Early Strength Training After Hip Fracture Surgery

NCT01616030 | Completed DMC

• 1 other identifier: HH-S-1
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Patients treated surgically for a hip fracture have a need of rehabilitation for the regain of former functional skills. Despite an optimized fast track in-hospital rehabilitation program it has been found that patients with hip fracture within 2 weeks after the hip fracture loose more than half of their muscle strength in the fractured limb compared to non-fractured limb. New studies including patients with total hip arthroplasty and strength training applied early after surgery has shown promising results regarding prevention of loss of muscle strength. No similar study has been found including patients with hip fracture. The purpose of this study is to examine the feasibility of progressive knee-extension strength training of the hip fractured limb, starting Day 1 after surgical treatment for a hip fracture and proceeded every weekday during their hospital stay. The study will include 20 patients surgically treated for a cervical hip fracture and 20 patients surgically treated for an intertrochanteric or subtrochanteric fracture. All patients are admitted from their own home. Age 60 years or older.

Conditions

Hip Fractures

Keywords

Hip fractures; Strength training

Outcome Measures

Primary Outcomes (1)

• Feasibility of progression in training loads (kg) during daily knee-extension strength training when commenced immediately after hip fracture surgery.

  Feasibility is evaluated on the basis of adherence to program, adverse events, target training intensity, hip pain during training and other potential restricting factors, e.g. confusion, exhaustion and dropouts.

  Baseline to discharge, in average 10 days.

Secondary Outcomes (1)

• Change in maximum isometric knee-extension strength and strength deficits, fractured % of non-fractured limb measured by handheld dynamometer.

  Baseline to discharge, in average 10 days.

Other Outcomes (1)

• Association between 10 meter fast speed walk and knee-extension strength discharge from hospital.

  Day before discharge from hospital.

Study Arms (1)

Strength training, fractured limb

EXPERIMENTAL

Knee-extension strength training of the fractured limb: Daily knee-extension strength training with 3 x 10 repetitions using an intensity of 10 Repetition Maximum (RM) for the hip fractured limb started as soon as possible after surgery.

Other: Knee-extension strength training of the fractured limb

Interventions

Knee-extension strength training of the fractured limb OTHER

Daily knee-extension strength training with 3 x 10 repetitions using an intensity of 10 Repetition Maximum (RM) for the hip fractured limb started as soon as possible after surgery.

Strength training, fractured limb

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Hip fracture diagnosed patients age ≥60 years, admitted to the acute hip fracture unit.
• Medial femoral neck fracture, pertrochanteric fracture or subtrochanteric fracture.
• Ability to speak and understand the Danish language.
• Cognitively well-preserved and able to give personal informed consent no later than by 5th post surgical day.
• Home-residing and with an independent pre-fracture ability to walk equal to New Mobility Score at ≥ 2 indoor.

You may not qualify if:

• Multiple fractures
• Postsurgical restrictions of mobilization
• Patient not accepting participation in relevant exercise therapy
• Fracture caused by cancer metastases
• Terminal illness
• Neurological impairment e.g. hemi paresis.

Sponsors & Collaborators

• Copenhagen University Hospital, Hvidovre: lead

Study Sites (1)

Copenhagen University Hospital, Hvidovre

Hvidovre, 2650, Denmark

Location

Related Publications (1)

• Kronborg L, Bandholm T, Palm H, Kehlet H, Kristensen MT. Feasibility of progressive strength training implemented in the acute ward after hip fracture surgery. PLoS One. 2014 Apr 3;9(4):e93332. doi: 10.1371/journal.pone.0093332. eCollection 2014.

  PMID: 24699276 RESULT

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

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

Study Officials

• Morten T Kristensen, PhD

  Copenhagen University Hospital at Hvidovre, Denmark

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Project Physiotherapist, Msc.

Study Record Dates

• First Submitted: June 5, 2012
• First Posted: June 11, 2012
• Study Start: June 1, 2012
• Primary Completion: March 1, 2013
• Study Completion: March 1, 2013
• Last Updated: May 15, 2014

Record last verified: 2014-05

Locations

DK (1)