Evidence map›Paper›PMID 36087806›Full record

Trial reportArchives of physical medicine and rehabilitation2023

Effect of Multicomponent Home-Based Training on Gait and Muscle Strength in Older Adults After Hip Fracture Surgery: A Single Site Randomized Trial.

Mei Zhen Huang, Mark W Rogers, Douglas Pizac, Ann L Gruber-Baldini, Denise Orwig, Marc C Hochberg, Brock A Beamer, Robert A Creath, Douglas N Savin, Vincent M Conroy and 4 more

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Combined exercise training to improve gait in older stroke patients: a systematic review and network meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Mei Zhen HuangDepartment of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, Baltimore, MD.
Mark W RogersDepartment of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, Baltimore, MD.
Douglas PizacDepartment of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, Baltimore, MD.
Ann L Gruber-BaldiniDepartment of Epidemiology and Public Health, University of Maryland, School of Medicine, Baltimore, MD.
Denise OrwigDepartment of Epidemiology and Public Health, University of Maryland, School of Medicine, Baltimore, MD.
Marc C HochbergDepartment of Medicine, University of Maryland, School of Medicine, Baltimore, MD.
Brock A BeamerDepartment of Medicine, University of Maryland, School of Medicine, Baltimore, MD; Geriatric Research, Education and Clinical Center, VA Maryland Health Care System, Baltimore, MD.
Robert A CreathDepartment of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, Baltimore, MD; Department of Exercise Science, Lebanon Valley College, Annville, PA.
Douglas N SavinDepartment of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, Baltimore, MD.
Vincent M ConroyDepartment of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, Baltimore, MD; Department of Anatomy and Neurobiology, University of Maryland School of Medicine, Baltimore, MD.
Kathleen K MangioneDepartment of Physical Therapy, College of Health Sciences, Arcadia University, Glenside, PA.
Rebecca CraikDepartment of Physical Therapy, College of Health Sciences, Arcadia University, Glenside, PA.
Li-Qun ZhangDepartment of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, Baltimore, MD; Department of Orthopaedics, University of Maryland, School of Medicine, Baltimore, MD; Department of Bioengineering, University of Maryland, College Park, MD.
Jay MagazinerDepartment of Epidemiology and Public Health, University of Maryland, School of Medicine, Baltimore, MD. Electronic address: jmagazin@som.umaryland.edu.
University of Maryland, Baltimore · USArcadia University · US

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
Sequelae of Hip Fracture in Men: An Epidemiologic StudyR37AG009901 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY · 1992 to 2018
$11.3M
Community Ambulation Following Hip FractureR01AG035009 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY · 2010 to 2016
$11.0M
RESEARCH TRAINING IN THE EPIDEMIOLOGY OF AGINGT32AG000262 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ANN L GRUBER-BALDINI, DENISE L ORWIG · 1998 to 2026
$8.2M
The Epidemiology of Bone Strength and Muscle Composition After Hip Fracture in MeR01AG029315 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY · 2007 to 2011
$4.1M
Timing And Intensity Of Strengthening After Hip FractureR21HD043269 · NICHD · ARCADIA UNIVERSITY · PI CRAIK, REBECCA LYNN · 2002 to 2003
$316k
NIA NIH HHS P30 AG028747NIA NIH HHS R01 AG029315NIA NIH HHS R01 AG035009NIA NIH HHS R37 AG009901NIA NIH HHS T32 AG000262NICHD NIH HHS R21 HD043269
6 · The paper itself

Abstract

objectiveTo investigate the effect of 16-week home-based physical therapy interventions on gait and muscle strength.

designA single-blinded randomized controlled trial.

settingGeneral community.

participantsThirty-four older adults (N=34) post hip fracture were randomly assigned to either experimental group (a specific multi-component intervention group [PUSH], n=17, 10 women, age=78.6±7.3 years, 112.1±39.8 days post-fracture) or active control (a non-specific multi-component intervention group [PULSE], n=17, 11 women, age=77.8±7.8 years, 118.2±37.5 days post-fracture).

interventionPUSH and PULSE groups received 32-40 sessions of specific or non-specific multi-component home-based physical therapy, respectively. Training in the PUSH group focused on lower extremity strength, endurance, balance, and function for community ambulation, while the PULSE group received active movement and transcutaneous electrical nerve stimulation on extremities.

main outcome measuresGait characteristics, and ankle and knee muscle strength were measured at baseline and 16 weeks. Cognitive testing of Trail Making Test (Part A: TMT-A; Part-B: TMT-B) was measured at baseline.

resultsAt 16 weeks, both groups demonstrated significant increases in usual (P<.05) and fast (P<.05) walking speed, while there was no significant difference in increases between the groups. There was only 1 significant change in lower limb muscle strength over time (non-fractured side) between the groups, such that PUSH did better (mean: 4.33%, 95% confidence interval:1.43%-7.23%). The increase in usual and fast walking speed correlated with the baseline Trail-making Test-B score (r=-0.371, P=.037) and improved muscle strength in the fractured limb (r=0.446, P=.001), respectively.

conclusionGait speed improved in both home-based multicomponent physical therapy programs in older adults after hip fracture surgery. Muscle strength of the non-fractured limb improved in the group receiving specific physical therapy training. Specific interventions targeting modifiable factors such as muscle strength and cognitive performance may assist gait recovery after hip fracture surgery.

Indexed as

Hip FracturesAgedAged, 80 and overFemaleGaitHumansMuscle StrengthPhysical Therapy ModalitiesWalkingExercise TherapyGaitHip fracturesMuscle strengthRehabilitation

Identifiers

PMID36087806
PMCPMC10039715
OpenAlexW4294997335

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.