Rehabilitation for people aged 65 and over following surgery for fractured neck of femur Musculoskeletal Diseases
Conditions
Interventions
Participants are randomised to two groups:
1. Intervention group: A rehabilitation intervention consisting of a workbook and goal setting diary to be held and used by the patient coll
Sponsors
Bangor University (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age 65 years or older 2. Recent proximal hip fracture including the following types of fracture: intracapsular, extracapsular (pertrochanteric, intertrochanteric, reverseoblique or subtrochanteric) 3. Surgical repair by replacement arthroplasty or internal fixation within the previous week; recovering as an in-patient on an orthopaedic ward and not yet discharged home or transferred to an in-patient unit 4. Living independently prior to hip fracture, defined as living in their own home 5. Capacity to give informed consent 6. Living and receiving rehabilitation in the participating NHS site area 7. Carers of patient participants will also be recruited where they provide them with face to face support most days in a week including help with activities of daily living and or physical care
Exclusion criteria
Exclusion criteria: 1. Younger adults with hip fracture 2. Non-surgical treatment following hip fracture 3. Living in residential or nursing homes prior to hip fracture 4. Lack of capacity to give informed consent 5. Participants who are not able to understand Welsh or English 6. Participants who do not live and will not receive community rehabilitation in the participating NHS site area
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Barthel Index measured at baseline and at 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Abbreviated Mental Test Score (AMTS) 2. Nottingham Extended Activities of Daily Living Scale 3. Hospital Anxiety and Depression Scale (HADS) Measured at baseline and at 3 months. Process outcomes: 1. Visual Analogue Scale (VAS) for hip pain intensity 2. General Self Efficacy Sale 3. Falls Efficacy Scale - International (FES- I) 4. Self-efficacy for exercise scale 5. Visual Analogue Score - Fear of Falling (VAS-FOF) Health economic measures: 1. EuroQol EQ-5D 2. ICEpop CAPability measure for Older people (ICECAP-O) 3. Client Service Receipt Inventory (CSRI) 4. Discrete Choice Experiment Objective Measures of Physical Function: 1. Grip strength 2. Thirty second sit to stand 3. Eight foot get up and go test Fifty foot walk test: Cohort-study outcomes include: number of patients aged over 65 years admitted with a proximal femoral fracture; the number who fulfil the inclusion criteria for the randomised feasibility study; the number of deaths, serious complications such as falls and repeat fractures, serious illness requiring hospital re-admission and discharged to institutional care (including detail such as the type of ward and the type of residential care) | — |
Countries
United Kingdom
Outcome results
None listed