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<p>We aimed to test the effectiveness of an invidually tailored home-based exercise intervention compared with usual care for independence, functional capacity and quality of life in patients with hip fragility fractures. In this single-blinded randomized-controlled trial (NCT04934358), patients with surgically treated fragility hip fractures were randomized to receive a 3-month exercise intervention or usual care. The exercise group performed a predetermined number of steps per day with resting pauses and a number of sit-to-stand exercises at home. The outcomes collected at baseline, at the end of the program and at follow up (6-months) included: the Barthel Index (primary outcome), quality of life, cognition and depression levels, 6-minute walking test, and 5-time sit-to-stand test. A total of 35 patients were randomized: 16 to the exercise group and 19 to the control group (mean age 80 ± 10 years, men <i>n</i> = 9). At the end of the program, patients in the exercise group presented significantly greater improvement in all primary and secondary outcomes than those in the control group did (Barthel Index variations: 12 ± 4 vs. 7 ± 5; <i>p</i> = 0.046), although both groups exhibited significant improvements from baseline for almost all the outcomes. Compared with usual care, a simple, individually tailored home-based exercise program favored the recovery of independence, quality of life, and functional capacity after hip fragility fractures.</p>

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Effectiveness of a home-based physical exercise intervention in patients with hip fragility fractures: a randomized controlled trial

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月29日

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  • Rocío Segura-Ruiz,
  • Macarena Ruiz-Cañete,
  • Adoración Muñoz-Alonso,
  • Rafael Jiménez-Esquinas,
  • Estíbaliz Moreno-González,
  • Mª Pilar Serrano-Lázaro,
  • Pedro José Armenteros-Ortiz,
  • Claudia Rivas-Cruces,
  • Giovanni Piva,
  • Nicola Lamberti,
  • Fabio Manfredini,
  • Pablo Jesús López-Soto

摘要

We aimed to test the effectiveness of an invidually tailored home-based exercise intervention compared with usual care for independence, functional capacity and quality of life in patients with hip fragility fractures. In this single-blinded randomized-controlled trial (NCT04934358), patients with surgically treated fragility hip fractures were randomized to receive a 3-month exercise intervention or usual care. The exercise group performed a predetermined number of steps per day with resting pauses and a number of sit-to-stand exercises at home. The outcomes collected at baseline, at the end of the program and at follow up (6-months) included: the Barthel Index (primary outcome), quality of life, cognition and depression levels, 6-minute walking test, and 5-time sit-to-stand test. A total of 35 patients were randomized: 16 to the exercise group and 19 to the control group (mean age 80 ± 10 years, men n = 9). At the end of the program, patients in the exercise group presented significantly greater improvement in all primary and secondary outcomes than those in the control group did (Barthel Index variations: 12 ± 4 vs. 7 ± 5; p = 0.046), although both groups exhibited significant improvements from baseline for almost all the outcomes. Compared with usual care, a simple, individually tailored home-based exercise program favored the recovery of independence, quality of life, and functional capacity after hip fragility fractures.