Hip fracture Impaired walking ability after hip fracture surgery Postoperative rehabilitation after hip fracture Hip fractures Aged Walking Ambulation Rehabilitation Chair stand test Timed Up and Go test Activities of daily living Quality of life Accidental falls
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Fragility hip fracture including femoral neck fracture or pertrochanteric fracture 2. Planned surgical treatment and participation in ERAS protocol 3. Pre-fracture independent ambulation with or without gait aid for at least 10 meters or pre-fracture mFAC 6 or higher 4. Weight bearing allowed after surgery 5. Able to communicate in Thai
Exclusion criteria
Exclusion criteria: 1. Multiple fractures 2. Malignancy-related pathological fracture 3. Recent major lower extremity injury affecting mobility or weight bearing within 3 to 6 months 4. Subsequent condition affecting ambulation recovery such as stroke 5. Delay to surgery more than 72 hours 6. Length of hospital stay more than 2 weeks 7. Severe cognitive impairment defined as TMSE less than 13
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 30 second chair stand test 1-month post surgery Number of completed chair stand repetitions within 30 seconds.,Ambulation status 6-month post surgery Modified Functional Ambulation Category | — |
Secondary
| Measure | Time frame |
|---|---|
| 30 second chair stand test 3 and 6 months post surgery Number of completed chair stand repetitions within 30 seconds.,Timed Up and Go Test 1, 3, and 6 months post surgery Time in seconds required to stand up, walk 3 meters, turn, walk back, and sit down.,Activities of daily living Baseline, 1, 3, and 6 months post surgery Modified Barthel Index score.,Pain intensity Baseline, 1, 3, and 6 months post surgery Numeric Rating Scale at rest and during movement.,Quality of life Baseline, 1, 3, and 6 months post surgery EQ-5D-5L,Falls 1, 3, and 6 months post surgery Number of falls reported by the participant or caregiver during follow-up.,Rehabilitation exposure 1, 3, and 6 months post surgery Type and frequency of physical therapy, structured exercise program, and gait aid requirement. | — |
Countries
Thailand
Contacts
Faculty of Medicine Siriraj Hospital, Mahidol University