Improving Functional Recovery After Hip Fracture

NCT00000436 | Completed Phase 3

• 2 other identifiers: P60AR038520NIAMS-013
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

This project will assess the effectiveness of a novel approach involving patient education and strength training to improve functional recovery after a hip fracture. Participants will be randomly assigned to one of two study groups. One group (control group) will receive standard medical care. The other group will participate in a program of patient education and strength training, including an at-home walking program.

Conditions

Unilateral Hip Fracture

Keywords

Hip fracture; Self-efficacy; Strength training; Rehabilitation; Postoperative

Interventions

Self-efficacy and muscle strength training BEHAVIORAL

High-intensity strength training PROCEDURE

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Patients who are 65 years of age and older, and who have been admitted for a hip fracture to the Fracture Service at New York Presbyterian Hospital.

You may not qualify if:

• Patients who are unable to give informed consent on the 4th or 5th day after surgery.
• Patients whose hip fracture is due to underlying disease, secondary to malignancy (cancer).
• Patients who do not speak English.
• Patients for whom exercise is contraindicated or whose physicians believe that exercise is contraindicated.
• Patients who do not have access to a telephone or cannot be reached by telephone.
• Patients and physicians who refuse to participate or who intend to relocate upon discharge.

Sponsors & Collaborators

• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): lead

Study Sites (1)

Hospital for Special Surgery

New York, New York, 10021, United States

Location

Related Publications (4)

• Allegrante JP, MacKenzie CR, Robbins L, Cornell CN. Hip fracture in older persons. Does self-efficacy-based intervention have a role in rehabilitation? Arthritis Care Res. 1991 Mar;4(1):39-47. doi: 10.1002/art.1790040108.

  PMID: 11188586 BACKGROUND

• Ruchlin HS, Allegrante JP, Einstein J, O'Doherty J, Robbins L, Peterson MG, MacKenzie CR, Cornell CN. A method for documenting the economic efficacy of multiple-component interventions designed to enhance functional and social status. Arthritis Care Res. 1997 Apr;10(2):151-8. doi: 10.1002/art.1790100210. No abstract available.

  PMID: 9313403 BACKGROUND

• Ruchlin HS, Elkin EB, Allegrante JP. The economic impact of a multifactorial intervention to improve postoperative rehabilitation of hip fracture patients. Arthritis Rheum. 2001 Oct;45(5):446-52. doi: 10.1002/1529-0131(200110)45:53.0.co;2-r.

  PMID: 11642644 BACKGROUND

• Handoll HH, Cameron ID, Mak JC, Panagoda CE, Finnegan TP. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev. 2021 Nov 12;11(11):CD007125. doi: 10.1002/14651858.CD007125.pub3.

  PMID: 34766330 DERIVED

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Officials

• John P. Allegrante, PhD

  Hospital for Special Surgery, New York

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: SINGLE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: NIH

Study Record Dates

• First Submitted: January 29, 2000
• First Posted: January 31, 2000
• Study Start: July 1, 1993
• Study Completion: June 1, 2000
• Last Updated: January 4, 2007

Record last verified: 2001-03

Locations

US (1)