Mobilizing Evidence Into Action to Improve Outcomes of Vulnerable Seniors

Mobilizing Evidence Into Action to Improve Outcomes of Vulnerable Seniors

This is a parallel Randomized Controlled Trial comparing two different delivery modes of post hip fracture management-a specialized Fracture Follow-up Clinic versus Usual Care alone. The Fracture Follow-up Clinic will focus on bone health and fall risk factors. The investigators will evaluate the effect of the clinic and exercise program on mobility and falls. The investigators primary hypothesis is that within the first year following a hip fracture, older adults who are assessed in the B4 Clinic and prescribed an exercise program will have significantly improved Short Physical Performance Battery (SPPB) scores compared with participants who receive usual care alone.

Inclusion Criteria:

• 65 years +
• community-dwelling
• residents of Metro Vancouver
• recent history (within 12 months) of femoral fracture

Exclusion Criteria:

• unable to ambulate 10 meters prior to the femoral fracture were(with/without a walking aid)
• discharged to a residential care facility
• and/or diagnosed with any type of dementia (Alzheimer's, vascular etc.)