Effectiveness of the Computerized Balance Rehabilitation After Hip Fracture Surgery
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 主要终点
- Change of Berg balance scale
研究概览
简要总结
The overall functional gain by balance rehabilitation after hip fracture surgery has not yet been fully investigated. Therefore, clinical studies should be conducted to evaluate the effectiveness of systematic and safe balance rehabilitation in patients after hip fracture. Investigators aim to evaluate the effect of computer-based balance specific exercise on the performance and balance ability of the elderly women who underwent hip fracture surgery. Investigators also investigate the intervention can reduce their fear of falling and coping ability. This study was designed as a prospective, open-label, single-center trial at a tertiary hospital setting. During the 2-week postoperative intervention period, patients will participate in the hospital's exercise program beginning 5-7 days after hip fracture surgery. All participants will follow the computer-based balance specific exercise program. Functional outcomes will be measure periodically for 6 months after surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 100 Years（Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Elderly female patients (≥ 65 years old) who have undergone surgery for femoral neck, intertrochanteric, or subtrochanteric fracture, regardless of surgery type (internal fixation, bipolar hemiarthroplasty, or total hip arthroplasty)
排除标准
- •hip surgery for infection, arthritis, implant loosening, or avascular necrosis;
- •femoral shaft fracture, acetabular fracture, isolated fracture of the greater or lesser tuberosity, or periprosthetic fracture;
- •pathologic fracture;
- •combined multiple fracture;
- •revision surgery;
- •severe cognitive dysfunction (obey command ≤ 1 step);
- •cannot stand by supporting a fixed walker at 5 days after operation;
- •patients who refuse to participate in a clinical trial
研究组 & 干预措施
Balance exercise group
During the 2-week postoperative intervention period, patients will participate in the hospital's exercise program beginning 5-7 days after HFS. All participants will follow the computer-based balance specific exercise (BSE) program.
干预措施: Balance specific exercise (Procedure)
结局指标
主要结局
Change of Berg balance scale
时间窗: Change from Baseline Berg balance scale at 6 months
Berg balance scale (total score; 0 to 56)
次要结局
- Functional Ambulatory Category(Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery)
- Short physical performance scale(Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery)
- Functional Independence Measure: locomotion(Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery)
- Modified falls efficacy scale(Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery)
- Presence of Fear of falling(Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery)
- Modified Barthel index(Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery)
研究者
Sang Yoon Lee
Associate Professor
Seoul National University Hospital