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

Not Applicable

Active, not recruiting

• Conditions: Neck of Femur Fracture

• Registration Number: NCT06901843
• Lead Sponsor: Superior University

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.

Detailed Description

Participants are divided into two groups:

one receiving Mobilization Exercises, and the other receiving Closed Kinetic Chain Exercises. Outcomes are assessed over a 6 week period, focusing on pain intensity, Range of motion, risk of fall by goniometer, visual analogue scale (VAS) and dynamic gait index (DGI) scores. Data will be analyzed using SPSS-23. The study will conclude whether CKCE or Mobilization exercises offer a significant benefit in pain reduction, prevent risk of falls and range of motion.

Study Timeline

• Status Verified: 2025-03
• Study Start: 2025-03-20
• Study First Submitted: 2025-03-23
• Study First Submitted QC: 2025-03-23
• Last Update Submitted: 2025-03-23
• Study First Posted: 2025-03-30
• Last Update Posted: 2025-03-30
• Primary Completion: 2025-07-20
• Study Completion: 2026-02-20

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: Female
• Target Recruitment: 44

Inclusion Criteria

• 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

Exclusion Criteria

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Visual Analogue Scale (VAS)	12 Months	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%.
Dynamic Gait Index (DGI)	12 months	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
GONIOMETER	12 months	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

Trial Locations

Locations (1)

Bajwa hospital J7JP+4WH, GT Rd, Shahdara Town, Shahdara; 🇵🇰 Lahore, Punjab, Pakistan