Hip Fractures
Conditions
Brief summary
The overall functional gain by balance rehabilitation after hip fracture surgery has not yet been fully investigated. Therefore, clinical studies should be conducted to evaluate the effectiveness of systematic and safe balance rehabilitation in patients after hip fracture. Investigators aim to evaluate the effect of computer-based balance specific exercise on the performance and balance ability of the elderly women who underwent hip fracture surgery. Investigators also investigate the intervention can reduce their fear of falling and coping ability. This study was designed as a prospective, open-label, single-center trial at a tertiary hospital setting. During the 2-week postoperative intervention period, patients will participate in the hospital's exercise program beginning 5-7 days after hip fracture surgery. All participants will follow the computer-based balance specific exercise program. Functional outcomes will be measure periodically for 6 months after surgery.
Interventions
PROCEDUREBalance specific exercise
Balance specific exercise consists of total 10 days' physical therapy (PT) sessions (twice per day for 60 min) after surgery. It will be conducted with a computed posturographic system for diagnostics of balance and movement skills (Balance Master® System NeuroCom®) designed to objectively quantify balance and postural function of different origin. PT (weight-bearing, strengthening, gait training, aerobic, and functional exercises) was gradually increased based on the patient's functional level. Intensive patient education by multidisciplinary rehabilitation members was also provided.
Sponsors
Seoul National University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
65 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Elderly female patients (≥ 65 years old) who have undergone surgery for femoral neck, intertrochanteric, or subtrochanteric fracture, regardless of surgery type (internal fixation, bipolar hemiarthroplasty, or total hip arthroplasty)
Exclusion criteria
* 1\) hip surgery for infection, arthritis, implant loosening, or avascular necrosis; * 2\) femoral shaft fracture, acetabular fracture, isolated fracture of the greater or lesser tuberosity, or periprosthetic fracture; * 3\) pathologic fracture; * 4\) combined multiple fracture; * 5\) revision surgery; * 6\) severe cognitive dysfunction (obey command ≤ 1 step); * 7\) cannot stand by supporting a fixed walker at 5 days after operation; * 8\) patients who refuse to participate in a clinical trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Berg balance scale | Change from Baseline Berg balance scale at 6 months | Berg balance scale (total score; 0 to 56) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional Independence Measure: locomotion | Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery | Functional Independence Measure (subscale of locomotion: 1 to 7) |
| Modified falls efficacy scale | Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery | Modified falls efficacy scale (total score: 0 to 140) |
| Functional Ambulatory Category | Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery | Functional Ambulatory Category (categorical score; 0 to 5) |
| Modified Barthel index | Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery | Modified Barthel index (tota; score: 0 to 100) |
| Short physical performance scale | Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery | Short physical performance scale (total score: 0 to 12) |
| Presence of Fear of falling | Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery | Fear of falling (yes or no; by simple question Are you afraid of falling?) |
Outcome results
None listed