Efficacy of balance training for hip fracture patients: a meta-analysis of randomized controlled trials
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(2019) 14:83
SYSTEMATIC REVIEW
Open Access
Efficacy of balance training for hip fracture patients: a meta-analysis of randomized controlled trials Jia-qi Wu1, Lin-bo Mao1 and Jian Wu2*
Abstract Background: To investigate whether the clinical effects of balance training were improved in hip fracture patients. Methods: Electronic databases which included PubMed, Embase, Web of Science, and the Cochrane Library up to December 2018 were searched. High-quality randomized controlled trials (RCTs) and prospective clinical controlled studies were selected based on inclusion criteria. Stata 12.0 was used for the meta-analysis. Standard mean difference (SMD) with 95% confidence interval (CI) was used to assess the effects. Results: Finally, 9 studies with 872 patients (balance training = 445, control = 427) were included in our meta-analysis (published between 1997 and 2018). Compared with the control group, balance training group showed a significant increase in overall function (SMD = 0.59, 95% CI [0.25, 0.93], P = 0.001), gait speed (SMD = 0.63, 95% CI [0.19, 1.07], P = 0.005), lower limb strength (SMD = 0.73, 95% CI [0.50, 0.95], P = 0.000), activities of daily living (ADLs) (SMD = 0.97, 95% CI [0.61, 1.34], P = 0.000), performance task scores (SMD = 0.41, 95% CI [0.21, 0.61], P = 0.000), and health-related quality of life (HRQoL) scores (SMD = 0.32, 95% CI [0.16, 0.47], P = 0.000). Conclusions: Our meta-analysis revealed that the balance training group has improved overall physical functioning, gait, lower limb strength, performance task, and activity of daily living than the control group. More high-quality and large-scale RCTs are needed to identify the optimal regimen of balance training after hip fracture. Keywords: Osteonecrosis of femoral head, Core decompression, Autologous bone, Marrow cells implantation, Meta-analysis
Background Hip fractures are a common problem among older adults and can have a devastating impact on the ability of older patients to remain independent [1, 2]. However, individuals following hip fractures experience greater postural sway, possibly due to reduced muscular strength and proprioception [3]. Such physical limitations could hinder daily living and increase the risks of falls in patients following hip fracture compared to their healthy, age-matched counterparts [4]. Report has shown that 2 years after a hip fracture, more than half of men and 39% of women are dead or living in a long-term care facility [5]. In addition, balance * Correspondence: [email protected] 2 Institute Office, Jingjiang People’s Hospital, No. 28, Zhongzhou road, Jingjiang, Taizhou 214500, Jiangsu Province, China Full list of author information is available at the end of the article
deficit was the major risk factor for falls [6]. There is a need to identify optimal strategies to improve functional outcomes for hip fracture patients [7]. Evidence suggests that rehabilitation plays a role in guaranteeing recovery and enhancing quality of life following hip fracture [8]. And balance training could prevent fall
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