Feasibility of Progressive Strength Training in the Early Post Surgical Rehabilitation Period After Hip Fracture Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 36
- 试验地点
- 2
- 主要终点
- Feasibility of progression in training loads (kg) during daily knee-extension strength training when commenced immediately after hip fracture surgery.
研究概览
简要总结
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.
详细描述
Kronborg L, Bandholm T, Palm H, Kehlet H, Kristensen MT (2014) Feasibility of Progressive Strength Training Implemented in the Acute Ward after Hip Fracture Surgery. PLoS ONE 9(4): e93332. doi:10.1371/journal.pone.0093332
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
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
结局指标
主要结局
Feasibility of progression in training loads (kg) during daily knee-extension strength training when commenced immediately after hip fracture surgery.
时间窗: Baseline to discharge, in average 10 days.
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.
次要结局
- 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.)
研究者
Lise Kronborg
Project Physiotherapist, Msc.
Copenhagen University Hospital, Hvidovre