None listed
Conditions
Brief summary
Hip fracture is a major cause of death and loss of independence for older people. Exercise prescription after hip fracture is vital to return the patient to the highest possible level of function. Previous studies have shown that older people have difficulty in adhering to exercise programs. This pilot project aims to investigate whether providing the older person with a personalised DVD of their exercises will help them to adhere to the program
Interventions
Participants will be initially assessed then prescribed a personalised home exercise program. The participant will receive a DVD of the exercises performed by the patient themself, including the Physiotherapist corrections and advice. They will be asked to do their exercises 3 times per week for approximately 30 minutes. Initial consultation of approximately 1 hour followed by 30 minute appointments weekly for 6 weeks. At reappointments, review and motivational interviewing will occur. DVD will
Participants will be initially assessed then prescribed a personalised home exercise program. The participant will receive a DVD of the exercises performed by the patient themself, including the Physiotherapist corrections and advice. They will be asked to do their exercises 3 times per week for approximately 30 minutes. Initial consultation of approximately 1 hour followed by 30 minute appointments weekly for 6 weeks. At reappointments, review and motivational interviewing will occur. DVD will not be updated but repetitions and feedback will be reviewed again so that partiicpants increase intensity as judged able by the therapist. Lower limb strength and balance exercises tailored for each participant. participants watch DVD each time they complete exercises. Phone call and exercise diary as well as semi structured interview to measure adherence and response to program. At 6 weeks participants will be asked to continue with their final prescribed programme till the 6 month review.
Sponsors
Dr Anne-Marie Hill
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
60 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
60-85 years, Hip fracture 12-24 months ago, medically stable, English speaking, Cognitively intact, able to give informed consent
Exclusion criteria
Cognitive impairment, Sensory deficit that prevents patient hearing instructions or viewing a DVD on their TV at home, assessed by checking with patient that they can hear instructions and view DVDs at home, Parkinson’s Disease, previous history of stroke
Outcome results
None listed