Neck of Femur Fracture
Conditions
Brief summary
This study investigates the additional benefits of Mobilization Exercises and Closed Kinetic Chain Exercises (CKCE) in elderly individuals with post-operative neck of femur fracture. The researcher employs a randomized controlled trial which will involve 49 participants aged above 65 years with post-operative neck of femur fracture.
Detailed description
Participants are divided into two groups: one receiving Mobilization Exercises, and the other receiving Closed Kinetic Chain Exercises. Outcomes are assessed over a 6 week period, focusing on pain intensity, Range of motion, risk of fall by goniometer, visual analogue scale (VAS) and dynamic gait index (DGI) scores. Data will be analyzed using SPSS-23. The study will conclude whether CKCE or Mobilization exercises offer a significant benefit in pain reduction, prevent risk of falls and range of motion.
Interventions
COMBINATION_PRODUCTMobilizations Exercises
Group A was treated with mobilizations exercises for 40 minutes for 3 sessions per week for 6 weeks. Patients received hip mobilizations. Therapist perform anterior posterior glide, caudal glide, posterior anterior glide with abduction, flexion and lateral rotation in 3 sets with 10 repetitions .Mobilization grades were performed according to patients tolerance level with duration 30-second rest .Hip strengthening exercises were performed 3 sets with 10 repetition with hip abduction in side lying, hip extension in prone position, sideway walk, hip abduction in a stand up position.
COMBINATION_PRODUCTClosed Kinetic Chain Exercises
Group B was treated with Closed Kinetic Chain Exercises for 40 minutes for 3 sessions per week for 6 weeks. Closed kinetic chain exercises were performed with 5 minute break between each exercise. Leg press in horizontal position ,Stationary bicycling and Stairmaster climbing.
Sponsors
Superior University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosed by Orthopedic Surgeon with neck of femur fracture by x ray findings * Patients undergone surgical treatment for neck of femur fracture within one year. * Patients administer in groups after 12 weeks of post-operative period * X-ray reexamination with no fracture or dislocation before treatment * Ability to walk normally or with crutches * Patients walk without any assistance before injury * Un-displaced neck of femur fracture according to Garden Classification * Operated on using internal fixation * Only females were included * Aged 65 years or older
Exclusion criteria
* Bilateral hip fracture * Bedridden patient before fracture * Patient who have undergone any previous surgery of lower limb * Neurological Condition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale (VAS) | 12 Months | The 10-point numeric scale ranges from '0' representing no pain to '10' representing pain as bad as you can imagine or worst pain imaginable. The VAS is a valid and reliable scale to measure pain intensity. VAS demonstrates strong correlation validity with other established pain measurement scales, making it a reliable tool for clinical assessments. Validity is 0.88 % and Reliability is 0.90%. |
| Dynamic Gait Index (DGI) | 12 months | The questionnaire has been designed to evaluate risk of fall and balance during dynamic tasks. DGI includes 8 items, score between 0-3 scales. Score of 0 indicates severe impairment and score of 3 indicates normal function. Total score is between 0-24. Validity is 0.88% and Reliability is 0.97%. Interpretation 0-11: Severe impairment 12-19: Moderate impairment 20-24: Mild impairment |
| GONIOMETER | 12 months | Goniometer is used to measure the joint angle in degrees, ROM and flexibility. The goniometer measures ranges and degrees of joints. The range of goniometer is typically 0-180 degrees or o-360 degrees. The intervals on scale can vary from 0-10 degrees. Hip Joint Ranges of Motion 1. Flexion: 120-130 degrees 2. Extension: 10-20 degrees 3. Abduction: 40-50 degrees 4. Adduction: 20-30 degrees 5. Internal Rotation: 30-40 degrees 6. External Rotation: 40-50 degrees |
Countries
Pakistan
Outcome results
None listed