دورية أكاديمية
Rehabilitation for life: the effect on physical function of rehabilitation and care in older adults after hip fracture-study protocol for a cluster-randomised stepped-wedge trial.
| العنوان: | Rehabilitation for life: the effect on physical function of rehabilitation and care in older adults after hip fracture-study protocol for a cluster-randomised stepped-wedge trial. |
|---|---|
| المؤلفون: | Ipsen JA; Department of Physical Therapy and Occupational Therapy, Lillebaelt Hospital, University Hospital of Southern Denmark, Odense, Denmark. Jonas.Ammundsen.Ipsen@rsyd.dk.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark. Jonas.Ammundsen.Ipsen@rsyd.dk., Pedersen LT; Department of Physical Therapy and Occupational Therapy, Lillebaelt Hospital, University Hospital of Southern Denmark, Odense, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.; Department of Health Education, University College South Denmark, Odense, Denmark., Viberg B; Department of Orthopaedic Surgery and Traumatology, Lillebaelt Hospital, University Hospital of Southern Denmark, Odense, Denmark., Nørgaard B; Department of Public Health, University of Southern Denmark, Odense, Denmark., Suetta C; Department of Geriatric and Palliative Medicine, Bispebjerg and Frederiksberg Hospitals, University of Copenhagen, Copenhagen, Denmark.; Department of Medicine, Herlev and Gentofte Hospitals, University of Copenhagen, Copenhagen, Denmark., Bruun IH; Department of Physical Therapy and Occupational Therapy, Lillebaelt Hospital, University Hospital of Southern Denmark, Odense, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark. |
| المصدر: | Trials [Trials] 2022 May 07; Vol. 23 (1), pp. 375. Date of Electronic Publication: 2022 May 07. |
| نوع المنشور: | Clinical Trial Protocol; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101263253 Publication Model: Electronic Cited Medium: Internet ISSN: 1745-6215 (Electronic) Linking ISSN: 17456215 NLM ISO Abbreviation: Trials Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BioMed Central, 2006- |
| مواضيع طبية MeSH: | Hip Fractures*/diagnosis , Hip Fractures*/rehabilitation , Postural Balance*, Aged ; Exercise Therapy/methods ; Humans ; Patient Discharge ; Randomized Controlled Trials as Topic ; Time and Motion Studies |
| مستخلص: | Background: A hip fracture is a serious event for older adults, given that approximately 50% do not regain their habitual level of physical function, and the mortality rate is high, as is the number of readmissions. The gap in healthcare delivery, as separated into two financial and self-governing sectors, might be a contributing cause of inferior rehabilitation and care for these patients. Therefore, we aim to assess the effect of continuous and progressive rehabilitation and care across sectors for older adults after hip fracture. Methods/design: The project is designed as a stepped-wedge cluster randomised controlled trial. The study population of patients are older adults 65 years of age and above discharged after a hip fracture and healthcare professionals in primary and secondary care (municipalities and hospitals). Healthcare professionals from different sectors (hospital and municipalities) will be engaged in the empowerment-orientated praxis, through a workshop for healthcare professionals with knowledge sharing to the older adults using a digital health application (app). The rehabilitation intervention consists of 12 weeks of progressive resistance exercises initiated 1-2 days after discharge. To improve communication across sectors, a videoconference involving the patient and physiotherapists from both sectors will be conducted. On day, 3 after discharge, an outreach nurse performs a thorough assessment including measurement of vital signs. A hotline to the hospital for medical advice is a part of the intervention. The intervention is delivered as an add-on to the usual rehabilitation and care, and it involves one regional hospital and the municipalities within the catchment area of the hospital. The primary outcome is a Timed Up and Go Test 8 weeks post-surgery. Discussion: Using a stepped-wedge design, the intervention will be assessed as well as implemented in hospital and municipalities, hopefully for the benefit of older adults after hip fracture. Furthermore, the collaboration between the sectors is expected to improve. Trial Registration: The study is approved by the Regional Scientific Ethics Committees of Southern Denmark (S-20200070) and the Danish Data Protection Agency (20-21854). Registered 9 of June 2020 at ClinicalTrials.gov, NCT04424186 . (© 2022. The Author(s).) |
| References: | F1000Res. 2020 Feb 24;9:. (PMID: 32148775) BMJ Qual Saf. 2019 May;28(5):416-423. (PMID: 30852557) Scand J Med Sci Sports. 2010 Feb;20(1):49-64. (PMID: 20487503) J Geriatr Phys Ther. 2019 Oct/Dec;42(4):265-274. (PMID: 29227412) World J Orthop. 2014 Sep 18;5(4):402-11. (PMID: 25232517) BMJ. 2009 Jun 29;338:b2393. (PMID: 19564179) BMJ. 2013 Jan 08;346:e7586. (PMID: 23303884) BMC Geriatr. 2016 Sep 02;16:158. (PMID: 27590604) Aging Clin Exp Res. 2008 Oct;20(5):412-8. (PMID: 19039282) SAGE Open Med. 2018 Sep 07;6:2050312118799121. (PMID: 30210796) Eur J Sport Sci. 2019 Nov;19(10):1404-1413. (PMID: 30998435) J Am Geriatr Soc. 2011 Mar;59(3):565-7. (PMID: 21391955) Osteoporos Int. 2015 Nov;26(11):2623-30. (PMID: 25986386) Arch Phys Med Rehabil. 2014 Aug;95(8):1533-9. (PMID: 24742938) Dan Med J. 2015 Apr;62(4):A5023. (PMID: 25872545) Pain Res Treat. 2015;2015:676212. (PMID: 26078880) Clin Interv Aging. 2019 Oct 01;14:1681-1691. (PMID: 31631989) Scand J Caring Sci. 2017 Mar;31(1):164-174. (PMID: 27164009) BMC Public Health. 2013 Nov 21;13:1088. (PMID: 24261985) BMC Geriatr. 2020 Jul 29;20(1):263. (PMID: 32727376) Implement Sci. 2014 Nov 07;9:159. (PMID: 25377520) J Rehabil Med. 2008 Jul;40(7):589-91. (PMID: 18758678) Res Q Exerc Sport. 1999 Jun;70(2):113-9. (PMID: 10380242) BMJ. 2014 Mar 07;348:g1687. (PMID: 24609605) Ugeskr Laeger. 2006 Aug 21;168(34):2790-2. (PMID: 16942697) SAGE Open Nurs. 2019 Feb 21;5:2377960819825752. (PMID: 33415217) J Clin Nurs. 2007 Jan;16(1):84-97. (PMID: 17181670) Dan Med J. 2012 Jul;59(7):A4464. (PMID: 22759844) Ann Intern Med. 2013 Feb 5;158(3):200-7. (PMID: 23295957) Exp Gerontol. 2014 Apr;52:1-8. (PMID: 24447828) Indian J Orthop. 2019 May-Jun;53(3):407-419. (PMID: 31080280) Inj Prev. 2011 Dec;17(6):365-70. (PMID: 21486987) |
| فهرسة مساهمة: | Keywords: Between sectors; Care; Empowerment; Hip fracture; Physical function; Rehabilitation; Stepped-wedge cluster randomised controlled trial |
| سلسلة جزيئية: | ClinicalTrials.gov NCT04424186 |
| تواريخ الأحداث: | Date Created: 20220507 Date Completed: 20220510 Latest Revision: 20220716 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9077959 |
| DOI: | 10.1186/s13063-022-06321-w |
| PMID: | 35526010 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder كن أول من يترك تعليقا!