Intensified acute in-hospital physiotherapy for patients after hip fracture surgery: a pragmatic, randomized, controlled feasibility trial
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Intensified acute in-hospital physiotherapy for patients after hip fracture surgery : a pragmatic, randomized, controlled feasibility trial. / Zilmer, Camilla Kampp; Kristensen, Morten Tange; Magnusson, S. Peter; Bährentz, Inger Birgitte; Jensen, Thomas Giver; Zoffmann, Signe Østergaard; Palm, Henrik; Bieler, Theresa.
I: Disability and Rehabilitation, 2024.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Intensified acute in-hospital physiotherapy for patients after hip fracture surgery
T2 - a pragmatic, randomized, controlled feasibility trial
AU - Zilmer, Camilla Kampp
AU - Kristensen, Morten Tange
AU - Magnusson, S. Peter
AU - Bährentz, Inger Birgitte
AU - Jensen, Thomas Giver
AU - Zoffmann, Signe Østergaard
AU - Palm, Henrik
AU - Bieler, Theresa
N1 - Publisher Copyright: © 2023 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2024
Y1 - 2024
N2 - Purpose: Intensified acute in-hospital physiotherapy (IP) after hip fracture (HF) may enhance patient’s ability to regain basic mobility at discharge. The primary objective was to assess the feasibility of IP. Secondary to estimate the effect of IP on regained basic mobility at discharge. Materials and methods: In a pragmatic, randomized, unblinded feasibility trial, 60 patients (mean age 79 years, 41 women) with HF and an independent pre-fracture basic mobility level were randomized (2:1) to IP with two daily sessions on weekdays focusing on functional training and weight-bearing activities (n = 40) versus usual care (UC) physiotherapy once daily (n = 20). Feasibility outcomes included physiotherapy completion rates, reasons for non-successful completion, and adverse events. The primary effect outcome was recovery of basic mobility (Cumulated Ambulation Score (CAS)). Results: Eighty-two percent of the sessions in the IP group were successfully- or partially completed versus 94% of the sessions in the UC group. No adverse events occurred. The main reason for not completing physiotherapy was fatigue. At discharge (median 7 days), 50% in the IP group had regained their pre-fracture basic mobility level (CAS = 6) versus 16% in the UC group; odds ratio = 5.33, 95%CI [1.3;21.5]. Conclusions: IP seems feasible for patients after HF surgery, and it may enhance recovery. Fatigue was the primary obstacle to completing IP.
AB - Purpose: Intensified acute in-hospital physiotherapy (IP) after hip fracture (HF) may enhance patient’s ability to regain basic mobility at discharge. The primary objective was to assess the feasibility of IP. Secondary to estimate the effect of IP on regained basic mobility at discharge. Materials and methods: In a pragmatic, randomized, unblinded feasibility trial, 60 patients (mean age 79 years, 41 women) with HF and an independent pre-fracture basic mobility level were randomized (2:1) to IP with two daily sessions on weekdays focusing on functional training and weight-bearing activities (n = 40) versus usual care (UC) physiotherapy once daily (n = 20). Feasibility outcomes included physiotherapy completion rates, reasons for non-successful completion, and adverse events. The primary effect outcome was recovery of basic mobility (Cumulated Ambulation Score (CAS)). Results: Eighty-two percent of the sessions in the IP group were successfully- or partially completed versus 94% of the sessions in the UC group. No adverse events occurred. The main reason for not completing physiotherapy was fatigue. At discharge (median 7 days), 50% in the IP group had regained their pre-fracture basic mobility level (CAS = 6) versus 16% in the UC group; odds ratio = 5.33, 95%CI [1.3;21.5]. Conclusions: IP seems feasible for patients after HF surgery, and it may enhance recovery. Fatigue was the primary obstacle to completing IP.
KW - early mobilization
KW - fatigue
KW - feasibility studies
KW - functional performance
KW - Hip fractures
KW - mobility limitation
KW - physical therapy
KW - physiotherapy
U2 - 10.1080/09638288.2023.2288672
DO - 10.1080/09638288.2023.2288672
M3 - Journal article
C2 - 38037849
AN - SCOPUS:85178416461
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
SN - 0963-8288
ER -
ID: 375978438