Physical Activity in the Acute Ward Following Hip Fracture Surgery is Associated With Less Fear of Falling

Lise Kronborg Poulsen; Thomas Quaade Bandholm; Henrik Palm; Henrik Kehlet; Morten Tange Kristensen

doi:10.1123/japa.2015-0071

Physical Activity in the Acute Ward Following Hip Fracture Surgery is Associated With Less Fear of Falling

Lise Kronborg Poulsen, Thomas Quaade Bandholm, Henrik Palm, Henrik Kehlet, Morten Tange Kristensen

Department of Clinical Medicine

18 Citations (Scopus)

Abstract

Early mobilization following hip fracture surgery reduces medical complications and mortality, but may increase the risk of falling. The aim was to objectively measure the physical activity (time spent upright) the frst week after hip fracture surgery and relate it to functional performance and fear of falling at discharge. The 24-hr upright time was measured for a median of six days using a thigh-worn accelerometer in 37 patients (mean 80 years ± 8.4) and increased from median 13 (IQR 6-31) min to 46 (11-107) min at day 7. More upright time at discharge was associated with less fear of falling (r =-.48, p =.01, n = 27), which also was associated with fast gait speed (r =-.50, p =.02, n = 23) and a faster Timed Up and Go test time (r =.54, p <.01, n = 22), indicating a need for further studies on motivation and limitations for more physical activity following hip fracture surgery.

Original language	English
Journal	Journal of Aging and Physical Activity
Volume	124
Issue number	4
Pages (from-to)	525-532
Number of pages	28
ISSN	1063-8652
DOIs	https://doi.org/10.1123/japa.2015-0071
Publication status	Published - Oct 2016

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title = "Physical Activity in the Acute Ward Following Hip Fracture Surgery is Associated With Less Fear of Falling",

abstract = "Early mobilization following hip fracture surgery reduces medical complications and mortality, but may increase the risk of falling. The aim was to objectively measure the physical activity (time spent upright) the frst week after hip fracture surgery and relate it to functional performance and fear of falling at discharge. The 24-hr upright time was measured for a median of six days using a thigh-worn accelerometer in 37 patients (mean 80 years ± 8.4) and increased from median 13 (IQR 6-31) min to 46 (11-107) min at day 7. More upright time at discharge was associated with less fear of falling (r =-.48, p =.01, n = 27), which also was associated with fast gait speed (r =-.50, p =.02, n = 23) and a faster Timed Up and Go test time (r =.54, p <.01, n = 22), indicating a need for further studies on motivation and limitations for more physical activity following hip fracture surgery.",

author = "{Kronborg Poulsen}, Lise and Bandholm, {Thomas Quaade} and Henrik Palm and Henrik Kehlet and Kristensen, {Morten Tange}",

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T1 - Physical Activity in the Acute Ward Following Hip Fracture Surgery is Associated With Less Fear of Falling

AU - Kronborg Poulsen, Lise

AU - Bandholm, Thomas Quaade

AU - Palm, Henrik

AU - Kehlet, Henrik

AU - Kristensen, Morten Tange

PY - 2016/10

Y1 - 2016/10

N2 - Early mobilization following hip fracture surgery reduces medical complications and mortality, but may increase the risk of falling. The aim was to objectively measure the physical activity (time spent upright) the frst week after hip fracture surgery and relate it to functional performance and fear of falling at discharge. The 24-hr upright time was measured for a median of six days using a thigh-worn accelerometer in 37 patients (mean 80 years ± 8.4) and increased from median 13 (IQR 6-31) min to 46 (11-107) min at day 7. More upright time at discharge was associated with less fear of falling (r =-.48, p =.01, n = 27), which also was associated with fast gait speed (r =-.50, p =.02, n = 23) and a faster Timed Up and Go test time (r =.54, p <.01, n = 22), indicating a need for further studies on motivation and limitations for more physical activity following hip fracture surgery.

AB - Early mobilization following hip fracture surgery reduces medical complications and mortality, but may increase the risk of falling. The aim was to objectively measure the physical activity (time spent upright) the frst week after hip fracture surgery and relate it to functional performance and fear of falling at discharge. The 24-hr upright time was measured for a median of six days using a thigh-worn accelerometer in 37 patients (mean 80 years ± 8.4) and increased from median 13 (IQR 6-31) min to 46 (11-107) min at day 7. More upright time at discharge was associated with less fear of falling (r =-.48, p =.01, n = 27), which also was associated with fast gait speed (r =-.50, p =.02, n = 23) and a faster Timed Up and Go test time (r =.54, p <.01, n = 22), indicating a need for further studies on motivation and limitations for more physical activity following hip fracture surgery.

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DO - 10.1123/japa.2015-0071

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Physical Activity in the Acute Ward Following Hip Fracture Surgery is Associated With Less Fear of Falling

Abstract

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