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Home-Based Exercise and Hip Fracture Rehabilitation

Umut Safer, MD1; Ilker Tasci, MD2; Vildan Binay Safer, MD3
[+] Author Affiliations
1Department of Geriatrics, Gulhane School of Medicine, Ankara, Turkey
2Department of Internal Medicine, Gulhane School of Medicine, Ankara, Turkey
3Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey
JAMA. 2014;311(23):2440. doi:10.1001/jama.2014.5170.
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To the Editor To investigate whether exercise improves functional status in patients with hip fractures, Dr Latham and colleagues1 conducted a randomized clinical trial in which participants were assigned to either a home-based exercise program (intervention) or telephone-based cardiovascular nutritional education (control). Modest benefits in the main outcome were reported by the authors and seem important because costly and intensive exercise programs that require professional supervision and equipment had previously demonstrated benefits2; thus, lower-cost alternatives would be useful. However, some aspects of this study need to be clarified for a better understanding of the results.


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June 18, 2014
Nancy K. Latham, PhD, PT; Jonathan F. Bean, MD, MS, MPH; Alan M. Jette, PhD, PT
1Health and Disability Research Institute, Boston University School of Public Health, Boston, Massachusetts
2Spaulding Rehabilitation Hospital Network, Boston, Massachusetts
JAMA. 2014;311(23):2440-2441. doi:10.1001/jama.2014.5173.
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