Predictors of Gait Speed in Patients after Hip Fracture

Mangione, Kathleen K; Craik, Rebecca L.; Lopopolo, Rosalie B; Tomlinson, James D; Brenneman, Susan K.

doi:10.3138/physio/60/1/10

Cited by 36 publications

(22 citation statements)

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“…Muir, Kiel, Hannan, Magaziner, and Rubin () noted that balance‐related dynamic parameters are related to fall and fracture history in older adults. Mangione, Craik, Lopopolo, Tomlinson, and Brenneman () reported that muscular strength and gait speed are crucial predictors of hip fracture in older adults. Therefore, the biological phenotype of frailty is considered an effective predictor of fracture risk in older adults.…”

Section: Discussionmentioning

confidence: 99%

Frailty as a Predictor of Future Fracture in Older Adults: A Systematic Review and Meta‐Analysis

Chen

Chang

Lin

2017

Worldviews Ev Based Nurs

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Section: Discussionmentioning

confidence: 99%

Frailty as a Predictor of Future Fracture in Older Adults: A Systematic Review and Meta‐Analysis

Chen

Chang

Lin

2017

Worldviews Ev Based Nurs

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“…Gait speed will be calculated from the motion capture trials as a valid and reliable measure of physical performance during gait, commonly reported in the literature 93…”

Section: Methods and Analysismentioning

confidence: 99%

Proximal Femoral Nail Unlocked versus Locked (ProFNUL): a protocol for a multicentre, parallel-armed randomised controlled trial for the effect of femoral nail mode of lag screw locking and screw configuration in the treatment of intertrochanteric femur fractures

et al. 2020

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IntroductionIntertrochanteric fractures are common fragility injuries in the elderly. Surgical fixation using intramedullary devices are one of the widely used management options. To date, evidence demonstrating the effects of lag screw configuration and the mode of lag screw locking in these devices is lacking. The purpose of this study is to investigate whether the lag screw configuration (single vs integrated dual interlocking screw) and the mode of lag screw locking (static vs dynamic) of a femoral nail device result in differences in clinical and functional outcomes.Methods and analysisA multicentre, pragmatic, single-blinded randomised controlled trial (RCT) with a three-arm parallel group design is proposed. Nine-hundred patients with intertrochanteric fractures (A1 and A2 AO/OTA) will be randomised to fracture treatment using a Gamma3 nail (Stryker; proximally dynamic) or a Trigen Intertan nail (Smith & Nephew) in a dynamic or static lag screw configuration. The primary outcome measure consists of radiological evidence of construct failure within 6 months following surgery, with failure being defined as breakage of the femoral nail or distal locking screw, a change in tip-apex distance of more than 10 mm or lag screw cut-out through the femoral head. Secondary outcomes include surgical data (operation time, fluoroscopy time), complications (surgical site infection, reoperation, patient death), return to mobility and home circumstances, functional independence, function and pain. Patients who are able to walk independently with or without a mobility aid and are able to answer simple questions and follow instructions will be asked to participate in three dimensional gait analysis at 6 weeks and 6 months to assess hip biomechanics from this cohort. Additional secondary measures of gait speed, hip range of motion, joint contact and muscle forces and gross activity monitoring patterns will be obtained in this subgroup.Ethics and disseminationThe Central Adelaide Local Health Network Human Research Ethics Committee has approved the protocol for this RCT (HREC/17/RAH/433). The results will be disseminated via peer-reviewed publications and presentations at relevant conferences.Trial registration numberACTRN12618001431213.

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“…Before data collection, leg lengths were measured manually with the patient in a standing position, in centimeters, from the greater trochanter to the floor below the lateral malleolus separately for the left and the right limbs. The participants were asked to perform 3 acclimation trials to reduce the learning effect similar to previous work [32]. The temporospatial parameters that were collected included stride length, step width, double support and single support times, and center of mass displacement.…”

Section: Methodsmentioning

confidence: 99%

“Functional Pain,” Functional Outcomes, and Quality of Life After Hyaluronic Acid Intra‐articular Injection for Knee Osteoarthritis

Vincent

Montero

Conrad

et al. 2013

PM&R

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Predictors of Gait Speed in Patients after Hip Fracture

Abstract: Impairments (summed lower extremity strength) and risk factors (perception of general health and balance confidence) are important predictors of gait speed in elders after hip fracture.

Cited by 36 publications

References 50 publications

Frailty as a Predictor of Future Fracture in Older Adults: A Systematic Review and Meta‐Analysis

Frailty as a Predictor of Future Fracture in Older Adults: A Systematic Review and Meta‐Analysis

Proximal Femoral Nail Unlocked versus Locked (ProFNUL): a protocol for a multicentre, parallel-armed randomised controlled trial for the effect of femoral nail mode of lag screw locking and screw configuration in the treatment of intertrochanteric femur fractures

“Functional Pain,” Functional Outcomes, and Quality of Life After Hyaluronic Acid Intra‐articular Injection for Knee Osteoarthritis

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