Clinical Trial: Early Strength Training After Hip Fracture Surgery

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Feasibility of Progressive Strength Training in the Early Post Surgical Rehabilitation Period After Hip Fracture Surgery

Brief Summary:

Patients treated surgically for a hip fracture have a need of rehabilitation for the regain of former functional skills. Despite an optimized fast track in-hospital rehabilitation program it has been found that patients with hip fracture within 2 weeks after the hip fracture loose more than half of their muscle strength in the fractured limb compared to non-fractured limb. New studies including patients with total hip arthroplasty and strength training applied early after surgery has shown promising results regarding prevention of loss of muscle strength. No similar study has been found including patients with hip fracture.

The purpose of this study is to examine the feasibility of progressive knee-extension strength training of the hip fractured limb, starting Day 1 after surgical treatment for a hip fracture and proceeded every weekday during their hospital stay.

The study will include 20 patients surgically treated for a cervical hip fracture and 20 patients surgically treated for an intertrochanteric or subtrochanteric fracture. All patients are admitted from their own home. Age 60 years or older.


Detailed Summary: Kronborg L, Bandholm T, Palm H, Kehlet H, Kristensen MT (2014) Feasibility of Progressive Strength Training Implemented in the Acute Ward after Hip Fracture Surgery. PLoS ONE 9(4): e93332. doi:10.1371/journal.pone.0093332
Sponsor: Copenhagen University Hospital, Hvidovre

Current Primary Outcome: Feasibility of progression in training loads (kg) during daily knee-extension strength training when commenced immediately after hip fracture surgery. [ Time Frame: Baseline to discharge, in average 10 days. ]

Feasibility is evaluated on the basis of adherence to program, adverse events, target training intensity, hip pain during training and other potential restricting factors, e.g. confusion, exhaustion and dropouts.


Original Primary Outcome: Change in maximum isometric knee-extension strength and strength deficits, fractured % of non-fractured limb measured by handheld dynamometer. [ Time Frame: Baseline to discharge, in average 10 days. ]

Current Secondary Outcome: Change in maximum isometric knee-extension strength and strength deficits, fractured % of non-fractured limb measured by handheld dynamometer. [ Time Frame: Baseline to discharge, in average 10 days. ]

Original Secondary Outcome: Hip pain measured by Verbal Rang Scale (VRS) [ Time Frame: Baseline to discharge, in average 10 days. ]

Information By: Copenhagen University Hospital, Hvidovre

Dates:
Date Received: June 5, 2012
Date Started: June 2012
Date Completion:
Last Updated: May 14, 2014
Last Verified: May 2014