Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Effectiveness of a Physical Exercise Intervention Program in Improving Functional Mobility in Older Adults After Hip Fracture in Later Stage Rehabilitation: a Randomized Clinical Trial
Brief Summary: Hip fractures resulting from falls increase substantially with advancing age and less than a half of the elderly that have sustained and survived after the surgery regain their former levels of mobility. There is increasing evidence that rehabilitation interventions involving exercises and extended beyond the sub acute phase or even in a later stage of care have a positive impact on various functional abilities. The purpose of this study is to determine if an exercise program training for people who have suffered a fall-related hip fracture will improve functional mobility when compared with usual care. Randomized controlled trial using blinded assessors and intention-to-treat analysis. We will recruit 82 older adults, 60 years or over who have suffered a hip fracture due to a fall and have or have not completed physiotherapy and/or rehabilitation. These participants will be in a later stage rehabilitation phase (6 months up to 2 years after the fracture). Participants randomized to the Intervention Group (IG) will be submitted to a physical exercise program involving a progressive and challenging balance training and a neuromuscular and functional training of the lower limbs, conducted at home by physiotherapists, once a week, lasting about one hour, in the first, second and third month after randomization and will be oriented to perform exercises, twice a week, through a booklet. Visits to follow up exercises progression will be conducted once a month, from de fourth to the sixth month and each two months until the end of the follow up at the 12th month, summing up 18 sessions. Participants will receive monthly phone calls to increase exercise adherence. The control group will receive usual care. The primary outcome will be mobility-related disability and participants will be assessed in the baseline, at the end of the intervention (3 months), at 6 and 12 months. The participants will receive monthly phone calls to investigate falls and exercise adherence. Adverse effects will be monitored.


Options:
A: Arm Label: 1; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Exercise Plus Program | Arm Label: 2; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Exercise Plus Program; Assigned to Arm(s): 1
B: Arm Label: Home-based physical exercise; Type: EXPERIMENTAL; Interventions: Other: Home-based physical exercise intervention | Arm Label: Control Group Usual Care; Type: OTHER; Interventions: Other: Control Group Usual Care | Intervention Type: OTHER; Name: Home-based physical exercise intervention; Assigned to Arm(s): Home-based physical exercise | Intervention Type: OTHER; Name: Control Group Usual Care; Assigned to Arm(s): Control Group Usual Care
C: Arm Label: Conventional rehabilitation; Type: ACTIVE_COMPARATOR; Interventions: Other: Conventional rehabilitation | Arm Label: Aerobic exercise; Type: ACTIVE_COMPARATOR; Interventions: Other: Conventional rehabilitation, Other: Aerobic exercise | Intervention Type: OTHER; Name: Conventional rehabilitation; Assigned to Arm(s): Aerobic exercise, Conventional rehabilitation | Intervention Type: OTHER; Name: Aerobic exercise; Assigned to Arm(s): Aerobic exercise
D: Arm Label: Usual care; Type: ACTIVE_COMPARATOR; Interventions: Other: Usual Care | Arm Label: Intensive physiotherapy; Type: EXPERIMENTAL; Interventions: Other: Intensive physiotherapy | Intervention Type: OTHER; Name: Intensive physiotherapy; Assigned to Arm(s): Intensive physiotherapy | Intervention Type: OTHER; Name: Usual Care; Assigned to Arm(s): Usual care

Answer: B