Hip Fractures
Conditions
Keywords
Hip Fracture, Exercise, Rehabilitation, Functional Performance
Brief summary
The purpose of this trial was to examine the effectiveness of a short-term leg strengthening exercise program compared to attention control on improving leg strength, walking speed and endurance, physical performance, and physical function one year after hip fracture.
Detailed description
Poor functional outcomes are reported for the majority of older adults who sustain a hip fracture. The ability of hip fracture patients to make sustained functional improvements above and beyond natural recovery is unknown. It has been shown that gym-based programs can help old adults regain function after hip fracture. It is unclear if these results could be translated into the home setting that lacks the gym-based equipment, or if improvement would be sustainable. This program compares high intensity strength training performed in the home twice weekly for 10 weeks to an attention placebo control in which participants receive sensory electrical stimulation to leg muscles.
Interventions
lower extremity strengthening: 3 sets of 8 repetitions at the 8 repetition maximum (8RM)for the hip and knee extensors, hip abductors, plantarflexors twice weekly for 10 weeks.
OTHERTENS
Transcutaneous electrical nerve stimulation (TENS) to elicit sensory information (comfortable tingling) for 7 minutes to bilateral muscle groups including the gluteal muscles, quadriceps, and gastroc-soleus muscles. TENS administered twice weekly for 10 weeks.
Sponsors
Arcadia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Successful fixation (partial or total hip replacement or open reduction internal fixation) of a hip fracture within the last 6 months * Were 65 years of age or older, were living at home prior to the fracture, had a physician referral and were discharged from physical therapy.
Exclusion criteria
* Medical history of unstable angina or uncompensated congestive heart failure, ongoing chemotherapy or renal dialysis, history of stroke with residual hemiplegia, Parkinson disease, absent sensation in the lower extremities due to sensory neuropathy, life expectancy of less than 6 months, and Folstein mental status scores \< 20.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| lower extremity force production | one year after hip fracture |
Secondary
| Measure | Time frame |
|---|---|
| six minute walk distance | one year post fracture |
| free and fast gait speed | one year post fracture |
| modified physical performance test | one year post fracture |
| SF-36 physical function | one year post fracture |
Countries
United States
Outcome results
None listed