Ignite Creation Date:
2024-05-06 @ 3:54 PM
Last Modification Date:
2024-10-26 @ 1:59 PM
Study NCT ID:
NCT04804527
Status:
COMPLETED
Last Update Posted:
2022-01-12
First Post:
2021-03-04
Brief Title:
Intensified In-hospital Physiotherapy for Patients After Hip Fracture Surgery
Sponsor:
Bispebjerg Hospital
Organization:
Bispebjerg Hospital
Study Overview
Official Title:
Intensified In-hospital Physiotherapy for Patients After Hip Fracture Surgery IPPAHS A Pragmatic Randomized Feasibility Trial
Status:
COMPLETED
Status Verified Date:
2022-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
IPPAHS
Brief Summary:
Regaining basis mobility after a hip fracture surgery is an important in-hospital rehabilitation goal because patients who have regained basis mobility at pre-fracture level at discharge have lower 30-day mortality and readmission rate and are more likely to be discharged to their own home However at discharge only half of the patients have regained their pre-fracture basis mobility level
Intensified acute in-hospital physiotherapy eg more than once daily highlighting weight-bearing activities and ambulation could have a positive effect on the proportion of patients who regain their pre-facture basic mobility at discharge However data from daily clinical practice suggest that only half of the patients are able to complete physiotherapy on the first postoperative day and that fatigue hip fracture-related pain and habitual cognitive status are the most frequent reasons for not completing planned physiotherapy once daily during the first three postoperative days Thus to undertake an RCT investigating the effect of intensified acute in-hospital physiotherapy ie two daily sessions of physiotherapy compared to usual care ie one daily session on regained pre-facture basic mobility at discharge in patients with hip fracture raises important practical concerns regarding eg completion rate of planned physiotherapy The potential positive effects of intensified physiotherapy will be hampered if too many patients are unable to complete planned physiotherapy eg because of fatigue or pain Feasibility studies ask whether something can be done and are preliminary studies conducted specifically for the purposes of establishing whether or not a full trial will be feasible to conduct Thus the main aim of the trial is to assess the feasibility of conducting a definitive pragmatic RCT in terms of implementation practicality and acceptability of intensified acute in-hospital physiotherapy ie two daily sessions of physiotherapy highlighting weight-bearing activities and ambulation on weekdays among patients with hip fracture
The main predefined feasibility criterium is that about twice as many physiotherapy sessions are completed in the intensified physiotherapy group compared to in the usual care physiotherapy group
Intensified acute in-hospital physiotherapy eg more than once daily highlighting weight-bearing activities and ambulation could have a positive effect on the proportion of patients who regain their pre-facture basic mobility at discharge However data from daily clinical practice suggest that only half of the patients are able to complete physiotherapy on the first postoperative day and that fatigue hip fracture-related pain and habitual cognitive status are the most frequent reasons for not completing planned physiotherapy once daily during the first three postoperative days Thus to undertake an RCT investigating the effect of intensified acute in-hospital physiotherapy ie two daily sessions of physiotherapy compared to usual care ie one daily session on regained pre-facture basic mobility at discharge in patients with hip fracture raises important practical concerns regarding eg completion rate of planned physiotherapy The potential positive effects of intensified physiotherapy will be hampered if too many patients are unable to complete planned physiotherapy eg because of fatigue or pain Feasibility studies ask whether something can be done and are preliminary studies conducted specifically for the purposes of establishing whether or not a full trial will be feasible to conduct Thus the main aim of the trial is to assess the feasibility of conducting a definitive pragmatic RCT in terms of implementation practicality and acceptability of intensified acute in-hospital physiotherapy ie two daily sessions of physiotherapy highlighting weight-bearing activities and ambulation on weekdays among patients with hip fracture
The main predefined feasibility criterium is that about twice as many physiotherapy sessions are completed in the intensified physiotherapy group compared to in the usual care physiotherapy group
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None