Effects of 12-month home-based physiotherapy on duration of living at home and functional capacity among older persons with signs of frailty or with a recent hip fracture : protocol of a randomized controlled trial (HIPFRA study)
Soukkio, P., Suikkanen, S., Kääriä, S., Kautiainen, H., Sipilä, S., Kukkonen-Harjula, K., & Hupli, M. (2018). Effects of 12-month home-based physiotherapy on duration of living at home and functional capacity among older persons with signs of frailty or with a recent hip fracture : protocol of a randomized controlled trial (HIPFRA study). BMC Geriatrics, 2018 (18), 232. doi:10.1186/s12877-018-0916-y
Published inBMC Geriatrics
DisciplineGerontologia ja kansanterveys
© The Authors. 2018
Background: Health concerns, such as frailty and osteoporotic fractures decrease functional capacity and increase use of health and social care services in the aging population. The ability to continue living at home is dependent on functional capacity, which can be enhanced by rehabilitation. We study the effects of a 12-month home-based physiotherapy program with 12-month follow-up on duration of living at home, functional capacity, and the use of social and health care services among older persons with signs of frailty, or with a recently operated hip fracture. Methods: This is a non-blinded, parallel group, randomized controlled trial performed in South Karelia Social and Health Care District, Finland (population 131,000). Three hundred community-dwelling older persons with signs of frailty (age ≥ 65) and 300 persons with a recent hip fracture (age ≥ 60) will be recruited. Frailty is screened by FRAIL questionnaire and verified by modified Fried’s frailty criteria. Both patient groups will be randomized separately to a physiotherapy and a usual care arm. Individualized, structured and progressive physiotherapy will be carried out for 60 min, twice a week for 12 months at the participant’s home. The primary outcome at 24 months is duration of living at home. Our hypothesis is that persons assigned to the physiotherapy arm will live at home for six months longer than those in the usual care arm. Secondary outcomes are functional capacity, frailty status, health-related quality-of-life, falls, use and costs of social and health care services, and mortality. Assessments, among others Short Physical Performance Battery, Functional Independence Measure, Mini Nutritional Assessment, and Mini-Mental State Examination will be performed at the participant’s home at baseline, 3, 6, and 12 months. Register data on the use and costs of social and health care services, and mortality will be monitored for 24 months. Discussion: Our trial will provide new knowledge on the potential of intensive, long-term home-based physiotherapy among older persons at risk for disabilities, to enhance functional capacity and thereby to postpone the need for institutional care, and diminish the use of social and health care services. ...
PublisherBioMed Central Ltd
vanhukset ikääntyneet lonkka murtumat luunmurtumat toimintakyky kotihoito kotisairaanhoito kotikuntoutus sosiaalipalvelut terveyspalvelut yhteisöllinen asuminen frail elderly hip fractures community-dwelling home-based physiotherapy duration of living at home functional capacity social and health care services
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Effects of home-based physical exercise on days at home, healthcare utilization and functional independence among patients with hip fractures : a randomized controlled trial Soukkio, Paula K.; Suikkanen, Sara A.; Aartolahti, Eeva M.; Kautiainen, Hannu; Kääriä, Sanna M.; Hupli, Markku T.; Pitkälä, Kaisu H.; Sipilä, Sarianna; Kukkonen-Harjula, Katriina T. (Elsevier, 2021)Objective To evaluate the effects of a physical exercise program on days lived at home, the use and costs of healthcare and social services mortality and functional independence among patients with hip fractures. Des ...
Effects of Home-Based Physical Exercise on Days at Home and Cost-Effectiveness in Pre-Frail and Frail Persons : Randomized Controlled Trial Suikkanen, Sara A.; Soukkio, Paula K.; Aartolahti, Eeva M.; Kautiainen, Hannu; Kääriä, Sanna M.; Hupli, Markku T.; Sipilä, Sarianna; Pitkälä, Kaisu H.; Kukkonen-Harjula, Katriina T. (Elsevier BV, 2021)Objectives Frailty increases the risks of hospitalization, institutionalization, and death. Our objective was to study the effects of home-based physical exercise on the number of days spent at home among pre-frail and ...
Physical disability in community-dwelling older people after hip fracture : randomized controlled trials with physical rehabilitation Edgren, Johanna (University of Jyväskylä, 2013)
Ollila, Elisa (2016)Monet lonkkamurtuman riskitekijöistä, kuten korkea ikä ja heikentynyt liikkumiskyky, ovat myös palvelujen käytön todennäköisyyttä lisääviä tekijöitä. Lonkkamurtuma lisää avuntarvetta entisestään. Aiempien tutkimusten mukaan ...
Effects of a 12-month home-based exercise program on functioning after hip fracture : Secondary analyses of an RCT Soukkio, Paula K.; Suikkanen, Sara A.; Kukkonen‐Harjula, Katriina T.; Kautiainen, Hannu; Hupli, Markku T.; Aartolahti, Eeva M.; Kääriä, Sanna M.; Pitkälä, Kaisu H.; Sipilä, Sarianna (Wiley-Blackwell, 2022)Background Long-term functional limitations are common after hip fractures. Exercise may alleviate these negative consequences but there is no consensus on an optimal training program. The objective was to study the effects ...