Having been diagnosed with hip fracture (intra- and extracapsular fractures) and received hip fracture surgery for the first time and within 3 months after surgery. Hip fracture
Conditions
Interventions
The home-based rehabilitation group will receive progressive strengthening exercise, weight-bearing, balance training, functional mobility training, and education based on their physical status. The p
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Home-based rehabilitation,Facility-based rehabilitation group
Sponsors
Faculty of Physical Therapy
Eligibility
Sex/Gender
All
Age
50 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Aged more than 50 years and community-dwelling. 2. Having been diagnosed with hip fracture (intra and extracapsular fractures) and received hip fracture surgery for the first time and within 3 months after surgery. 3. Able to communicate in Thai language.
Exclusion criteria
Exclusion criteria: 1. Hip fracture caused by pathological lesions such as bone sarcoma or fracture caused by diseases. 2. Having cognitive impairment (MoCA Thai less or equal to 24 scores adjusted for the education level). 3. Inability to walk at least 10 meters with or without gait aid before fracture. 4. Having neurological or other conditions that involve ambulation status i.e., stroke or Parkinson disease. 5. Having medical conditions that limit the physical exercise i.e., unstable cardiac disease, infectious diseases or uncontrolled chronic diseases. 6. Having been diagnosed with severe osteoporosis. 7.Having poor nutrition status according to the European Society of Clinical Nutrition and Metabolism (weight loss less than 5% in 6 months and/or BMI below 20 kg/m2).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Physical performance after end of the intervention and 6 months follow up SPPB includes balance, lower extremity strength, and gait speed measurement. | — |
Secondary
| Measure | Time frame |
|---|---|
| Fear of falling after end of the intervention and 6 months follow up Falls Efficacy Scale-International (FES-I) ,Quality of life after end of the intervention and 6 months follow up EQ-5D-5L questionnaire,The abilities in daily living activities after end of the intervention and 6 months follow up Barthel index score (BI),cost-effectiveness 6 months follow up Incremental cost-effectiveness ratio | — |
Countries
Thailand
Contacts
Public ContactRapeepat Jitmal
Faculty of Physical Therapy, Mahidol University
Outcome results
None listed