@article{17278,
  author = {Sherrington Catherine and Nightingale E. and Sturnieks D. and Lord S. and Cameron I. and Moseley A.},
  title = {Impaired weight transfer persists at least four months after hip fracture and rehabilitation},
  abstract = {<p>
OBJECTIVE: To determine whether choice stepping reaction time performance is impaired in people after hip fracture and whether different aspects of choice stepping performance improve with rehabilitation. DESIGN: This study includes a secondary analysis of data obtained from participants in a randomized controlled trial of exercise after hip fracture. SETTING: Data were either collected in a hospital rehabilitation unit, research institute or participant homes. SUBJECTS: The hip fracture group (n = 91) were recruited from three rehabilitation hospitals in metropolitan Sydney. The control group (n = 77) were healthy age-, gender- and dwelling-matched controls, participating in unrelated studies of fall risk factors. MAIN MEASURES: Response time, movement time and total time components of the choice stepping reaction time test. RESULTS: Improvements in choice stepping reaction time were seen in people after hip fracture, during a 16-week rehabilitation period, however performance remained impaired (1808 +/- 663 ms), compared with matched controls (1029 +/- 255 ms, P&lt;0.001). Further, choice stepping performance was significantly slower when transferring weight onto the affected leg (1271 +/- 615 ms), compared with the unaffected leg (1119 +/- 499 ms, P&lt;0.001). CONCLUSIONS: Movement deficits are evident for an extended time frame following rehabilitation for hip fracture. The slower response time following the rehabilitation period highlights ongoing difficulties with weight transfer onto the affected leg.
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},
  year = {2010},
  journal = {Clinical Rehabilitation},
  volume = {24},
  edition = {2010/04/23},
  number = {6},
  pages = {565-73},
  isbn = {1477-0873 (Electronic)0269-2155 (Linking)},
  note = {Nightingale, Elizabeth JeanSturnieks, DainaSherrington, CatherineMoseley, Anne MCameron, Ian DLord, Stephen RRandomized Controlled TrialEnglandClinical rehabilitationClin Rehabil. 2010 Jun;24(6):565-73. Epub 2010 Apr 21.},
  language = {eng},
}