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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

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, i...

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Autores principales: Sipilä, Sarianna, Salpakoski, Anu, Edgren, Johanna, Heinonen, Ari, Kauppinen, Markku A, Arkela-Kautiainen, Marja, Sihvonen, Sanna E, Pesola, Maija, Rantanen, Taina, Kallinen, Mauri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3295703/
https://www.ncbi.nlm.nih.gov/pubmed/22145912
http://dx.doi.org/10.1186/1471-2474-12-277
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author Sipilä, Sarianna
Salpakoski, Anu
Edgren, Johanna
Heinonen, Ari
Kauppinen, Markku A
Arkela-Kautiainen, Marja
Sihvonen, Sanna E
Pesola, Maija
Rantanen, Taina
Kallinen, Mauri
author_facet Sipilä, Sarianna
Salpakoski, Anu
Edgren, Johanna
Heinonen, Ari
Kauppinen, Markku A
Arkela-Kautiainen, Marja
Sihvonen, Sanna E
Pesola, Maija
Rantanen, Taina
Kallinen, Mauri
author_sort Sipilä, Sarianna
collection PubMed
description 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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spelling pubmed-32957032012-03-07 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 A Arkela-Kautiainen, Marja Sihvonen, Sanna E Pesola, Maija Rantanen, Taina Kallinen, Mauri BMC Musculoskelet Disord Study Protocol 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 BioMed Central 2011-12-07 /pmc/articles/PMC3295703/ /pubmed/22145912 http://dx.doi.org/10.1186/1471-2474-12-277 Text en Copyright ©2011 Sipilä et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 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.
spellingShingle Study Protocol
Sipilä, Sarianna
Salpakoski, Anu
Edgren, Johanna
Heinonen, Ari
Kauppinen, Markku A
Arkela-Kautiainen, Marja
Sihvonen, Sanna E
Pesola, Maija
Rantanen, Taina
Kallinen, Mauri
Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people
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
title_full Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people
title_fullStr Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people
title_full_unstemmed Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people
title_short Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people
title_sort promoting mobility after hip fracture (promo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3295703/
https://www.ncbi.nlm.nih.gov/pubmed/22145912
http://dx.doi.org/10.1186/1471-2474-12-277
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