Effect of Rehabilitation With Versus Without Progressive Strength Training Implemented in the Acute Ward After Hip Fracture Surgery: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 2
- 主要终点
- Knee-extension strength in the fractured limb in comparison with the non-fractured limb.
研究概览
简要总结
The purpose of this study is to examine the effect of progressive strength training of the fractured limb in patients with hip fracture, during admittance in an acute orthopedic ward. The primary study hypothesis is that the training will reduce the strength deficit in the fractured limb in comparison with the non-fractured limb. Secondary, that patients following the intervention will present larger improvements in physical function compared to controls.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Primary hip fracture surgery
- •65 years or older
- •Speak and understand the Danish language
- •Able to give informed consent
- •Home-dwelling with and independent prefracture indoor walking ability equal to New Mobility Score >=2
排除标准
- •Multiple fractures
- •Weightbearing restrictions
- •Patient unwilling to participate in appropriate rehabilitation
- •Not able to cooperate to tests
- •Terminal illness
- •Patients who want an observer present at the information interview, but where such one is not available.
- •Patients with a cervical hip fracture treated with Total Hip Arthroplasty or hip pins, due to expected short length of hospital stay.
结局指标
主要结局
Knee-extension strength in the fractured limb in comparison with the non-fractured limb.
时间窗: At inclusion, at postoperative day 10 and/or at discharge.
Maximal isometric knee-extension strength in the fractured limb in percentage of non-fractured limb. Isometric knee-extension strength will be measured using an externally fixated handheld dynamometer (Power Track II Commander; JTech Medical, Utah). A stap will be attached to the bed/chair and the patient's ankle (perpendicular to the lower leg), ensuring 90 degrees of knee flexion and an isometric contraction. The transducer will be placed under the strap at ankle level, just proximal to the malleolus, and the participant will be asked to extend the leg as forcefully as possible. Knee-extension strength will be expressed as the maximal voluntary torque per kilo body mass (\[NIm\]/kg), using the distance between the lateral femoral epicondyle and the center of the transducer and the body mass of each patient. The best of 4 trials for each limb will be used in analyses. The primary analysis will follow the intention-to-treat principle (last observation carried forward).
次要结局
- Timed up and go test(From inclusion to postoperative day 10 and/or discharge)
研究者
Morten Tange Kristensen
Seniorresearcher, PhD
Hvidovre University Hospital