Rehabilitation Clinical Trial
Official title:
Can Specific Cognitive Intervention With Post-Acute Cognitively Impaired Hip Fracture Patients Improve Rehabilitation Outcome
The objective of the present study is to assess whether specific cognitive intervention will influence rehabilitation outcomes of post-acute hip fracture patients.
Status | Recruiting |
Enrollment | 80 |
Est. completion date | October 1, 2024 |
Est. primary completion date | September 1, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years to 100 Years |
Eligibility | Inclusion Criteria: - All concecutive hip fracture patients admitted to a post-acute rehabilitation ward Mini mental state examination above 17 Lived at home before the fracture and did not recieved 24 hour home aid Exclusion Criteria: - Patients who will not complete rehabilitation program due to worsening of their medical condition or unexpectedly cease rehabilitation will be omitted from the statistical analyses. |
Country | Name | City | State |
---|---|---|---|
Israel | "Beit- Rivka" geriatric rehabilitation hospital | Petach tiqva |
Lead Sponsor | Collaborator |
---|---|
Rabin Medical Center | Tel Aviv University |
Israel,
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* Note: There are 23 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Functional Independence Measure (FIM) | The FIM is a disability measure, administered on admission and upon discharge to assess change in functional abilities. The FIM comprises 18 parameters, each rated on a scale of 1 to 7 according to the degree of assistance required to perform a specific activity in 3 domains: activities of daily living (ADL) (8 parameters), mobility level (5 parameters) and cognitive function (5 parameters). The maximal total score for the FIM is 126. The patient's FIM score will be assessed during multi-disciplinary team meeting | The change in the measure from randomization until the date of discharge, assessed up 3 months. | |
Primary | motor Functional Independence Measure (mFIM) | The motor FIM (mFIM) includes 13 parameters of ADL and mobility. maximal total score for the mFIM is 91. The patient's motor FIM score was assessed during multi-disciplinary team meeting | The change in the measure from randomization until the date of discharge, assessed up 3 months. | |
Primary | The Montebello Rehabilitation Factor Score (MRFS) | The MRFS achieved on the mFIM score is calculated by the Montebello Rehabilitation Factor Score (MRFS), designed to overcome the floor and ceiling effect problem and calculate each patient's specific potential for improvement. The MRFS also known as mFIM effectiveness, will be calculated as the mFIM score change (discharge mFIM score-admission mFIM score) divided by the mFIM maximum score (91) minus the mFIM admission score. | The score will be calculated at discharge, assessed up to 3 months from randomization. | |
Secondary | Color Trail Test | Assesses attention and visual perception and flexible thinking | The change in the measure from admission and upon completion of the intervention protocol (3 weeks). | |
Secondary | Kettle Test | Assesses working memory, attention, problem solving, praxis and safety | The change in the measure from admission and upon completion of the intervention protocol (3 weeks). | |
Secondary | Groningen Activity Restriction Scale | Assesses level of disability. This tool is comrised of 18 parameters each rated on a scale of 1 to 5. A low score shows higher functional level | The change in the measure from admission and upon completion of the intervention protocol (3 weeks). | |
Secondary | Montreal Cognitive Assessement (MOCA) | Assesses basic and executive cognitive skills. This tool includes 5 points related to executive function, 3 points to naming, 6 points to attention, 3 points to language use, 2 points to abstract thinking, 5 points to short term memory and 6 points to orientation. A score of 26 points and above shows normal cognitive functioning. | The change in the measure from admission and upon completion of the intervention protocol (3 weeks). | |
Secondary | EQ-5D (EuroQol Group) | EQ-5D is a standardised measure of health status developed by the EuroQol Group in order to provide a simple, generic measure of health for clinical and economic appraisal. It ia applicable to a wide range of health conditions and treatments, it provides a simple descriptive profile and a single index value for health status that can be used in the clinical and economic evaluation of health care as well as in population health surveys. EQ-5D is designed for self-completion by respondents and is ideally suited for use in postal surveys, in clinics, and in face-to-face interviews. It is cognitively undemanding, taking only a few minutes to complete. | The change in the measure from admission and upon completion of the intervention protocol (3 weeks). |
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