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)
Abstrakti
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.
Päätekijät
Aineistotyyppi
Artikkelit
Tutkimusartikkeli
Julkaistu
2018
Sarja
Aiheet
Julkaisu tutkimustietojärjestelmässä
Julkaisija
BioMed Central Ltd
Julkaisun pysyvä osoite
https://urn.fi/URN:NBN:fi:jyu-201810094389Käytä tätä linkitykseen
Vertaisarvioinnin tila
Vertaisarvioitu
ISSN
1471-2318
DOI
https://doi.org/10.1186/s12877-018-0916-y
Kieli
englanti
Julkaisussa
BMC Geriatrics
Viite
- 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), Article 232. https://doi.org/10.1186/s12877-018-0916-y
Copyright© The Authors. 2018