@article{ref1,
title="Physical functioning in patients with a recent fracture: the "Can Do, Do Do" framework applied to explore physical capacity, physical activity and fall risk factors",
journal="Calcified tissue international",
year="2023",
author="Schene, M. R. and Meijer, K. and Cheung, D. and Willems, H. C. and Driessen, J. H. M. and Vranken, L. and van den Bergh, J. P. and Wyers, C. E.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Physical capacity (PC) and physical activity (PA) are associated physical performance measures, and combined, PC and PA are used to categorize physical performance in the &quot;can do, do do&quot; framework. We aimed to explore physical performance of patients attending the fracture liaison service (FLS). In this cross-sectional study, PC was measured by 6-min-walking-test (can't do/can do) and PA by accelerometer (don't do/do do). Following quadrants were defined based on predefined cut-off scores for poor performance: (1) &quot;can't do, don't do&quot;; (2) &quot;can do, don't do&quot;; (3) &quot;can't do, do do&quot;; (4) &quot;can do, do do&quot;. Odds ratios (OR) were calculated and fall and fracture risk factors were assessed between quadrants. Physical performance of 400 fracture patients was assessed (mean age 64; female 70.8%). Patients performed as follows: 8.3% &quot;can't do, don't do&quot;; 3.0% &quot;can do, don't do&quot;; 19.3% &quot;can't do, do do&quot;; 69.5% &quot;can do, do do&quot;. For the &quot;can't do&quot; group the OR for low PA was 9.76 (95% CI: 4.82-19.80). Both the &quot;can't do, don't do&quot; and &quot;can't do, do do&quot; group differed significantly compared to the &quot;can do, do do&quot; group on several fall and fracture risk factors and had lower physical performance. The &quot;can do, do do&quot; framework is able to identify fracture patients with an impaired physical performance. Of all FLS patients 20% &quot;can't do, but &quot;do do&quot; while having a high prevalence of fall risk factors compared to persons that &quot;can do, do do&quot;, which may indicate this group is prone to fall.<p /> <p>Language: en</p>",
language="en",
issn="0171-967X",
doi="10.1007/s00223-023-01090-3",
url="http://dx.doi.org/10.1007/s00223-023-01090-3"
}