Effectiveness of abductor motor imagery practice in improving short term outcome in individuals with surgically managed proximalhip fracture

Not yet recruiting

Conditions: Biomechanical lesions, not elsewhere classified,

Registration Number: CTRI/2023/06/054393

Brief Summary: Proximal femoral Fracture account for a large proportion of hospitalization among trauma cases. An overwhelming majority of these patients (>90%) are aged above 50 years. The incidence of hip fracture is estimated to rise from 1.66 million in 1990 to 6.26 million in 2050 in India. Studies of elderly adults have demonstrated that strength deficit affecting abductor muscles is extremely large after Proximal Femoral Fractures. Although literature reports this strength and power deficit to be as high as 50%, postoperative abductor weakness is often overlooked, patients very often describe a lurch (or limp) in their gait. Abductor muscle power assessment and management is recommended for complete rehabilitation. Hence abductor conditioning and strengthening was studied in most of the researches.

Motor imagery(MI) is a cognitive process in which a subject imagines that he/she performs a movemernt without actually performing the movement without even tensing the muscles.MI was found able to work equqlly well in musculoskeletal disorders rehabilitation.

AIM- To compare the effect of abductor motor imagery practice with conventional therapy on the short term outcome in individuals with surgically managed proximal femur fracture.

objectives-To compare the immediate and short term hip abductor strength between groups;To compare the immediate and short term pain and hip range of motion between groups;To compare the immediate and short term lower lim functional between the groups;To compare the immediate and short term in fear of fall between the groups.

Procedure- the subjects who have meet the inclusion criteria will be recruited for the study after obtaining written consent and the subjects will be undergoing hip abductor weakness patient he/she receiving the motor imagery paractice a short bout of breathing exercise for relaxation will watch a video showing an active individual performing activities and exercises to condition hip abductor muscle.the length of the video will range of 60-120 seconds depending the levels.Evaluation of hip range of motion using inclinometer,for checking hip abductor muscle using dynamoter then baseline scales will be using lower extremity functional scale(LEFS),and falls efficacy scale(FES-I).

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 96

Inclusion Criteria

Individuals diagnosed proximal femur fracture Patients underwent proximal femoral nailing, screw fixation.

Exclusion Criteria

previous fracture/THA severe acute metabolic,neuromuscular and cardiovacular disease excessive obesity cognitive problems infectious diseses,cancer,bleeding.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
lower extremity functional scale	6 weeks
falls efficacy scale-I	6 weeks
dynamometer	6 weeks
inclinometer	6 weeks

Secondary Outcome Measures

Name	Time	Method
lower extremity functional scale	falls efficacy scale-I

Trial Locations

Locations (1): Sri Ramachandra hospital. (IN PATIENT ORTHO WARD)
🇮🇳
Chennai, TAMIL NADU, India
Sri Ramachandra hospital. (IN PATIENT ORTHO WARD)
🇮🇳Chennai, TAMIL NADU, India
swetha P
Principal investigator
8667526674
swethapugal997@gmail.com