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Rehabilitation Outcomes Following Hip Fracture of Home-Based Exercise Interventions Using a Wearable Device—A Randomized Controlled Pilot and Feasibility Study

Author

Listed:
  • David Flecks Howell

    (Træningscenter Brøndby, Horsedammen 36A, 2605 Brøndby, Denmark)

  • Agneta Malmgren Fänge

    (Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, 22100 Lund, Sweden)

  • Cecilia Rogmark

    (Department of Orthopedics, Skane University Hospital, Lund University, 21428 Malmö, Sweden)

  • Eva Ekvall Hansson

    (Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, 22100 Lund, Sweden)

Abstract

Although hip fractures are common and severe, there is insufficient evidence concerning which type of rehabilitation is most beneficial. The primary aim of this three-armed pilot study was to investigate any difference in outcome after hip fractures between and within groups in terms of balance, everyday activities, and health-related quality of life (HRQoL) following different home rehabilitation interventions. Further aims were to study feasibility and to suggest, if necessary, adjustments to the protocol for a future full randomized controlled trial (RCT). In total, 32 persons were included in this study. The intervention groups underwent the HIFE program with or without an inertial measurement unit, while the control group underwent standard rehabilitation. Within- and between-groups differences in outcomes and feasibility outcomes in terms of recruitment and retention rates were analyzed, and the ability to collect primary and secondary outcomes was assessed. Balance, measured as postural sway, showed no significant improvement in any group. All three groups improved in functional balance ( p = 0.011–0.028), activity of daily living ( p = 0.012–0.027), and in HRQoL ( p = 0.017–0.028). There were no other significant changes within or between the groups. The recruitment rate was 46%, the retention rate was 75%, and the ability to collect outcome measures was 80% at baseline and 64% at follow-up. Based on the results, it is possible to, after adjusting the protocol, conduct a full RCT.

Suggested Citation

  • David Flecks Howell & Agneta Malmgren Fänge & Cecilia Rogmark & Eva Ekvall Hansson, 2023. "Rehabilitation Outcomes Following Hip Fracture of Home-Based Exercise Interventions Using a Wearable Device—A Randomized Controlled Pilot and Feasibility Study," IJERPH, MDPI, vol. 20(4), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3107-:d:1064072
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    References listed on IDEAS

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    1. Nancy J. Devlin & Richard Brooks, 2017. "EQ-5D and the EuroQol Group: Past, Present and Future," Applied Health Economics and Health Policy, Springer, vol. 15(2), pages 127-137, April.
    2. Eva Ekvall Hansson & Agneta Malmgren Fänge & Cecilia Rogmark, 2021. "Assessing the Outcome of Rehabilitation after Hip Fracture with a Wearable Device—A Study Protocol for a Randomized Control Trial in Community Healthcare," IJERPH, MDPI, vol. 18(19), pages 1-10, September.
    3. Clint Hansen & Maximilian Beckbauer & Robbin Romijnders & Elke Warmerdam & Julius Welzel & Johanna Geritz & Kirsten Emmert & Walter Maetzler, 2021. "Reliability of IMU-Derived Static Balance Parameters in Neurological Diseases," IJERPH, MDPI, vol. 18(7), pages 1-10, March.
    4. Eva Ekvall Hansson & Elina Valkonen & Ulrika Olsson Möller & Yi Chen Lin & Måns Magnusson & Per-Anders Fransson, 2021. "Gait Flexibility among Older Persons Significantly More Impaired in Fallers Than Non-Fallers—A Longitudinal Study," IJERPH, MDPI, vol. 18(13), pages 1-13, July.
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