Impact of a Multi-Component Home-Based Physical Therapy Intervention on Cognitive Outcomes: Results From the CAP Randomized Controlled Trial

• DOI: 10.1177/08982643241311624
• Publication Date: 2025-01-07T11:50:51Z
• Authors: Ann L. Gruber-Bal...; Richard H. Fortinsky; Barbara Resnick; Laurence S. Magder; Brock A. Beamer; Kathleen Mangione; Denise Orwig; Ellen F. Binder; Michael Terrin; Jay Magaziner
• Keywords: Hip Fracture

Objective Differences in cognitive outcomes for two home-based 16-week interventions after usual rehabilitative care post-hip fracture were examined. Methods Community Ambulation Project randomized controlled trial included 210 hip participants. Interventions: Specific multi-component (PUSH) strength-, balance-, function-, and endurance-based exercises; non-specific active control (PULSE) seated range-of-motion exercises sensory transcutaneous electrical neurostimulation. Cognitive measures: Modified Mini-Mental State Examination, plus Hooper Visual Organization Test Trails A/B an ancillary study (CAP-MP, n = 40), assessed pre-randomization 16 40 weeks post-randomization. Results Over weeks, PUSH-assigned participants became faster on A (Δ −6.3, 95% CI: −16.7, 4.2); those PULSE slower 9.3, −1.7, 20.3, p .04). At B −21.5, −46.2, 3.3) while 15.2, −11.9, 42.3, No other significant differences found. Discussion suggest that exercise like PUSH may prevent/delay decline or improve attention psychomotor speed patients with recent fracture.