Step by Step steady on your feet - a training program to regain mobility and independence after hip or pelvic fracture

Multifactorial intervention to reduce fear of falling after a hip or pelvic fracture: a prospective, randomised controlled trial - subproject No. 5 of the consortium ?Prevention and Rehabilitation of Osteoporotic Fractures in Disadvantaged Populations?

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN79191813

Enrollment

102

Registered

2011-06-06

Start date

2011-04-26

Completion date

Unknown

Last updated

2017-05-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hip or pelvic fracture Injury, Occupational Diseases, Poisoning Hip or pelvic fracture

Interventions

Intervention group Multifactorial intervention to increase physical activity and reduce fear of falling. It comprises of 8 additional personal contacts during the inpatient rehabilitation period, 4 te

the assessment team is blinded to the different groups by the study centre. Because communicating of their status by the participants a complete blinding is probably not possible.

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Current inclusion criteria as of 20/02/2012: 1. Hip or pelvic fracture as main diagnosis for admission to inpatient rehabilitation 2. Age: 60 years and older 3. Concern about falling (Fear of Falling screening instrument) Previous inclusion criteria: 1. Hip or pelvic fracture within the last 8 weeks 2. Age: 60 years and older 3. Concern about falling (Fear of Falling screening instrument)

Exclusion criteria

Exclusion criteria: 1. Delirium 2. Shortsightedness (> 20/400) 3. Mental disease like suicidality, acute psychosis, schizophrenia, bipolar disorder, schizo-affective disorder 4. Cognitive impairment Short Orientation-Memory-Concentration (SOMC) = 10 5. Living in a nursing home when the fall occured 6. Not able to understand and speak German language 7. No telephone extension or not able to communicate over the telephone 8. Moderate or severe aphasia (amnesic aphasia is no exclusion criteria), apraxia of speech 9. Capacity too low to endure the assessment 10. Diseases, that require additional time-consuming therapy during rehabilitation period (like dialysis) 11. Other medical exclusion criterias like severe inflammations or infections, mechanical instability of the osteosynthesis, terminal status 12. Place of domicile not reachable with the public transport of the region of Stuttgart

Design outcomes

Primary

Measure	Time frame
1. Physical activity 1.1. Sensor based activity monitoring 1.2. Phone-FITT? physical activity questionnaire 2. Falls Efficacy 2.1. Short Falls Efficacy Scale international [Short FES-I] 2.2. Perceived ability to manage risk of falls or actual falls Measured at: T0: in the first week after admission to inpatient rehabilitation, T1: between two weeks after T0 and discharge, T2: 4 months after T0	—

Secondary

Measure	Time frame
1. Fall-related Criteria - Percived Control Over Falling [PCOF] 2. Mental Health Criteria 2.1. Hospital Anxiety & Depression Scale [HADS] 2.2. Revised Anxiety Control Questionnaire subscale ?emotion? and ?stress? [ACQ-R] 2.3. Revised Acceptance and Action Questionnaire II [AAQ-II] 3. Body Functions 3.1. Short Physical Performance Battery [SPPB] 3.2. Rivermead Mobility Index 4. Quality of life 4.1. EURO QoL-5 4.2. WHO-QoL Old, subscale ?social participation? Measured at: T0: in the first week after admission to inpatient rehabilitation, T1: between two weeks after T0 and discharge, T2: 4 months after T0	—

Measure

Time frame

1. Fall-related Criteria - Percived Control Over Falling [PCOF] 2. Mental Health Criteria 2.1. Hospital Anxiety & Depression Scale [HADS] 2.2. Revised Anxiety Control Questionnaire subscale ?emotion? and ?stress? [ACQ-R] 2.3. Revised Acceptance and Action Questionnaire II [AAQ-II] 3. Body Functions 3.1. Short Physical Performance Battery [SPPB] 3.2. Rivermead Mobility Index 4. Quality of life 4.1. EURO QoL-5 4.2. WHO-QoL Old, subscale ?social participation? Measured at: T0: in the first week after admission to inpatient rehabilitation, T1: between two weeks after T0 and discharge, T2: 4 months after T0

—

Countries

Germany

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 3, 2026