Delivery and Outcomes of a Yearlong Home Exercise Program After Hip Fracture

Abstract

Hip fracture is a common problem with devastating consequences. At present, more than 310 000 hip fractures occur annually in the United States,¹ with an estimated cost of between $14 and $20 billion.^2-7 By 2050, the number of hip fractures is expected to increase to 700 000 in the United States and almost to 4 million worldwide.⁸ Between 16% and 32% of patients die within a year.^9-12 Among survivors, 50% need assistance to walk and 90% need assistance to climb stairs after 1 year.¹³ Furthermore, there are substantial changes in body composition; including loss of bone mineral density (BMD) of 4% to 7% per year, loss of lean body mass up to 6% within 2 months, and increase in fat mass of 3% to 4% in a year.^13-16