• Lauren A Beaupre, Ellen F Binder, Ian D Cameron, C Allyson Jones, Denise Orwig, Cathie Sherrington, and Jay Magaziner.
• Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 2-50 Corbett Hall, University of Alberta, Edmonton, AB T6G 2G4, Canada. Electronic address: lauren.beaupre@ualberta.ca.
• Best Pract Res Clin Rheumatol. 2013 Dec 1;27(6):771-88.

AbstractThis review discusses factors affecting recovery following hip fracture in frail older people as well as interventions associated with improved functional recovery. Prefracture function, cognitive status, co-morbidities, depression, nutrition and social support impact recovery and may interact to affect post-fracture outcome. There is mounting evidence that exercise is beneficial following hip fracture with higher-intensity/duration programmes showing more promising outcomes. Pharmacologic management for osteoporosis has benefits in preventing further fractures, and interest is growing in pharmacologic treatments for post-fracture loss of muscle mass and strength. A growing body of evidence suggests that sub-populations - those with cognitive impairment, residing in nursing homes or males - also benefit from rehabilitation after hip fracture. Optimal post-fracture care may entail the use of multiple interventions; however, more work is needed to determine optimal exercise components, duration and intensity as well as exploring the impact of multimodal interventions that combine exercise, pharmacology, nutrition and other interventions.Copyright © 2014 Elsevier Ltd. All rights reserved.

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