Aging Clinical and Experimental Research

, Volume 24, Issue 3, pp 295–299 | Cite as

Effects of intensive strength-power training on sense of coherence among 60-85-year-old people with hip fracture: a randomized controlled trial

  • Inka Pakkala
  • Sanna Read
  • Sarianna Sipilä
  • Erja Portegijs
  • Mauri Kallinen
  • Ari Heinonen
  • Markku Alen
  • Ilkka Kiviranta
  • Taina Rantanen
Short Communication


Background and aims: Older people with disabilities are at increased risk of psychological health decline. There are no earlier studies on the effects of resistance training on sense of coherence (SOC) among older people with a history of hip fracture. The aim of this study is to test the effects of intensive 12-week strength-power training on SOC among older adults after hip fracture. Methods: A clinical sample of 60-85-year-old community-dwelling men and women was studied, 0.5. to 7.0 years after hip fracture. Forty-six had no contraindications for participation and were randomized into training (n=24) and control groups (n=22). The training group participated in a 12-week, individually tailored, strength-power training program, twice a week in a senior gym and supervised by an experienced physiotherapist. SOC was assessed with Antonovsky’s short 13-item scale. Data were collected at baseline and after intervention. Results: Intensive 12-week strength-power training had no effect on participants’ SOC level. Conclusions: Results indicated no change in SOC after 12-week physical exercise training among participants after hip fracture. Further studies on SOC among older people with disabilities and potential ways of increasing it are needed.

Key words

Hip fracture intervention study sense of coherence strength training 


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  1. 1.
    Fiatarone Singh MA, Singh NA, Hansen RD et al. Methodology and baseline characteristics for the sarcopenia and hip fracture study: a 5-year prospective study. J Gerontol A Biol Sci Med Sci 2009; 64A: 568–74.CrossRefGoogle Scholar
  2. 2.
    Burns A, Banerjee S, Morris J et al. Treatment and prevention of depression after surgery for hip fracture in older people: randomized, controlled trial. J Am Geriatr Soc 2007; 55: 75–80.CrossRefPubMedGoogle Scholar
  3. 3.
    Antonovsky A. Health, Stress and Coping. San Francisco: Jossey-Bass, 1979.Google Scholar
  4. 4.
    Antonovsky A. Unraveling the mystery of health. How people manage stress and stay well. San Francisco: Jossey-Bass, 1987.Google Scholar
  5. 5.
    Feldt T, Lintula H, Suominen S, Koskenvuo M, Vahtera J, Kivimäki M. Structural validity and temporal stability of the 13-item sense of coherence scale: prospective evidence from the population-based HeSSup study. Qual Life Res 2006; 16: 483–93.CrossRefPubMedGoogle Scholar
  6. 6.
    Nilsson KW, Leppert J, Simonsson B, Starrin B. Sense of coherence and psychological well-being: improvement with age. J Epidemiol Community Health 2010; 64: 347–52.CrossRefPubMedGoogle Scholar
  7. 7.
    Snekkevik H, Anke AGW, Stanghelle JK, Fugl-Meyer AR. Is sense of coherence stable after multiple trauma? Clin Rehabil 2003; 17: 443–53.CrossRefPubMedGoogle Scholar
  8. 8.
    Liukkonen V, Virtanen P, Vahtera J, Suominen S, Sillanmäki L, Koskenvuo M. Employment trajectories and changes in sense of coherence. Eur J Public Health 2010; 20: 293–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Volanen SM, Suominen S, Lahelma E, Koskenvuo M, Silventoinen K. Negative life events and stability of sense of coherence: A five year follow-up study of Finnish women and men. Scand J Psychol 2007; 48: 433–41.CrossRefPubMedGoogle Scholar
  10. 10.
    Eriksson M, Lindström B. Antonovsky’s sense of coherence scale and the relation with health: a systematic review. J Epidemiol Community Health 2006; 60: 376–81.CrossRefPubMedCentralPubMedGoogle Scholar
  11. 11.
    Lundman B, Forsberg KA, Jonsen E et al. Sense of coherence (SOC) related to health and mortality among the very old: the Umeå 85+ study. Arch Gerontol Geriatr 2010; 51: 329–32.CrossRefPubMedGoogle Scholar
  12. 12.
    Nesbitt BJ, Heidrich SM. Sense of coherence and illness appraisal in older women’s quality of life. Res Nurs Health 2000; 23: 25–34.CrossRefPubMedGoogle Scholar
  13. 13.
    Wainwright NWJ, Surtees PG, Welch AA, Luben RN, Khaw KT, Bingham SA. Sense of coherence, lifestyle choices and mortality. J Epidemiol Community Health 2008; 62: 829–31.CrossRefPubMedGoogle Scholar
  14. 14.
    Richardson CG, Ratner PA. Sense of coherence as a moderator of the effects of stressful life events on health. J Epidemiol Community Health 2005; 59: 979–84.CrossRefPubMedCentralPubMedGoogle Scholar
  15. 15.
    Proctor R, Wade R, Woodward Y et al. The impact of psychological factors in recovery following surgery for hip fracture. Disabil Rehabil 2008; 30: 716–22.CrossRefPubMedGoogle Scholar
  16. 16.
    Vastamäki J, Moser K, Paul KI. How stable is sense of coherence? Changes following an intervention for unemployed individuals. Scand J Psychol 2009; 50: 161–71.CrossRefPubMedGoogle Scholar
  17. 17.
    Lillefjell M, Jakobsen K. Sense of coherence as a predictor of work reentry following multidisciplinary rehabilitation for individuals with chronic musculoskeletal pain. J Occup Health Psychol 2007; 12: 222–31.CrossRefPubMedGoogle Scholar
  18. 18.
    Sjösten N, Kivelä S-L. The effects of physical exercise on depressive symptoms among the aged: a systematic review. Int J Geriatr Psychiatry 2006; 21: 410–8.CrossRefPubMedGoogle Scholar
  19. 19.
    Singh NA, Stavrinos TM, Scarbek Y, Galambos G, Liber C, Fiatarone Singh MA. A randomized controlled trial of high versus low intensity weight training versus general practitioner care for clinical depression in older adults. J Gerontol A Biol Sci Med Sci 2005; 60A: 768–76.CrossRefGoogle Scholar
  20. 20.
    Penninx BWJH, Rejeski J, Pandya J et al. Exercise and depressive symptoms: A comparison of aerobic and resistance exercise effects on emotional and physical function in older persons with high and low depressive symptomatology. J Gerontol B Psychol Sci Soc Sci 2002; 57B: 124–32.CrossRefGoogle Scholar
  21. 21.
    Timonen L, Rantanen T, Timonen TE, Sulkava R. Effects of group-based exercise program on the mood state of frail older women after discharge from hospital. Int J Geriatr Psychiatry 2002; 17: 1106–11.CrossRefPubMedGoogle Scholar
  22. 22.
    Kohut ML, McCann DA, Russell DW et al. Aerobic exercise, but not flexibility/resistance exercise, reduces serum IL-18, CRP and IL-6, independent of ß-blockers, BMI and psychosocial factors in older adults. Brain Behav Immun 2006; 20: 201–9.CrossRefPubMedGoogle Scholar
  23. 23.
    Portegijs E, Kallinen M, Rantanen T et al. Effects of resistance training on lower-extremity impairments in older people with hip fracture. Arch Phys Med Rehabil 2008; 89: 1667–74.CrossRefPubMedGoogle Scholar
  24. 24.
    Eriksson M, Lindström B. Validity of Antonovsky’s sense of coherence scale: a systematic review. J Epidemiol Community Health 2005; 59: 460–6.CrossRefPubMedCentralPubMedGoogle Scholar
  25. 25.
    DiPietro L, Caspersen CJ, Ostfeld AM, Nader ER. A survey for assessing physical activity among older adults. Med Sci Sports Exerc 1993; 25: 628–42.CrossRefPubMedGoogle Scholar
  26. 26.
    Salpakoski A, Portegijs E, Kallinen M et al. Physical inactivity and pain in older men and women with hip fracture history. Gerontology 2011; 57: 19–27. Epub 2010 May 28.CrossRefPubMedGoogle Scholar
  27. 27.
    Binder EF, Brown M, Sinacore DR, Steger-May K, Yarasheski KE, Schechtman KB. Effects of extended outpatient rehabilitation after hip fracture. A randomized controlled trial. JAMA 2004; 292: 837–46.Google Scholar
  28. 28.
    Tsauo JY, Leu WS, Chen YT, Yang RS. Effects of function and quality of life of postoperative home-based physical therapy for patients with hip fracture. Arch Phys Med Rehabil 2005; 86: 1953–7.CrossRefPubMedGoogle Scholar
  29. 29.
    Crotty M, Whitehead CH, Gray S, Finucane PM. Early discharge and home rehabilitation after hip fracture achieves functional improvements: a randomized controlled trial. Clin Rehabil 2002; 16: 406–13.CrossRefPubMedGoogle Scholar
  30. 30.
    Lotus Shyu YI, Liang J, Wu CC et al. A pilot investigation of the short-term effects of an interdisciplinary intervention program on elderly patients with hip fracture in Taiwan. J Am Geriatr Soc 2005; 53: 811–8.CrossRefGoogle Scholar
  31. 31.
    Resnick B, Orwig D, Yu-Yahiro J et al. Testing the effectiveness of the exercise plus program in older women post-hip fracture. Ann Behav Med 2007; 34: 67–76.CrossRefPubMedGoogle Scholar
  32. 32.
    Karlsson I, Berglin E, Larsson PA. Sense of coherence: quality of life before and after coronary artery bypass surgery — a longitudinal study. J Adv Nurs 2000; 31: 1383–92.CrossRefPubMedGoogle Scholar
  33. 33.
    Penninx BWJH, Guralnik JM, Ferrucci L, Simonsick EM, Deeg DJH, Wallace RB. Depressive symptoms and physical decline in community-dwelling older persons. JAMA 1998; 279: 1720–6.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Internal Publishing Switzerland 2012

Authors and Affiliations

  • Inka Pakkala
    • 1
  • Sanna Read
    • 1
  • Sarianna Sipilä
    • 1
  • Erja Portegijs
    • 1
  • Mauri Kallinen
    • 2
  • Ari Heinonen
    • 3
  • Markku Alen
    • 4
  • Ilkka Kiviranta
    • 5
    • 6
  • Taina Rantanen
    • 1
  1. 1.Gerontology Research CentreUniversity of JyväskyläFinland
  2. 2.Department of PhysiatricsCentral Finland Central HospitalJyväskyläFinland
  3. 3.Department of Health SciencesUniversity of JyväskyläFinland
  4. 4.Department of Medical Rehabilitation, Oulu University Hospital and Institute of Health SciencesUniversity of OuluFinland
  5. 5.Department of Orthopedics and TraumatologyUniversity of HelsinkiFinland
  6. 6.Central Finland Health Care DistrictJyväskyläFinland

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