Strength Training After Hip Fracture Surgery

Hvidovre University Hospital

Status: Completed

Conditions: Hip Fracture

Treatments: Other: Rehabilitation without strength training; Other: Rehabilitation with strength training

Study type: Interventional

Funder types: Other

Identifiers

NCT00848913

H-A-2007-0127 + 37036

Details and patient eligibility

About

The purpose of this study is to examine the effect of progressive strength training of the fractured limb in patients with hip fracture, during admittance in an acute orthopedic ward. The primary study hypothesis is that the training will reduce the strength deficit in the fractured limb in comparison with the non-fractured limb. Secondary, that patients following the intervention will present larger improvements in physical function compared to controls.

Enrollment: 90 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Primary hip fracture surgery
• 65 years or older
• Speak and understand the Danish language
• Able to give informed consent
• Home-dwelling with and independent prefracture indoor walking ability equal to New Mobility Score >=2

Exclusion criteria

• Multiple fractures
• Weightbearing restrictions
• Patient unwilling to participate in appropriate rehabilitation
• Not able to cooperate to tests
• Terminal illness
• Patients who want an observer present at the information interview, but where such one is not available.
• Patients with a cervical hip fracture treated with Total Hip Arthroplasty or hip pins, due to expected short length of hospital stay.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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90 participants in 2 patient groups

Rehabilitation without strength training

Active Comparator group

Description:

Basic mobility and exercise therapy without strength training following a guideline with 12 specific exercises, progressed individually.

Treatment:

Other: Rehabilitation without strength training

Rehabilitation with strength training

Experimental group

Description:

Basic mobility and exercise therapy following a guideline with 12 specific exercises, progressed individually, and supplemented with progressive knee-extension strength training (10RM) of fractured limb every day during admission.

Treatment:

Other: Rehabilitation with strength training