Mobility recovery after hip fracture: physical activity and rehabilitation program among community-dwelling hip fracture patients

Conditions

Collum or pertrochanter fracture Injury, Occupational Diseases, Poisoning Fracture of femur

Tuuli Suominen, Johanna Edgren, Anu Salpakoski, Mauri Kallinen, Tomas Cervinka et al. (9 authors)

BMC Musculoskeletal Disorders2020-06-091 citations

Effects of a home-based physical rehabilitation program on physical disability after hip fracture: a randomized controlled trial.

Edgren J, Salpakoski A, Sihvonen SE, Portegijs E, Kallinen M, Arkela M, Jäntti P, Vanhatalo J, Pekkonen M, Rantanen T, Heinonen A, Sipilä S.

2015-02-1445 citations

10.1016/j.jamda.2014.12.015

Effects of a multicomponent home-based physical rehabilitation program on mobility recovery after hip fracture: a randomized controlled trial.

Salpakoski A, Törmäkangas T, Edgren J, Kallinen M, Sihvonen SE, Pesola M, Vanhatalo J, Arkela M, Rantanen T, Sipilä S.

2014-02-2061 citations

10.1016/j.jamda.2013.12.083

Effects of a rehabilitation program on perceived environmental barriers in older patients recovering from hip fracture: a randomized controlled trial.

Portegijs E, Rantakokko M, Edgren J, Salpakoski A, Heinonen A, Arkela M, Kallinen M, Rantanen T, Sipilä S.

2013-08-069 citations

10.1155/2013/769645

Balance confidence and functional balance are associated with physical disability after hip fracture.

Edgren J, Salpakoski A, Rantanen T, Heinonen A, Kallinen M, von Bonsdorff MB, Portegijs E, Sihvonen S, Sipilä S.

2012-08-0911 citations

10.1016/j.gaitpost.2012.07.001

Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people.

Sipilä S, Salpakoski A, Edgren J, Heinonen A, Kauppinen MA, Arkela-Kautiainen M, Sihvonen SE, Pesola M, Rantanen T, Kallinen M.

2011-12-0723 citations

10.1186/1471-2474-12-277

Interventions

Intervention group: Individually tailored physical rehabilitation program aiming to restore mobility (ProMo). The purpose of the intervention is to restore mobility after hip fracture.

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Over 60-year-old community-dwelling men and women operated for hip fracture at the local hospital during 2008 - 2009 and living in the city of Jyväskylä or neighbouring municipalities

Exclusion criteria

Exclusion criteria: 1. Living in an institution 2. Confined to bed at the time of the fracture 3. Severe memory problems (min-mental state examination [MMSE] less than 19) 4. Severe cardiovascular or pulmonary disease 5. Severe progressive disease (i.e., neoplasm, amyotrophic lateral sclerosis [ALS]) 6. Unwillingness to participate

Design outcomes

Primary

Measure	Time frame
The short term primary outcome (at 3 and 6 months) is Short Physical Performance Battery (SPPB) including habitual walking speed, chair rise and balance tests. One year primary outcome will be mobility limitation and disability.	—

Secondary

Measure	Time frame
Measured at baseline, 3, 6 and 12 months: 1. Maximal and habitual walking speed over 10 metres 2. Isometric muscle strength for knee extension and leg extension power, assessed from both sides 3. Functional balance, assessed by Berg Balance Scale 4. Fear of falling, assessed by Activities-specific Balance Confidence scale 5. Pain, assessed by Visual Analogue Scale (VAS) and questionnaire 6. Functional capacity, assessed by validated questionnaire 7. Level of physical activity, assessed by a questionnaire 8. Information concerning use of formal and informal care 9. Bone density and geometry measured for lower leg 10. Depressive mood (Beck Depression Inventory [BDI]) Measured at baseline, 6 and 12 months: 11. Bone density and geometry measured for arm Measured at baseline, 3, 6 and 12 months and 24 months (12 month follow-up): 12. Form of dwelling, collected by a questionnaire and health and social service registers	—

Measure

Time frame

Measured at baseline, 3, 6 and 12 months: 1. Maximal and habitual walking speed over 10 metres 2. Isometric muscle strength for knee extension and leg extension power, assessed from both sides 3. Functional balance, assessed by Berg Balance Scale 4. Fear of falling, assessed by Activities-specific Balance Confidence scale 5. Pain, assessed by Visual Analogue Scale (VAS) and questionnaire 6. Functional capacity, assessed by validated questionnaire 7. Level of physical activity, assessed by a questionnaire 8. Information concerning use of formal and informal care 9. Bone density and geometry measured for lower leg 10. Depressive mood (Beck Depression Inventory [BDI]) Measured at baseline, 6 and 12 months: 11. Bone density and geometry measured for arm Measured at baseline, 3, 6 and 12 months and 24 months (12 month follow-up): 12. Form of dwelling, collected by a questionnaire and health and social service registers

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Countries

Finland

Outcome results

None listed