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 .
Testing the effectiveness of the exercise plus program in older women post-hip fracture
Background : Exercise is an important strategy with potential to improve recovery in older adults following a hip fracture . Purpose : The purpose of this study was to test the impact of a self-efficacy based intervention , the Exercise Plus Program , and the different components of the intervention , on self-efficacy , outcome expectations , and exercise behavior among older women post-hip fracture . Methods : Participants were r and omized to one of four groups : exercise plus , exercise only , plus only ( i.e. , motivation ) , or routine care . Data collection was done at baseline ( within 22 days of fracture ) , 2 , 6 , and 12 months post-hip fracture . Results : A total of 209 women were recruited with an average age of 81.0 years ( SD=6.9 ) . The majority was White ( 97.1 % ) , was widowed ( 57.2 % ) , and had a high school education ( 66.7 % ) . Generalized Estimating Equations were used to perform repeated measures analyses . No differences in trajectories of recovery were observed for self-efficacy or outcome expectations . A statistically significant difference in the overall trajectory of time in exercise was seen ( p<.001 ) , with more time spent exercising in all three treatment groups . Conclusions : The study demonstrated that it was possible to engage these women in a home-based exercise program and that the plus only , exercise only , and the exercise plus groups all increased exercise
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 .