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Hip FracturesNCT02407444

Treatment Efficacy of Leg Cycling as Part of Physiotherapy Treatment in Elderly Patients With Hip Fracture

A study testing Physiotherapy treatment & leg cycling and Physiotherapy treatment & music listening in people with Hip Fractures, run by Rabin Medical Center at 1 site in Israel.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study aims to evaluate whether a combination of cycling training as part of physiotherapy treatment will contribute more than conventional physiotherapy treatment for elderly patients after hip fracture surgery in their subacute phase of rehabilitation. Read more about this study

Who is it for?
Ages 65 to 95 years
Conditions the study is for
Hip Fractures
What is being tested?
Physiotherapy treatment & leg cycling and Physiotherapy treatment & music listening
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteIsrael
Study dates
Jul 2015to Dec 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 to 95 years
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Proximal hip fracture with full or partial weight bearing indication.
  • Surgical fixation ( nailing or total hip replacement or hemiarthroplasty)
  • Pre-morbid function: walking independently or under supervision with or without assistance aid
  • Cognitive function: Mini-mental state examination score above 21

Who cannot join

  • Pathological hip fracture.
  • Unstable heart or pulmonary disease.
  • Presence of other fractures as a result of the current fall.
  • Neurological comorbidities ( CVA, Parkinson, MS ).
  • Entering the rehabilitation center more than three weeks after hip surgery

Trial locations and contacts

1 site in 1 country.

Avital Hershkovitz, MD-PhD contact

+972522342123

avitalhe@clalit.org.il

Hila Dahan, BPT contact

+972542458459

dahan.hila@gmail.com

Israel1 site, 1 recruiting
  • "Beit- Rivka" geriatric rehabilitation hospital

    Petach Tiqva

    Avital Hershkovitz, MD-PhD, +97239373841, avitalhe@clalit.org.il

    Hila Dahan, BPT, +97239373839, dahan.hila@gmail.com

    Recruiting

Other trials in Israel

About this study

Official title: A Comparison of Two Physiotherapy Treatment Protocols, With and Without Cycling Training , in Elderly Patients With Hip Fractures at Their Subacute Stage Following Surgery

This study aims to evaluate whether a combination of cycling training as part of physiotherapy treatment will contribute more than conventional physiotherapy treatment for elderly patients after hip fracture surgery in their subacute phase of rehabilitation.

Read the detailed description

Adults who have experienced a fall, followed by proximal hip fracture that required surgery, suffer from specific problems that interrupt the rehabilitation period in their subacute phase.

Various modes of treatment available as part of the physical rehabilitation but there is not enough data in the literature regarding the contribution of cycling training with leg cycle ergometer as part of conventional physiotherapy treatment in elderly patients after hip fracture surgery.

This study evaluates whether the additional cycling to physiotherapy treatment will improve the functional ability, the balance performance while standing, hip muscle strength and pain level in those patients.

Conditions
Hip Fractures
Being tested
Physiotherapy treatment & leg cycling, Physiotherapy treatment & music listening
Keywords
Proximal hip fracture, Elderly patients, Physiotherapy, Leg cycling ergometer
Medical subject headings
Hip Fractures

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Physiotherapy treatment & leg cyclingOther

    All patients receive comprehensive care as part of routine rehabilitation program : individual physical therapy treatment, gym's training and balance training in virtual reality, occupational therapy treatment, strengthening and range of motion exercises as a group.

    In addition each patient in this group will train with stationary leg cycle ergometer for 20 minutes under physical therapist's supervision . Cycling exercise intensity subjectively determined by the patient using RPE Borg scale . Maximal intensity level determined as 14 in Borg scale.

  • Physiotherapy treatment & music listeningOther

    All patients receive comprehensive care as part of routine rehabilitation program : individual physical therapy treatment, gym's training and balance training in virtual reality, occupational therapy treatment, strengthening and range of motion exercises as a group.

    In addition each patient in this group will listen to music with earphone for 20 minutes while sitting under physical therapist supervision.

    Overall treatment session will last 50 minutes.

Study groups in NCT02407444
Study groupRoleWhat they receive
Physiotherapy treatment & leg cyclingExperimentalThis group will receive conventional physiotherapy treatments, each session will last 30 minutes. Treatments include muscles strength exercises for upper and lower extremities, static and dynamic balance training in standing ,pain relief techniques and functional training (including transfers, sit to stand, walking and climbing stairs). The treatment program shall be consistent with the patient's problems and the degree of difficulty will rise depending on progress. In addition this group will have cycling training with leg cycle ergometer for 20 minutes. This treatment protocol will last for three weeks, five days a week, 50 minutes each session per day.
Receives: Other: Physiotherapy treatment & leg cycling
Physiotherapy treatment & music listeningActive comparatorThis group will receive conventional physiotherapy treatments, each session will last 30 minutes .Treatments include muscles strength exercises for upper and lower extremities, static and dynamic balance training in standing ,pain relief techniques and functional training (including transfers, sit to stand, walking and climbing stairs). The treatment program shall be consistent with the patient's problems and the degree of difficulty will rise depending on progress. In addition this group will listen to music (while sitting on a chair) for 20 minutes.This treatment protocol will last for three weeks, five days a week, 50 minutes each session per day.
Receives: Other: Physiotherapy treatment & music listening

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. FIM ( functional independence measure)

    Provides a uniform system of measurement for disability, it measures the level of patient's disability and indicates how much assistance is required for the individual to carry out activities of daily living. It contains 18 items composed of 13 motor tasks and 5 cognitive tasks. Tasks are rated on 7 point ordinal scale that ranges from total assistance to complete independence. Score range from 18 (lowest) to 126 (highest) indicating level of function.

    Measured: baseline-at the first day of intervention

  2. Static balance test and weight bearing distribution while standing

    The balance and weight bearing distribution parameters will be evaluated by posturographic device . This system assesses pressure fluctuations produced by the heels and toes of a subject standing on four separate platforms two for each foot and their respective halves. The pressure plates emit electronic signals which are digitized and processed by the posturographic device software to yield a set of unique parameters. Calculated results based on these parameters, which are statistically and functionally independent, reflect the interactions of the various neuro-physiological and neuro-anatomic subsystems involved in balance control.

    Measured: baseline-at the first day of intervention

  3. Muscle strength

    Quadriceps strength and hand grip will be assessed by hand held dynamometer. This is a quantitative and objective method for assessment of muscular strength. Scored using force production in kilograms.

    Measured: baseline-at the first day of intervention

  4. Pain intensity (measured with VAS)

    Subjective pain intensity will be measured with VAS which is an 11 point scale from 0-10, "0" indicates no pain and "10" indicates the most intense pain imaginable. The patient select the value that is most in line with the intensity of pain that he experienced in the last 24 hours.

    Measured: baseline-at the first day of intervention

  5. Change from baseline in FIM at 2 weeks

    Provides a uniform system of measurement for disability, it measures the level of patient's disability and indicates how much assistance is required for the individual to carry out activities of daily living. It contains 18 items composed of 13 motor tasks and 5 cognitive tasks. Tasks are rated on 7 point ordinal scale that ranges from total assistance to complete independence. Score range from 18 (lowest) to 126 (highest) indicating level of function.

    Measured: Second week of intervention

  6. Change from baseline in FIM at 3 weeks

    Provides a uniform system of measurement for disability, it measures the level of patient's disability and indicates how much assistance is required for the individual to carry out activities of daily living. It contains 18 items composed of 13 motor tasks and 5 cognitive tasks. Tasks are rated on 7 point ordinal scale that ranges from total assistance to complete independence. Score range from 18 (lowest) to 126 (highest) indicating level of function.

    Measured: End of intervention at third week

  7. Change from baseline in static balance test and weight bearing distribution while standing at 2 weeks

    The balance and weight bearing distribution parameters will be evaluated by posturographic device . This system assesses pressure fluctuations produced by the heels and toes of a subject standing on four separate platforms two for each foot and their respective halves. The pressure plates emit electronic signals which are digitized and processed by the posturographic device software to yield a set of unique parameters. Calculated results based on these parameters, which are statistically and functionally independent, reflect the interactions of the various neuro-physiological and neuro-anatomic subsystems involved in balance control.

    Measured: Second week of intervention

  8. Change from baseline in static balance test and weight bearing distribution while standing at 3 weeks

    The balance and weight bearing distribution parameters will be evaluated by posturographic device . This system assesses pressure fluctuations produced by the heels and toes of a subject standing on four separate platforms two for each foot and their respective halves. The pressure plates emit electronic signals which are digitized and processed by the posturographic device software to yield a set of unique parameters. Calculated results based on these parameters, which are statistically and functionally independent, reflect the interactions of the various neuro-physiological and neuro-anatomic subsystems involved in balance control.

    Measured: End of intervention at third week

  9. Change from baseline in muscle strength at 2 weeks

    Quadriceps strength and hand grip will be assessed by hand held dynamometer. This is a quantitative and objective method for assessment of muscular strength. Scored using force production in kilograms.

    Measured: Second week of intervention

  10. Change from baseline in muscle strength at 3 weeks

    Quadriceps strength and hand grip will be assessed by hand held dynamometer. This is a quantitative and objective method for assessment of muscular strength. Scored using force production in kilograms.

    Measured: End of intervention at third week

  11. Change from baseline in pain intensity at 2 weeks (measured with VAS)

    Subjective pain intensity will be measured with VAS which is an 11 point scale from 0-10, "0" indicates no pain and "10" indicates the most intense pain imaginable. The patient select the value that is most in line with the intensity of pain that he experienced in the last 24 hours.

    Measured: Second week of intervention

  12. Change from baseline in pain intensity at 3 weeks (measured with VAS)

    Subjective pain intensity will be measured with VAS which is an 11 point scale from 0-10, "0" indicates no pain and "10" indicates the most intense pain imaginable. The patient select the value that is most in line with the intensity of pain that he experienced in the last 24 hours.

    Measured: End of intervention at third week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Apr 2015 (estimated)
  2. Study startJul 2015
  3. Primary completionMay 2018 (estimated)
  4. Study completionDec 2018 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02407444
Sponsor's protocol ID
rmc150495ctil
Status last verified
Mar 2016
First submitted
19 Mar 2015
Last updated
22 Mar 2016
Results posted
No
Data monitoring committee
No

Publications

  • Fairhall NJ, Dyer SM, Mak JC, Diong J, Kwok WS, Sherrington C. Interventions for improving mobility after hip fracture surgery in adults. Cochrane Database Syst Rev. 2022 Sep 7;9(9):CD001704. doi: 10.1002/14651858.CD001704.pub5.

    PubMed 36070134

Questions about this trial

What is this clinical trial studying?

A study testing Physiotherapy treatment & leg cycling and Physiotherapy treatment & music listening in people with Hip Fractures, run by Rabin Medical Center at 1 site in Israel.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 22 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Israel. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Avital Hershkovitz, MD-PhD (+972522342123, avitalhe@clalit.org.il), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

FIM ( functional independence measure) (time frame: baseline-at the first day of intervention). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02407444, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Mar 2016.

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