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NCT Number: NCT01616030

Early Strength Training After Hip Fracture Surgery

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.

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Key information

Conditions

Hip Fractures Femoral Fractures Fractures, Bone Hip Injuries Leg Injuries Wounds and Injuries

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Copenhagen University Hospital, Hvidovre

Hvidovre, 2650, Denmark

About this study

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

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Hip fracture diagnosed patients age ≥60 years, admitted to the acute hip fracture unit.
  • Medial femoral neck fracture, pertrochanteric fracture or subtrochanteric fracture.
  • Ability to speak and understand the Danish language.
  • Cognitively well-preserved and able to give personal informed consent no later than by 5th post surgical day.
  • Home-residing and with an independent pre-fracture ability to walk equal to New Mobility Score at ≥ 2 indoor.

Exclusion criteria

  • Multiple fractures
  • Postsurgical restrictions of mobilization
  • Patient not accepting participation in relevant exercise therapy
  • Fracture caused by cancer metastases
  • Terminal illness
  • Neurological impairment e.g. hemi paresis.

Treatment and study plan

Knee-extension strength training of the fractured limb

Other

Daily knee-extension strength training with 3 x 10 repetitions using an intensity of 10 Repetition Maximum (RM) for the hip fractured limb started as soon as possible after surgery.

Primary outcomes

  1. 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.

Secondary outcomes

  1. 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.

Other outcomes

  1. Association between 10 meter fast speed walk and knee-extension strength discharge from hospital.

    Time frame: Day before discharge from hospital.

Sponsors and collaborators

Lead sponsor

Copenhagen University Hospital, Hvidovre

Other

Registry information

Official study title

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

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Jun 11, 2012
Registry last updated
May 15, 2014

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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