Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people.

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dc.contributor.author Sipilä, Sarianna
dc.contributor.author Salpakoski, Anu
dc.contributor.author Edgren, Johanna
dc.contributor.author Heinonen, Ari
dc.contributor.author Kauppinen, Markku A
dc.contributor.author Arkela-Kautiainen, Marja
dc.contributor.author Sihvonen, Sanna E
dc.contributor.author Pesola, Maija
dc.contributor.author Rantanen, Taina
dc.contributor.author Kallinen, Mauri
dc.date.accessioned 2012-11-19T07:02:30Z
dc.date.available 2012-11-19T07:02:30Z
dc.date.issued 2011
dc.identifier.citation Sipilä, S., Salpakoski, A., Edgren, J., Heinonen, A., Kauppinen, M., Arkela-Kautiainen, M., . . . Kallinen, M. (2011). Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people. BMC Musculoskeletal Disorders, 12 (1), 277. Retrieved from http://www.biomedcentral.com/content/pdf/1471-2474-12-277.pdf
dc.identifier.issn 1471-2474
dc.identifier.uri http://dx.doi.org/10.1186/1471-2474-12-277
dc.identifier.uri http://hdl.handle.net/123456789/40351
dc.description.abstract Background. To cope at their homes, community-dwelling older people surviving a hip fracture need a sufficient amount of functional ability and mobility. There is a lack of evidence on the best practices supporting recovery after hip fracture. The purpose of this article is to describe the design, intervention and demographic baseline results of a study investigating the effects of a rehabilitation program aiming to restore mobility and functional capacity among community-dwelling participants after hip fracture. Methods/Design. Population-based sample of over 60-year-old community-dwelling men and women operated for hip fracture (n = 81, mean age 79 years, 78% were women) participated in this study and were randomly allocated into control (Standard Care) and ProMo intervention groups on average 10 weeks post fracture and 6 weeks after discharged to home. Standard Care included written home exercise program with 5-7 exercises for lower limbs. Of all participants, 12 got a referral to physiotherapy. After discharged to home, only 50% adhered to Standard Care. None of the participants were followed-up for Standard Care or mobility recovery. ProMo-intervention included Standard Care and a year-long program including evaluation/modification of environmental hazards, guidance for safe walking, pain management, progressive home exercise program and physical activity counseling. Measurements included a comprehensive battery of laboratory tests and self-report on mobility limitation, disability, physical functional capacity and health as well as assessments for the key prerequisites for mobility, disability and functional capacity. All assessments were performed blinded at the research laboratory. No significant differences were observed between intervention and control groups in any of the demographic variables. Discussion. Ten weeks post hip fracture only half of the participants were compliant to Standard Care. No follow-up for Standard Care or mobility recovery occurred. There is a need for rehabilitation and follow-up for mobility recovery after hip fracture. However, the effectiveness of the ProMo program can only be assessed at the end of the study. Trial registration. Current Controlled Trials ISRCTN53680197
dc.language.iso eng
dc.publisher BioMed Central (BMC)
dc.relation.ispartofseries BMC Musculoskeletal Disorders
dc.rights © 2011 Sipilä et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.uri http://creativecommons.org/licenses/by/2.0
dc.subject.other lonkkamurtuma fi
dc.subject.other ikääntyminen fi
dc.subject.other liikkumiskyky fi
dc.title Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people.
dc.type Article en
dc.subject.kota 315
dc.contributor.laitos Terveystieteiden laitos fi
dc.contributor.laitos Department of Health Sciences en
dc.type.uri http://purl.org/eprint/type/JournalArticle
dc.identifier.doi 10.1186/1471-2474-12-277
dc.date.updated 2012-11-13T08:29:33Z
dc.description.version Published version
eprint.status http://purl.org/eprint/type/status/PeerReviewed
dc.rights.holder Sarianna Sipilä et al.; licensee BioMed Central Ltd.

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