the levels of physical activity recommended in clinical guidelines were achieved . RESULTS Fifty-four participants with a mean age of 74 years ( SD 11 ) took a median of 398 ( IQR 140 to 993 ) steps per day and spent a median of 8 ( IQR 3 to 16 ) minutes walking per day . No participant completed a 10-minute bout of moderate intensity physical activity during the monitoring period . One participant accumulated 30 minutes of moderate intensity physical activity and nine participants accumulated 15 minutes of moderate intensity physical activity in a day . Physical activity was associated with shorter length of stay ( r=-0.43 ) and higher functional status on discharge ( r=0.39 ) . CONCLUSIONS Adults with lower limb orthopaedic conditions in inpatient rehabilitation are relatively inactive and do not meet current physical activity guidelines for older adults . Results of this study indicate that strategies to increase physical activity are required
Conclusion : Based on available evidence , older adults with hip fracture engage in prolonged sedentary behavior and have low levels of physical activity during rehabilitation and recovery
Objective : To synthesize evidence on older adults ’  sedentary behavior and physical activity during rehabilitation and recovery for hip fracture ( 1 ) across the care continuum and ( 2 ) from clinical interventions .