The Effects of Fragility Fracture Integrated Rehabilitation Management

Study Overview
=================
Brief Summary
-----------------
• To determine the effects of Fragility Fracture Integrated Rehabilitation Management approach in geriatric hip fracture patients (post surgical)

Detailed Description
-----------------
This refers to Fragility Fracture Integrated Rehabilitation Management and will include following comprehensive rehabilitation program including rehab specialist, physiotherapist, occupational therapist and rehab nurse.

Official Title
-----------------
The Effects of Fragility Fracture Integrated Rehabilitation Management (FIRM) of Hip Fracture in Geriatrics

Conditions
-----------------
Hip Fractures

Intervention / Treatment
-----------------
* Other: Fragility Fracture Integrated Rehabilitation Management


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients above 55 years of age, who underwent hip fracture management NIRM Pakistan due to hip fracture Patient diagnosed with femur neck, intertrochanteric fracture, and sub-trochanteric fracture Patient who got bipolar hemiarthroplasty, total hip replacement arthroplasty, reduction and internal fixation Exclusion Criteria: Patients who underwent surgery for a cause other than a hip fracture (infection, arthritis, loosening, avascular necrosis) Patients who underwent surgery because of femur shaft fracture, acetabular fracture, periprosthetic fracture pathologic fracture by tumor Isolated fracture of the greater or lesser tuberosity Multiple fracture Revision operation Patients who do not agree to participate in clinical trials

Ages Eligible for Study
-----------------
Minimum Age: 55 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: This refers to Fragility Fracture Integrated Rehabilitation Management<br>This refers to Fragility Fracture Integrated Rehabilitation Management and will include comprehensive rehabilitation program and assessment | Other: Fragility Fracture Integrated Rehabilitation Management<br>* At least 2 hours of rehabilitation management per day Including occupational therapy (training to improve daily life performance) Inpatient (the first 2 weeks): daily management (body control ability, mobility ability, hygiene management, etc.) Outpatient (2-6 weeks): management once a week The management period is for 2 weeks (1 week after surgery)<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional Ambulatory Category (FAC) | The Functional Ambulation Categories (FAC) is a functional walking test that evaluates ambulation ability. This 6-point scale assesses ambulation status by determining how much human support the patient requires when walking, regardless of whether or not they use a personal assistive device | 2 weeks | 
| EQ-5D | EQ-5D is a standardized instrument for measuring generic health status. The EQ-5D descriptive system is a preference-based HRQL measure with one question for each of the five dimensions that include mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. | 2 weeks | 
| Modified Barthel index (MBI) | Modified Barthel ADL index Measure of physical disability used widely to assess behaviour relating to activities of daily living for patients with disabling conditions. It measures what patients do in practice. | 2 weeks | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Activities of daily living, Mobility limitation, Occupational Therapy, Physical Therapy