Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

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

Howell, David Flecks ; Malmgren Fänge, Agneta LU orcid ; Rogmark, Cecilia LU and Ekvall Hansson, Eva LU (2023) In International Journal of Environmental Research and Public Health 20(4).
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... (More)

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.

(Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
balance, HIFE, hip fracture, postural sway, rehabilitation, wearable device
in
International Journal of Environmental Research and Public Health
volume
20
issue
4
article number
3107
publisher
MDPI AG
external identifiers
  • pmid:36833801
  • scopus:85148964819
ISSN
1661-7827
DOI
10.3390/ijerph20043107
language
English
LU publication?
yes
id
675ea0df-c05d-402d-b153-684446a68b7a
date added to LUP
2023-03-16 10:49:53
date last changed
2024-07-11 12:36:55
@article{675ea0df-c05d-402d-b153-684446a68b7a,
  abstract     = {{<p>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.</p>}},
  author       = {{Howell, David Flecks and Malmgren Fänge, Agneta and Rogmark, Cecilia and Ekvall Hansson, Eva}},
  issn         = {{1661-7827}},
  keywords     = {{balance; HIFE; hip fracture; postural sway; rehabilitation; wearable device}},
  language     = {{eng}},
  number       = {{4}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{Rehabilitation Outcomes Following Hip Fracture of Home-Based Exercise Interventions Using a Wearable Device—A Randomized Controlled Pilot and Feasibility Study}},
  url          = {{http://dx.doi.org/10.3390/ijerph20043107}},
  doi          = {{10.3390/ijerph20043107}},
  volume       = {{20}},
  year         = {{2023}},
}