Clinical trial NCT03618576: Balance Rehabilitation After Hip Fracture Surgery
Official title: Effectiveness of the Computerized Balance Rehabilitation After Hip Fracture Surgery
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Hip Fractures
Lead sponsor: Seoul National University Hospital
Sponsor class: OTHER
First posted: 2018-08-07
Enrollment: 40
Sex: FEMALE
Minimum age (years): 65
Maximum age (years): 100
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The overall functional gain by balance rehabilitation after hip fracture surgery has not yet been fully investigated. Therefore, clinical studies should be conducted to evaluate the effectiveness of systematic and safe balance rehabilitation in patients after hip fracture. Investigators aim to evaluate the effect of computer-based balance specific exercise on the performance and balance ability of the elderly women who underwent hip fracture surgery. Investigators also investigate the intervention can reduce their fear of falling and coping ability. This study was designed as a prospective, open-label, single-center trial at a tertiary hospital setting. During the 2-week postoperative intervention period, patients will participate in the hospital's exercise program beginning 5-7 days after hip fracture surgery. All participants will follow the computer-based balance specific exercise program. Functional outcomes will be measure periodically for 6 months after surgery.


Eligibility criteria: Inclusion Criteria:

* Elderly female patients (≥ 65 years old) who have undergone surgery for femoral neck, intertrochanteric, or subtrochanteric fracture, regardless of surgery type (internal fixation, bipolar hemiarthroplasty, or total hip arthroplasty)

Exclusion Criteria:

* 1) hip surgery for infection, arthritis, implant loosening, or avascular necrosis;
* 2) femoral shaft fracture, acetabular fracture, isolated fracture of the greater or lesser tuberosity, or periprosthetic fracture;
* 3) pathologic fracture;
* 4) combined multiple fracture;
* 5) revision surgery;
* 6) severe cognitive dysfunction (obey command ≤ 1 step);
* 7) cannot stand by supporting a fixed walker at 5 days after operation;
* 8) patients who refuse to participate in a clinical trial

Primary outcomes:
measure: Change of Berg balance scale
timeFrame: Change from Baseline Berg balance scale at 6 months
Secondary outcomes:
measure: Functional Ambulatory Category
timeFrame: Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery
measure: Functional Independence Measure: locomotion
timeFrame: Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery
measure: Modified falls efficacy scale
timeFrame: Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery
measure: Presence of Fear of falling
timeFrame: Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery
measure: Modified Barthel index
timeFrame: Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery
measure: Short physical performance scale
timeFrame: Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery
Other outcomes:
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