Because muscle weakness is a common and persistent complication after bony fracture, we reviewed the literature systematically to find out if strength-training can reduce disability after adult fracture. Searching of electronic databases with inclusion criteria resulted in a final yield of three papers. These three studies were conducted after lower limb fractures and the calculated effect sizes collectively demonstrated that strength training led to increased muscle strength and activity levels. However, subsequent losses of strength and activity were found in the two studies that included a follow-up period. Despite a clear rationale for including strength-training programs as part of fracture rehabilitation to improve muscle weakness, very little research has been carried out. This systematic review provides preliminary evidence that strength-training may be beneficial after fracture and should be considered as a rehabilitation option by physical therapists. Further high quality studies are required to find out if the results can be replicated and generalised.

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A brief summary and a critical assessment of this review may be available at DARE