Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people.
Lataukset:
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
Julkaistu sarjassa
BMC Musculoskeletal DisordersTekijät
Päivämäärä
2011Tekijänoikeudet
© 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.
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
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Julkaisija
BioMed Central (BMC)ISSN Hae Julkaisufoorumista
1471-2474Asiasanat
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Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people.
Sipilä, Sarianna; Salpakoski, Anu; Edgren, Johanna; Heinonen, Ari; Kauppinen, Markku; Arkela-Kautiainen, Marja; Sihvonen, Sanna; Pesola, Maija; Rantanen, Taina; Kallinen, Mauri (BioMed Central, 2011)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 ... -
Physical disability in community-dwelling older people after hip fracture : randomized controlled trials with physical rehabilitation
Edgren, Johanna (University of Jyväskylä, 2013) -
Effects of a rehabilitation program on perceived environmental barriers in older patients recovering from hip fracture; a randomized controlled trial.
Portegijs, Erja; Rantakokko, Merja; Edgren, Johanna; Salpakoski, Anu; Heinonen, Ari; Arkela, Marja; Kallinen, Mauri; Rantanen, Taina; Sipilä, Sarianna (Hindawi Publishing Corporation, 2013)Objectives. To study effects of a one-year multicomponent intervention on perceived environmental barriers in hip fracture patients. Design. Randomized controlled trial of a 12-month home-based rehabilitation aiming to ... -
A tailored counseling and home-based rehabilitation program to increase physical activity and improve mobility among community-dwelling older people after hospitalization: protocol of a randomized controlled trial
Turunen, Katri; Aaltonen, L.; Kumpumäki, J.; Portegijs, Erja; Keikkala, S.; Kinnunen, M.-L.; Finni Juutinen, Taija; Sipilä, Sarianna; Nikander, Riku (BioMed Central, 2017)Background: Physical activity (PA) decreases during hospitalization. In particular, the amount of PA engaged in by older people who are hospitalized following musculoskeletal injury is likely to be limited for months after ... -
Promoting safe walking among older people : the effects of a physical and cognitive training intervention vs. physical training alone on mobility and falls among older community-dwelling men and women (the PASSWORD study) : design and methods of a randomized controlled trial
Sipilä, Sarianna; Tirkkonen, Anna; Hänninen, Tuomo; Laukkanen, Pia; Alen, Markku; Fielding, Roger A.; Kivipelto, Miia; Kokko, Katja; Kulmala, Jenni; Rantanen, Taina; Sihvonen, Sanna E.; Sillanpää, Elina; Stigsdotter-Neely, Anna; Törmäkangas, Timo (BioMed Central, 2018)Background: Safe and stable walking is a complex process involving the interaction of neuromuscular, sensory and cognitive functions. As physical and cognitive functions deteriorate with ageing, training of both functions ...
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