Treatment Efficacy of Leg Cycling as Part of Physiotherapy Treatment in Elderly Patients With Hip Fracture

Clalit Health Services

Status: Unknown

Conditions: Hip Fractures

Treatments: Other: Physiotherapy treatment & music listening; Other: Physiotherapy treatment & leg cycling

Study type: Interventional

Funder types: Other

Identifiers

NCT02407444

rmc150495ctil

Details and patient eligibility

About

This study aims to evaluate whether a combination of cycling training as part of physiotherapy treatment will contribute more than conventional physiotherapy treatment for elderly patients after hip fracture surgery in their subacute phase of rehabilitation.

Full description

Adults who have experienced a fall, followed by proximal hip fracture that required surgery, suffer from specific problems that interrupt the rehabilitation period in their subacute phase.

Various modes of treatment available as part of the physical rehabilitation but there is not enough data in the literature regarding the contribution of cycling training with leg cycle ergometer as part of conventional physiotherapy treatment in elderly patients after hip fracture surgery.

This study evaluates whether the additional cycling to physiotherapy treatment will improve the functional ability, the balance performance while standing, hip muscle strength and pain level in those patients.

Enrollment: 60 estimated patients

Sex: All

Ages: 65 to 95 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Proximal hip fracture with full or partial weight bearing indication.
• Surgical fixation ( nailing or total hip replacement or hemiarthroplasty)
• Pre-morbid function: walking independently or under supervision with or without assistance aid
• Cognitive function: Mini-mental state examination score above 21

Exclusion criteria

• Pathological hip fracture.
• Unstable heart or pulmonary disease.
• Presence of other fractures as a result of the current fall.
• Neurological comorbidities ( CVA, Parkinson, MS ).
• Entering the rehabilitation center more than three weeks after hip surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Physiotherapy treatment & leg cycling

Experimental group

Description:

This group will receive conventional physiotherapy treatments, each session will last 30 minutes. Treatments include muscles strength exercises for upper and lower extremities, static and dynamic balance training in standing ,pain relief techniques and functional training (including transfers, sit to stand, walking and climbing stairs). The treatment program shall be consistent with the patient's problems and the degree of difficulty will rise depending on progress. In addition this group will have cycling training with leg cycle ergometer for 20 minutes. This treatment protocol will last for three weeks, five days a week, 50 minutes each session per day.

Treatment:

Other: Physiotherapy treatment & leg cycling

Physiotherapy treatment & music listening

Active Comparator group

Description:

This group will receive conventional physiotherapy treatments, each session will last 30 minutes .Treatments include muscles strength exercises for upper and lower extremities, static and dynamic balance training in standing ,pain relief techniques and functional training (including transfers, sit to stand, walking and climbing stairs). The treatment program shall be consistent with the patient's problems and the degree of difficulty will rise depending on progress. In addition this group will listen to music (while sitting on a chair) for 20 minutes.This treatment protocol will last for three weeks, five days a week, 50 minutes each session per day.

Treatment:

Other: Physiotherapy treatment & music listening