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J Aging Phys Act. 2014 Jan;22(1):138-45. doi: 10.1123/japa.2012-0229. Epub 2013 Mar 26.

Sense of coherence: effect on adherence and response to resistance training in older people with hip fracture history.

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1
Gerontology Research Center and Dept. of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.

Abstract

Our aim was to study the effects of sense of coherence (SOC) on training adherence and interindividual changes in muscle strength, mobility, and balance after resistance training in older people with hip fracture history. These are secondary analyses of a 12-week randomized controlled trial of progressive resistance training in 60- to 85-year-old community-dwelling people 0.5-7 years after hip fracture (n = 45; ISRCTN34271567). Pre- and posttrial assessments included SOC, knee extension strength, walking speed, timed up-and-go (TUG), and Berg Balance Scale (BBS). Group-by-SOC interaction effects (repeated-measures ANOVA) were statistically significant for TUG (p = .005) and BBS (p = .040), but not for knee extension strength or walking speed. Weaker SOC was associated with poorer training adherence (mixed model; p = .009). Thus, more complicated physical tasks did not improve in those with weaker SOC, independently of training adherence. Older people with weaker SOC may need additional psychosocial support in physical rehabilitation programs to optimize training response.

PMID:
23538559
DOI:
10.1123/japa.2012-0229
[Indexed for MEDLINE]
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