Loss of muscle strength in the operated leg as compared to the non-operated leg is observed after a hip fracture (HF), and especially for those with an intertrochanteric fracture as compared to cervical fractures. The HF research-focus in PMR-C is to investigate potential factors influencing outcome, and to investigate the effectiveness of physical rehabilitation modalities to enhance recovery after a HF. We systematically quantify deficits in muscle strength and examine the association with functional performance after surgery – along with other key clinical symptoms – to gain a detailed understanding of these impairments. We then explore the feasibility of early-commenced, impairment-directed physical rehabilitation modalities. The rehabilitation modalities are typically simple, they are designed on the basis of identified deficits, and they use a basic exercise physiology rationale. If a rehabilitation modality seems feasible: that is, can it be performed progressively without exacerbating pre-defined post-operative symptoms, the effectiveness of the rehabilitation modality is finally investigated in a randomized controlled design.
Kronborg L, Bandholm T, Palm H, Kehlet H, Kristensen MT (2014). Feasibility of progressive strength training implemented in the acute ward after hip fracture surgery. PLoS One 9: e93332.
Kristensen MT, Bandholm T, Bencke J, Ekdahl C, Kehlet H (2009). Quadriceps strength, postural control and function are related to fracture type and thigh edema in patients with hip fracture. Clin Biomech (Bristol, Avon) 24: 218-224.
Kristensen MT (2011). Factors affecting functional prognosis of patients with hip fracture. Eur J Phys Rehabil Med 47: 257-64.
Rehabilitation after hip fracture: the role of progressive strength training