1. Chui, Kevin PT, DPT, PhD, GCS, OCS
  2. Hood, Ethan PT, DPT, MBA, GCS
  3. Klima, Dennis PT, MS, PhD, GCS, NCS


As the US population rapidly ages, the number of hip fractures continues to rise despite a decrease in the incidence. This synthesis of recent literature discusses walking speed before and after hip fracture. In a longitudinal study, a walking speed less than 0.69 m/s increases the risk for first hip fracture in older women. After hip fracture, walking speed has excellent test-retest reliability, is a feasible measure, and is responsive to change. Walking speed declines after hip fracture; however, significant improvements in walking speed have been reported using different physical therapy intervention strategies. In addition, a high positive affect is associated with improved walking speed. This synthesis speaks to the importance of measuring walking speed in older adults and patients after hip fractures.