Condition 1: Femur head and neck fracture. Condition 2: Intertrochanteric femur fracture. Condition 3: Subtrochanteric fracture of femur. Fracture of head and neck of femur Intertrochanteric fracture of femur Subtrochanteric fracture of femur
Conditions
Interventions
Intervention 1: Intervention group: Patients 1 to 2 days after surgery at the time of discharge, a paper version of "Postoperative rehabilitation guide at home for middle-aged and elderly proximal fem
Also, during visits, patients and their caregivers send feedback in the form of photos and videos of the rehabilitation process and walking of the patients to the care team, and based on them, the nec
In this group, patients and their caregivers
Sponsors
Hamedan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to No maximum
Inclusion criteria
Inclusion criteria: Low-energy injury resulting in unilateral hip fracture treated with first hip arthroplasty or internal fixation Age =40 years Absence of pre-fracture limb dysfunction and ability to live independently (Functional Independence Measure (FIM) =90 points) The condition had resolved and the patient could cooperate with rehabilitation treatment and had no cognitive impairment (Mini-Mental State Examination (MMSE) =24) The presence of a family caregiver and the patient or caregiver with a smartphone Patients and family members voluntarily participate in the study and sign an informed consent form
Exclusion criteria
Exclusion criteria: Pathological fractures Associated with serious chronic diseases, such as heart, liver and lung diseases
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Functional Independence Measure Test. Timepoint: At the beginning of the study and 12 weeks after the operation. Method of measurement: Clinical examination to measure functional independence measurement criteria.;Timed Up and Go Test. Timepoint: At the beginning of the study and 12 weeks after the operation. Method of measurement: Clinical examination to measure functional independence measurement criteria.;Short Physical Performance Battery Test. Timepoint: At the beginning of the study and 12 weeks after the operation. Method of measurement: Clinical examination to measure short physical performance criteria.;Quality of life questionnaire (SF-36). Timepoint: At the beginning of the study and 12 weeks after the operation. Method of measurement: Completing the SF36 questionnaire to measure the quality of life. | — |
Primary
| Measure | Time frame |
|---|---|
| Range of Motion Scale. Timepoint: "The beginning of the study (Baseline) and 12 weeks after the operation (Follow-up). Method of measurement: "The range of motion of the hip joint after surgery is the main measure of the effectiveness of the intervention in patients, and its improvement can indicate the success of the treatment. Clinical examination and calculation with the help of a "goniometer", which is a tool for calculating the angle of flexion, abduction and adduction, internal and external rotation of the hip joint and also the scoring is based on the Harris scoring criteria for the range of motion of the hip joint including the following parameters: flexion (maximum *140 degrees) abduction (maximum *40 degrees) adduction (maximum *40 degrees) external rotation (maximum *40 degrees) rotation Internal (maximum *40°) 3. Scoring Range: Points are calculated based on the following range: 211°-300°: 5 points 161°-210°: 4 points 101°-160°: 3 points 61° -100°: score 2 31°-60°: score 1 0°-30°: score 0 "An increase in the range of motion of at least 20 degrees at 12 weeks after the operation is considered a significant change.". | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSaeid Soroush
Hamedan University of Medical Sciences
Outcome results
None listed