Comparative Effects of Closed Kinetic Chain Exercises and Mobilization Exercises in Elderly Females With NFF

NCT06901843 | Active Not Recruiting DMC

• 1 other identifier: MSRSW/Batch-Fall23/778
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

This study investigates the additional benefits of Mobilization Exercises and Closed Kinetic Chain Exercises (CKCE) in elderly individuals with post-operative neck of femur fracture. The researcher employs a randomized controlled trial which will involve 49 participants aged above 65 years with post-operative neck of femur fracture.

Conditions

Neck of Femur Fracture

Outcome Measures

Primary Outcomes (3)

• Visual Analogue Scale (VAS)

  The 10-point numeric scale ranges from '0' representing "no pain" to '10' representing "pain as bad as you can imagine" or "worst pain imaginable". The VAS is a valid and reliable scale to measure pain intensity. VAS demonstrates strong correlation validity with other established pain measurement scales, making it a reliable tool for clinical assessments. Validity is 0.88 % and Reliability is 0.90%.

  12 Months

• Dynamic Gait Index (DGI)

  The questionnaire has been designed to evaluate risk of fall and balance during dynamic tasks. DGI includes 8 items, score between 0-3 scales. Score of 0 indicates severe impairment and score of 3 indicates normal function. Total score is between 0-24. Validity is 0.88% and Reliability is 0.97%. Interpretation 0-11: Severe impairment 12-19: Moderate impairment 20-24: Mild impairment

  12 months

• GONIOMETER

  Goniometer is used to measure the joint angle in degrees, ROM and flexibility. The goniometer measures ranges and degrees of joints. The range of goniometer is typically 0-180 degrees or o-360 degrees. The intervals on scale can vary from 0-10 degrees. Hip Joint Ranges of Motion 1. Flexion: 120-130 degrees 2. Extension: 10-20 degrees 3. Abduction: 40-50 degrees 4. Adduction: 20-30 degrees 5. Internal Rotation: 30-40 degrees 6. External Rotation: 40-50 degrees

  12 months

Study Arms (2)

Mobilizations Exercises

EXPERIMENTAL

Combination Product: Mobilizations Exercises

Closed Kinetic Chain Exercises

ACTIVE COMPARATOR

Combination Product: Closed Kinetic Chain Exercises

Interventions

Mobilizations Exercises COMBINATION_PRODUCT

Group A was treated with mobilizations exercises for 40 minutes for 3 sessions per week for 6 weeks. Patients received hip mobilizations. Therapist perform anterior posterior glide, caudal glide, posterior anterior glide with abduction, flexion and lateral rotation in 3 sets with 10 repetitions .Mobilization grades were performed according to patients tolerance level with duration 30-second rest .Hip strengthening exercises were performed 3 sets with 10 repetition with hip abduction in side lying, hip extension in prone position, sideway walk, hip abduction in a stand up position.

Mobilizations Exercises

Closed Kinetic Chain Exercises COMBINATION_PRODUCT

Group B was treated with Closed Kinetic Chain Exercises for 40 minutes for 3 sessions per week for 6 weeks. Closed kinetic chain exercises were performed with 5 minute break between each exercise. Leg press in horizontal position ,Stationary bicycling and Stairmaster climbing.

Closed Kinetic Chain Exercises

Eligibility Criteria

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

You may qualify if:

• Diagnosed by Orthopedic Surgeon with neck of femur fracture by x ray findings
• Patients undergone surgical treatment for neck of femur fracture within one year.
• Patients administer in groups after 12 weeks of post-operative period
• X-ray reexamination with no fracture or dislocation before treatment
• Ability to walk normally or with crutches
• Patients walk without any assistance before injury
• Un-displaced neck of femur fracture according to Garden Classification
• Operated on using internal fixation
• Only females were included
• Aged 65 years or older

You may not qualify if:

• Bilateral hip fracture
• Bedridden patient before fracture
• Patient who have undergone any previous surgery of lower limb
• Neurological Condition

Sponsors & Collaborators

• Superior University: lead

Study Sites (1)

Bajwa hospital J7JP+4WH, GT Rd, Shahdara Town, Shahdara

Lahore, Punjab Province, 03155419544, Pakistan

Location

MeSH Terms

Conditions

Femoral Neck Fractures

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 23, 2025
• First Posted: March 30, 2025
• Study Start: March 20, 2025
• Primary Completion: July 20, 2025
• Study Completion: February 20, 2026
• Last Updated: March 30, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)