It is also possible that PRT alone is not a robust intervention for balance control .
This is the first systematic synthesis of the literature to examine the effectiveness of PRT alone on balance performance in older adults .
The limited evidence presented in currently published data has not consistently shown that the use of PRT in isolation improves balance in this population .
The serious health , social and economic consequences of falls are well documented .
Lower extremity muscle weakness and power as well as balance impairment are major independent intrinsic contributors to falls and amenable to intervention .
Progressive resistance training ( PRT ) is widely accepted as an appropriate modality for treating sarcopenia and has been reported to improve balance .
However , other studies affirm no significant effect of PRT on balance .
To date , there is no clear , definitive statement or synthesis of studies that has examined the effect of PRT on balance .
Therefore , our objective was to systematic ally review the literature to probe the merit of PRT as a single intervention on balance performance in older adults .
Effects of extended outpatient rehabilitation after hip fracture: a randomized controlled trial.
CONTEXT Hip fractures are common in the elderly , and despite st and ard rehabilitation , many patients fail to regain their prefracture ambulatory or functional status . OBJECTIVE To determine whether extended outpatient rehabilitation that includes progressive resistance training improves physical function and reduces disability compared with low-intensity home exercise among physically frail elderly patients with hip fracture . DESIGN , SETTING , AND PATIENTS R and omized controlled trial conducted between August 1998 and May 2003 among 90 community-dwelling women and men aged 65 years or older who had had surgical repair of a proximal femur fracture no more than 16 weeks prior and had completed st and ard physical therapy .  INTERVENTION Participants were r and omly assigned to 6 months of either supervised physical therapy and exercise training ( n = 46 ) or home exercise ( control condition ; n = 44 ) . MAIN OUTCOME MEASURES Primary outcome measures were total scores on a modified Physical Performance Test ( PPT ) , the Functional Status Question naire physical function subscale ( FSQ ) , and activities of daily living scales . Secondary outcome measures were st and ardized measures of skeletal muscle strength , gait , balance , quality of life , and body composition . Participants were evaluated at baseline , 3 months , and 6 months . RESULTS Changes over time in the PPT and FSQ scores favored the physical therapy group ( P = .003 and P = .01 , respectively ) . Mean change ( SD ) in PPT score for physical therapy was + 6.5 ( 5.5 ) points ( 95 % confidence interval [ CI ] , 4.6 - 8.3 ) , and for the control condition was + 2.5 ( 3.7 ) points ( 95 % CI , 1.4 - 3.6 points ) . Mean change ( SD ) in FSQ score for physical therapy was + 5.2 ( 5.4 ) points ( 95 % CI , 3.5 - 6.9 ) and for the control condition was + 2.9 ( 3.8 ) points ( 95 % CI , 1.7 - 4.0 ) . Physical therapy also had significantly greater improvements than the control condition in measures of muscle strength , walking speed , balance , and perceived health but not bone mineral density or fat-free mass . CONCLUSION In community-dwelling frail elderly patients with hip fracture , 6 months of extended outpatient rehabilitation that includes progressive resistance training can improve physical function and quality of life and reduce disability compared with low-intensity home exercise
It is also possible that PRT alone is not a robust intervention for balance control .
This is the first systematic synthesis of the literature to examine the effectiveness of PRT alone on balance performance in older adults .
The limited evidence presented in currently published data has not consistently shown that the use of PRT in isolation improves balance in this population .
The serious health , social and economic consequences of falls are well documented .
Lower extremity muscle weakness and power as well as balance impairment are major independent intrinsic contributors to falls and amenable to intervention .
Progressive resistance training ( PRT ) is widely accepted as an appropriate modality for treating sarcopenia and has been reported to improve balance .
However , other studies affirm no significant effect of PRT on balance .
To date , there is no clear , definitive statement or synthesis of studies that has examined the effect of PRT on balance .
Therefore , our objective was to systematic ally review the literature to probe the merit of PRT as a single intervention on balance performance in older adults .