Abstract: Objective To construct modified Otago exercise programme for the prevention of falls during rehabilitation period in the elderly patients with hip fracture combined with sarcopenia. Methods A project team was set up to form the first draft of the scheme on the basis of literature research. After two rounds of Delphi method, various items were modified to form the final version of the programme. Results A total of 6 randomized controlled trials were included, and 15 experts conducted two rounds of Delphi method. The experts authority coefficient was 0.943. The enthusiasm of experts was 100% in the first round and 93.3% in the second round. Items with importance scores>4.0 and coefficient of variation <0.2 were retained, and Kendall's W for two rounds of inquiry were 0.244 and 0.334, respectively, with statistically significant differences (P<0.001). The final exercise plan included 3 primary items such as warm-up exercise, muscle strength training and balance training, 23 secondary items and 4 postoperative exercise time nodes. Conclusions The preliminary exercise programme has a strong pertinency, high degree of experts authority, and good coordination of experts' opinions, which can provide a reference for the prevention of falls in the elderly patients with hip fracture and sarcopenia during postoperative rehabilitation.

Key words: literature analysis, Delphi method, aged, hip fracture, sarcopenia, modified Otago exercise programme