Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: High Intensity Physiotherapy for Hip Fractures in the Acute Hospital Setting
Brief Summary: 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.


Options:
A: 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
B: 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
C: Arm Label: 1; Type: EXPERIMENTAL; Interventions: Behavioral: Enhanced Strong for Life | Arm Label: cardiovascular education (attention control); Type: PLACEBO_COMPARATOR; Interventions: Behavioral: cardiovascular nutrition education | Intervention Type: BEHAVIORAL; Name: Enhanced Strong for Life; Assigned to Arm(s): 1 | Intervention Type: BEHAVIORAL; Name: cardiovascular nutrition education; Assigned to Arm(s): cardiovascular education (attention control)
D: 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

Answer: B