Recovery of Physical Functioning After Hip Fracture

NCT02780076 | Unknown

• 1 other identifier: 2015/2147
• Study Type: interventional
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

The survivors after hip fracture often report severe pain and loss of physical functioning. The poor outcomes cause negative impact on the person's physical functioning and quality of life and put a financial burden on society. It is important to continue and progress the functional training that already started at the hospital, while the patients are transferred to short-term stays in a nursing home before they are returning to home. The aim presently is to examine the effects of a functional training program by a RCT design, initiated by the physiotherapist and performed by the nurses, on physical functioning while the patients are at short term stays in primary health care.

Conditions

Femoral Neck Fractures

Outcome Measures

Primary Outcomes (1)

• Change in the performance-based Short physical performance battery (SPPB)

  Measurement of physical functioning

  Change 5 days - 3 weeks, change 5 days - 3 months, change 5 days - 12 months after surgery

Secondary Outcomes (9)

• Change in the performance-based measure Timed Up & Go (TUG)

  Change 5 days - 3 weeks, change 5 days - 3 months, change 5 days - 12 months after surgery

• Change in the performance-based measure Hand grip strength

  Change 5 days - 12 months

• Descriptive performance-based measurement of physical activity, an accelerometer (activPAL)

  Descriptive from day 5 to 19 after surgery

• Pain in rest and while walking

  Change 5 days - 3 weeks, change 5 days - 3 months, change 5 days - 12 months after surgery

• EuroQol (European quality of life) health status measure

  Change 5 days - 3 weeks, change 5 days - 3 months, change 5 days - 12 months after surgery

Study Arms (2)

Functional training group

EXPERIMENTAL

Participation in a functional training program in addition to usual care. The functional training program is initiated by the nurses and consists of walking, sit-to-stands, balance training, weight transfer training, knee squats. The program is performed 4 times a day for 3 weeks while at short-term stays.

Other: Functional training program

Control group

NO INTERVENTION

Usual care only. No participation in the functional training program while at short-term stays.

Interventions

Functional training program OTHER

Patients treated for hip fracture participate in a functional training program during their short-term stays at nursing homes. The program is initiated by the nurses 4 times a day for 3 weeks as part of the habitual routine.

Functional training group

Eligibility Criteria

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

You may qualify if:

• Patients with an acute low-energy hip fracture (intracapsular, trochanteric or subtrochanteric) and treated surgically, ≥ 65 years of age, living in their own homes prior to the fracture, and able to give an informed consent.

You may not qualify if:

• Patients unable to walk 10 meters with or without a walking aid prior to the fracture, have a score of less than 15 points on Minimal Mental Status Evaluation (MMS-E) in the acute phase, have a pathological fracture, life expectancies of less than three months, medical contraindications for training, or are incapable of understanding and speaking the Norwegian language.

Sponsors & Collaborators

• Vestre Viken Hospital Trust: lead
• Oslo Metropolitan University: collaborator

Study Sites (1)

Bærum Hospital Vestre Viken, Department of medical research

Sandvika, Drammen, 3004, Norway

Location

Related Publications (2)

• Beckmann M, Bruun-Olsen V, Pripp AH, Bergland A, Smith T, Heiberg KE. Effect of an additional health-professional-led exercise programme on clinical health outcomes after hip fracture. Physiother Res Int. 2021 Apr;26(2):e1896. doi: 10.1002/pri.1896. Epub 2021 Jan 28.

  PMID: 33506973 DERIVED

• Heiberg KE, Bruun-Olsen V, Bergland A. The effects of habitual functional training on physical functioning in patients after hip fracture: the protocol of the HIPFRAC study. BMC Geriatr. 2017 Jan 17;17(1):23. doi: 10.1186/s12877-016-0398-8.

  PMID: 28095787 DERIVED

MeSH Terms

Conditions

Femoral Neck Fractures

Condition Hierarchy (Ancestors)

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

Study Officials

• Kristi E Heiberg, PhD

  Bærum Hospital Vestre Viken HF

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 4, 2016
• First Posted: May 23, 2016
• Study Start: May 30, 2016
• Primary Completion: March 31, 2020
• Study Completion: June 1, 2021
• Last Updated: April 19, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)