Hip Fractures Clinical Trial
Official title:
High Intensity Physiotherapy for Hip Fractures in the Acute Hospital Setting
Every day, more than 40 Australian break their hip, Most are over the age of sixty five. Hip
fractures are a significant problem for the older people, the hospital system and community
as a whole because of the increasing numbers of fractures and the cost of hospitalisation
and ongoing care. After one year, less than half of all people with a hip fracture can walk
as well as they did before the fracture. Physiotherapy in the acute hospital setting is an
integral part of patient care, although the intensity of physiotherapy a patient receives is
variable and the optimal number of treatment sessions per day remains unknown. Studies in
other patient groups have shown that increased physiotherapy can improve patient outcomes by
increasing muscle strength and mobility. It can also reduce the negative effects of bed rest
such as muscle wasting, blood clots in the lungs or leg veins and chest infections such as
pneumonia. This study aims to investigate the effectiveness of an intensive physiotherapy
program in hip fracture patients to further understand this and the effect it has on patient
function.
In this research the investigators will randomly allocate patients into 2 groups; usual care
and intensive physiotherapy. The usual care group will have physiotherapy treatment daily
whereas the intensive physiotherapy group will have an additional daily treatment by a
physiotherapist as well as a daily treatment by an allied health assistant. The objectives
are to achieve better functional outcomes in the patient's hospital stay (ie improved
mobility), reduce the time for patients to be physically ready to go home, increase the
number of patients able to go directly home or to fast stream rehabilitation (rather than a
slow stream option).
If increased intensity of physiotherapy is found to improve patient's mobility outcomes,
this research will provide the confidence to endorse a change to current clinical practice.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Caregiver, Outcomes Assessor), Primary Purpose: Treatment
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