Home-based exercise program improves recovery following rehabilitation for hip fracture

Among patients who had completed standard rehabilitation after hip fracture, the use of a home exercise program that included exercises such as standing from a chair or climbing a step resulted in improved physical function, according to a study in the February 19 issue of JAMA.

More than 250,000 people in the United States fracture their hip each year, with many experiencing severe long-term consequences. “Two years after a hip fracture, more than half of men and 39 percent of women are dead or living in a long-term care facility. Many of these patients are no longer able to independently complete basic functional tasks that they could perform prior to the fracture, such as walking 1 block or climbing 5 steps 2 years after a fracture,” according to background information in the article. The efficacy of a home exercise program with minimal supervision after formal hip fracture rehabilitation ends has not been established.

Nancy K. Latham, Ph.D., P.T., of Boston University, and colleagues randomized 232 functionally limited older adults who had completed traditional rehabilitation after a hip fracture to a home exercise hip rehabilitation program comprising functionally oriented exercises (such as standing from a chair, climbing a step) taught by a physical therapist and performed independently by the participants in their homes for 6 months (n = 120); or in-home and telephone-based cardiovascular nutrition education (n = 112).

Among the 232 randomized patients, 195 were followed up at 6 months and included in the primary analysis. The intervention group (n=100) showed improvement relative to the control group (n=95) in functional mobility on various measures. In addition, balance significantly improved in the intervention group compared with the control group at 6 months.

“The traditional approach to rehabilitation for hip fracture leaves many patients with long-term functional limitations that could be reduced with extended rehabilitation. However, it is unlikely that additional months of highly supervised rehabilitation can be provided to patients with hip fracture,” the authors write.

“Exercise programs are challenging for people to perform on their own without clear feedback about whether they are performing the exercises accurately and safely and without guidance as to how to change the exercises over time. The findings from our study suggest that [the approach used in this study] could be introduced to patients after completion of traditional physical therapy following hip fracture and may provide a more effective way for these patients to continue to exercise in their own homes. However, future research is needed to explore whether the interventions in this trial can be disseminated in a cost-effective manner in real clinical environments.”

Story Source:

The above story is based on materials provided by The JAMA Network Journals. Note: Materials may be edited for content and length.

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Fitness News — Sciencedaily
— Courtesy “Science News Daily” (ScienceNewsDaily.com) <p> <p>Question by love_bug_905: Exercises??
What are good exercises to lose weight?

Best answer:

Answer by Momma Knows
Exercises in general will not help you lose weight. Exercises will help tone and flatten.

If you want to get rid of fat you will have to diet and do cardio.
Your cardio should be done a minimum of 5 days a week and unlike exercising you can do it daily. Your cardio can be as simple as taking long brisk walks or more intense like jogging, taebo, swimming or racquetball. You want to get up to your maximum heart rate. You cardio workout should last 30 +. 45 is perfect.

If you have not worked out for a while you should start very slowly, get a doctors check up and begin. If you have been exercising regularly then you should build it up a bit more and make your sessions last a little longer.

There is also the diet part of this. You can do cardio and targeted exercises all you want but if you take in more calories than you burn you will continue to gain weight.

Watch your calorie intake, have non-fat or low fat dairy items, lots of fruits and veggies, have breads that are 100% whole grain, lean meats and learn to eat smaller portions.

After you do cardio and diet you may want to do some targeted exercises to tighten and tone. The bicycle and reverse crunches are good for your stomach area, side leg lifts for your thighs, and if you have resistance bands you can basically workout you entire body in about 15 minutes.

Basically just get up and start moving.

What do you think? Answer below!

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    • Debra S
    • February 21, 2014

    To lose weight you have to burn fat and the only way to do that is to do cardio. You need to be working out in your target heart rate for a minimum of 35 minutes several times a week. I have done step aerobics, kick boxing and strength training. Some people like running but I get bored too quickly with that. I also recommend roller blading. I always seemed to see results quickly when I went roller blading on a regular basis (i.e. at least 4 times a week for 45min – 1hr).

    You can go to this website to calculate your target heart rate. Or if you belong to a local gym they should be able to more accurately calculate it for you. http://exercise.about.com/cs/fitnesstools/l/bl_THR.htm

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