Musculoskeletal disorders in lower extremities or back Musculoskeletal Diseases Musculoskeletal disorders in lower extremities or back
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 60 years and over 2. Community-dwelling 3. Admitted and thereafter discharged to home from Health Centre-Hospital because of musculoskeletal disorder, such as orthopedic surgery of lower extremity (i.e. hip fracture, joint replacement) or some other musculoskeletal event or condition of lower extremity or back (i.e. fall, aggravated arthritis, osteoporotic fracture and/or back pain)
Exclusion criteria
Exclusion criteria: 1. Living in an institution 2. Confined to bed at time of recruitment 3. Severe memory problems (mini-mental state examination (MMSE) less than 21 4. Severe cardiovascular or pulmonary disease 5. Severe progressive disease (i.e., neoplasm, ALS, Parkinson disease). 6. Alcoholism 7. Unwillingness to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Level of physical activity and inactivity is objectively assessed using the accelerometer at baseline, 3 and 6 months 2. Level of physical activity is measured using validated self-reporting questionnaires at baseline, 3, 6 and 12 months 3. Mobility is assessed using the Short Physical Performance Battery and self-reporting at baseline, 3, 6 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Life space mobility is assessed by Birmingham Life-Space Assessment (LSA) at baseline, 3, 6 and 12 months 2. Social participation and autonomy is assessed using the Impact on Participation and Autonomy (IPA) questionnaire at baseline, 6 and 12 months 3. Fear of falling assessed using the Falls Efficacy Scale International (FES) questionnaire at baseline, 3, 6 and 12 months 4. Pain is assessed using the modified Brief Pain Inventory at baseline, 3, 6 and 12 months 5. Depressive mood assessed is measured using the Centre for Epidemiologic Studies Depression Scale (CES-D) at baseline, 3, 6 and 12 months 6. Perceived barriers to indoor and outdoor physical activity is assessed using checklists for perceived environmental barriers to outdoor mobility (PENBOM; 15 items) and perceived environmental facilitators for outdoor mobility (PENFOM; 16 items) as well as self-reporting at baseline, 3, 6 and 12 months 7. Memory are assessed using Mini-Mental State Examination (MMSE) at baseline, 3, 6 and 12 months 8. Executive function is assessed using the Trail Making test at baseline, 3, 6 and 12 months 9. Use of formal and informal care is assessed through self-reporting (formal health care will be varified from the registers of Health Centre-Hosptials) at 3, 6 and 12 months 9. Hand grip strength from the dominant hand with a hand-held dynamometer at baseline, 3, 6 and 12 months | — |
Countries
Finland