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


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

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.

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.


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