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NCT Number: NCT06901843

Comparative Effects of Closed Kinetic Chain Exercises and Mobilization Exercises in Elderly Females With NFF

This study investigates the additional benefits of Mobilization Exercises and Closed Kinetic Chain Exercises (CKCE) in elderly individuals with post-operative neck of femur fracture. The researcher employs a randomized controlled trial which will involve 49 participants aged above 65 years with post-operative neck of femur fracture.

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Key information

Conditions

Neck of Femur Fracture Femoral Fractures Femoral Neck Fractures Fractures, Bone Hip Fractures Hip Injuries Leg Injuries Wounds and Injuries

Age range

65 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Bajwa hospital J7JP+4WH, GT Rd, Shahdara Town, Shahdara

Lahore, Punjab Province, 03155419544, Pakistan

About this study

Participants are divided into two groups:

one receiving Mobilization Exercises, and the other receiving Closed Kinetic Chain Exercises. Outcomes are assessed over a 6 week period, focusing on pain intensity, Range of motion, risk of fall by goniometer, visual analogue scale (VAS) and dynamic gait index (DGI) scores. Data will be analyzed using SPSS-23. The study will conclude whether CKCE or Mobilization exercises offer a significant benefit in pain reduction, prevent risk of falls and range of motion.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosed by Orthopedic Surgeon with neck of femur fracture by x ray findings
  • Patients undergone surgical treatment for neck of femur fracture within one year.
  • Patients administer in groups after 12 weeks of post-operative period
  • X-ray reexamination with no fracture or dislocation before treatment
  • Ability to walk normally or with crutches
  • Patients walk without any assistance before injury
  • Un-displaced neck of femur fracture according to Garden Classification
  • Operated on using internal fixation
  • Only females were included
  • Aged 65 years or older

Exclusion criteria

  • Bilateral hip fracture
  • Bedridden patient before fracture
  • Patient who have undergone any previous surgery of lower limb
  • Neurological Condition

Treatment and study plan

Mobilizations Exercises

Combination Product

Group A was treated with mobilizations exercises for 40 minutes for 3 sessions per week for 6 weeks. Patients received hip mobilizations. Therapist perform anterior posterior glide, caudal glide, posterior anterior glide with abduction, flexion and lateral rotation in 3 sets with 10 repetitions .Mobilization grades were performed according to patients tolerance level with duration 30-second rest .Hip strengthening exercises were performed 3 sets with 10 repetition with hip abduction in side lying, hip extension in prone position, sideway walk, hip abduction in a stand up position.

Closed Kinetic Chain Exercises

Combination Product

Group B was treated with Closed Kinetic Chain Exercises for 40 minutes for 3 sessions per week for 6 weeks. Closed kinetic chain exercises were performed with 5 minute break between each exercise. Leg press in horizontal position ,Stationary bicycling and Stairmaster climbing.

Primary outcomes

  1. Visual Analogue Scale (VAS)

    Time frame: 12 Months

    The 10-point numeric scale ranges from '0' representing "no pain" to '10' representing "pain as bad as you can imagine" or "worst pain imaginable". The VAS is a valid and reliable scale to measure pain intensity. VAS demonstrates strong correlation validity with other established pain measurement scales, making it a reliable tool for clinical assessments. Validity is 0.88 % and Reliability is 0.90%.

  2. Dynamic Gait Index (DGI)

    Time frame: 12 months

    The questionnaire has been designed to evaluate risk of fall and balance during dynamic tasks. DGI includes 8 items, score between 0-3 scales. Score of 0 indicates severe impairment and score of 3 indicates normal function. Total score is between 0-24. Validity is 0.88% and Reliability is 0.97%. Interpretation 0-11: Severe impairment 12-19: Moderate impairment 20-24: Mild impairment

  3. GONIOMETER

    Time frame: 12 months

    Goniometer is used to measure the joint angle in degrees, ROM and flexibility. The goniometer measures ranges and degrees of joints. The range of goniometer is typically 0-180 degrees or o-360 degrees. The intervals on scale can vary from 0-10 degrees. Hip Joint Ranges of Motion

    • Flexion: 120-130 degrees
    • Extension: 10-20 degrees
    • Abduction: 40-50 degrees
    • Adduction: 20-30 degrees
    • Internal Rotation: 30-40 degrees
    • External Rotation: 40-50 degrees

Sponsors and collaborators

Lead sponsor

Superior University

Other

Registry information

Official study title

Comparative Effects of Closed Kinetic Chain Exercises and Mobilization Exercises in Elderly Females With Neck of Femur Fracture

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Mar 30, 2025
Registry last updated
Mar 30, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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