Effectiveness of Task Specific Gait and Balance Exercise 4 Months After Hip Fracture: Protocol of a Randomized Controlled Trial — The Eva‐Hip Study

Abstract

This paper describes a task specific exercise programme aimed to improve gait and balance after a hip fracture. Inclusion started in February 2011, and the last 1-year follow-up is performed in March 2014. Broad inclusion criteria and physiotherapy-guided home-based exercises may facilitate the participation from frail patients and thereby increase the generalizability of the findings. Development and completion of the intervention within routine clinical practice will enlighten the implementation of results into clinical practice. Results may add new insight into how physiotherapy can improve gait and thereby activity and functioning in everyday life and have implications on future content and organization of physiotherapy after a hip fracture.

Short and long-term clinical effectiveness and cost-effectiveness of a late-phase community-based balance and gait exercise program following hip fracture. The EVA-Hip Randomised Controlled Trial

“…This was a two-armed pragmatic, stratified and randomized controlled trial (RCT) with blinded assessors, performed at a hospital in central Norway from February 2011 to March 2014. The EVA-hip protocol and intervention have been published previously [27]. Screening for eligibility was performed, during the hospital stay and.…”

“…Cognitive impairment [23], depressive symptoms [24, 25], and limitations in outdoor mobility [26] are common among older people with hip-fractures and may be a barrier for participation in clinical trials. At present, increased costs are often an argument used against supervised, homebased exercise [27], however, the cost-effectiveness of such interventions has been scarcely evaluated.…”

Interdisciplinary care of hip fractures.

“…Overall, these Norwegian studies provided new knowledge of care for hip fracture patients. The evidence for the benefit of orthogeriatric care for home-dwelling older patients by improvement of mobility and daily life functioning at least one year after the fracture, was clearly demonstrated [14][15][16][17][18][19][20][21][22][23][24].…”

Hvorfor ortogeriatri?

“…I Trondheim er datainnsamlingen i en randomisert studie av intensiv hjemmebasert fysioterapi 4 -6 måneder etter hoftebrudd nylig avsluttet. Endepunktene er gangfunksjon og fysisk aktivitet i dagliglivet (12).…”