Adherence rates to home exercise programs in older adults following hip fracture: A systematic review and meta-analysis

Ms Lucinda  Yau1, Mr  Brendon  Cook2, Mr  Tony  Nguyen2, Dr Sze-Ee Soh2

1Alfred Health , Caulfield , Australia, 2Monash University , Frankston , Australia

Abstract:

Aim:
To determine the adherence rates to prescribed home exercise programs in older adults following a hip fracture.

Method:
A PRISMA structured literature search was conducted in three databases. Randomised controlled trials were included, and study quality was assessed using the PEDro scale. Random-effects meta-analysis of participant adherence rates was performed using Stata.

Results:
Six studies met the predetermined inclusion criteria. Pooled adherence rates across all included studies was 61% (95% CI 0.53-0.68). In studies where the exercise programs was less than 6 months in duration, adherence rates was 71% (95% CI 0.63-0.79), while studies with exercise programs longer than 6 months had a pooled adherence rate of 55% (95% CI 0.48-0.63).

Significance of the findings to allied health:
The results of this systematic review and meta-analysis indicate that adherence rates to home exercise programs following hip fracture may be lower in programs that last for more than 6 months. This highlights the need for clinicians to consider the length of their interventions and service provision for older adults following a hip fracture, and how this may impact on their ability to make significant functional improvements.

Biography:

Bachelor Health Science and Masters of Physiotherapy Practice 2012

Post Graduate Certificate of Musculoskeletal Physiotherapy 2018

Senior Musculoskeletal/Spinal Cord Injuries/Amputee/ Physiotherapist

Caulfield Hospital Alfred Health