Body Weight Supported Treadmill Training Following Hip Fracture

NCT00197496 | Completed Results DMC

• 1 other identifier: NIF-05055
• Study Type: interventional
• Target: 21
• Locations: 1 country
• Sites: 1

Brief Summary

Achieving independent ambulation is an important goal of hip fracture rehabilitation, as it is predictive of returning to the community and of future health problems. Current research regarding post-hip fracture rehabilitation is sparse. Body weight supported treadmill training (BWSTT) is a novel approach to retrain walking abilities. BWSTT may be ideal for retraining walking after hip fracture, as it is task-specific and alleviates the demands of maintaining balance while walking skills are trained. The use of the harness may provide a sense of security for the patient, facilitating walking training. The proposed project will investigate the feasibility and tolerability of BWSTT after hip fracture, and its impact on function, mobility, quality of life and fear of falling. It is hypothesized that BWSTT 3-5 times weekly in acute hip fracture patients will improve function, mobility, quality of life and reduce fear of falling.

Conditions

Hip Fracture

Outcome Measures

Primary Outcomes (1)

• Feasibility - # With > or = 60% Compliance, # Agreeing to Participate, # Returning for 3 Month Follow-up

  Compliance to BWSTT only,

  3 months

Secondary Outcomes (4)

• Timed up and Go

  discharge

• Falls Self Efficacy

  discharge

• 2 Minute Walk Test

  discharge

• Lower Extremity Functional Scale

  discharge

Study Arms (2)

BWSTT

EXPERIMENTAL

Body weight supported treadmill training

Procedure: Body weight supported treadmill training

Usual care

NO INTERVENTION

Usual care

Interventions

Body weight supported treadmill training PROCEDURE

hip fracture patients walk on a treadmill with body weight support

Also known as: treadmill training

BWSTT

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Able to follow 2-step commands
• Stable inter-trochanteric fracture, where fixation is deemed by surgeon to be adequate, OR sub-capital fracture having undergone bipolar hemi-arthroplasty
• Able to stand and take a few steps with the help of an assistive device i.e. parallel bars, walker, or cane

You may not qualify if:

• Able to walk without assistive devices
• Hip, knee or ankle surgery prior to hip fracture
• Inability to understand instructions or give informed consent
• Uncontrolled cardiovascular disease or hypertension, diabetes, neuromuscular disease or other musculoskeletal disease such as rheumatoid arthritis, Uncontrolled pain

Sponsors & Collaborators

• McMaster University: lead

Study Sites (1)

Hamilton Health Sciences

Hamilton, Ontario, L9C7N4, Canada

Location

Related Publications (1)

• Giangregorio LM, Thabane L, Debeer J, Farrauto L, McCartney N, Adachi JD, Papaioannou A. Body weight-supported treadmill training for patients with hip fracture: a feasibility study. Arch Phys Med Rehabil. 2009 Dec;90(12):2125-30. doi: 10.1016/j.apmr.2009.06.022.

  PMID: 19969179 RESULT

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

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

Limitations and Caveats

It was not possible to blind outcome assessors. We did not randomize participants because we wanted a minimum of 12 to test feasibility of intervention. Control group had a longer average length of stay, and may have received more physiotherapy.

Results Point of Contact

• Title: Dr. Lora Giangregorio
• Organization: University of Waterloo

lmgiangr@uwaterloo.ca

5198884567

Study Officials

• Lora Giangregorio, PhD

  University of Waterloo

  PRINCIPAL INVESTIGATOR

• Alexandra Papaioannou, MD, MSc

  Hamilton Health Sciences and McMaster University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Postdoctoral fellow/Affiliate Scientist

Study Record Dates

• First Submitted: September 12, 2005
• First Posted: September 20, 2005
• Study Start: January 1, 2007
• Primary Completion: January 1, 2008
• Study Completion: January 1, 2008
• Last Updated: March 30, 2017
• Results First Posted: March 30, 2017

Record last verified: 2017-03

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)