Effects of 12-month home-based physiotherapy on duration of living at home and functional capacity among older persons with signs of frailty or with a recent hip fracture - protocol of a randomized controlled trial (HIPFRA study)
| العنوان: | Effects of 12-month home-based physiotherapy on duration of living at home and functional capacity among older persons with signs of frailty or with a recent hip fracture - protocol of a randomized controlled trial (HIPFRA study) |
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| المؤلفون: | Sanna Kääriä, Paula Soukkio, Markku Hupli, Sara Suikkanen, Sarianna Sipilä, Katriina Kukkonen-Harjula, Hannu Kautiainen |
| المساهمون: | HYKS erva, Clinicum, Department of General Practice and Primary Health Care, University of Helsinki |
| المصدر: | BMC Geriatrics BMC Geriatrics, Vol 18, Iss 1, Pp 1-10 (2018) |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, terveyspalvelut, Time Factors, sosiaalipalvelut, medicine.medical_treatment, vanhukset, yhteisöllinen asuminen, lcsh:Geriatrics, Community-dwelling, law.invention, Study Protocol, murtumat, 0302 clinical medicine, Randomized controlled trial, QUALITY-OF-LIFE, law, Surveys and Questionnaires, Health care, Medicine, 030212 general & internal medicine, luunmurtumat, Finland, Aged, 80 and over, education.field_of_study, Hip fracture, Rehabilitation, kotisairaanhoito, kotikuntoutus, Home Care Services, Functional Independence Measure, community-dwelling, FES-I, EXERCISE PROGRAM, 3. Good health, Treatment Outcome, Social and health care services, hip fractures, Female, HEALTH, Independent Living, ikääntyneet, REHABILITATION, Population ageing, medicine.medical_specialty, Frail Elderly, kotihoito, Population, 03 medical and health sciences, Quality of life (healthcare), toimintakyky, Functional capacity, Humans, home-based physiotherapy, education, METAANALYSIS, Physical Therapy Modalities, Aged, duration of living at home, Hip Fractures, business.industry, DISABILITY, PHYSICAL PERFORMANCE BATTERY, ADULTS, Duration of living at home, Home-based physiotherapy, medicine.disease, frail elderly, lonkka, LOWER-EXTREMITY FUNCTION, lcsh:RC952-954.6, Nutrition Assessment, 3121 General medicine, internal medicine and other clinical medicine, Quality of Life, Physical therapy, Accidental Falls, Geriatrics and Gerontology, business, social and health care services, 030217 neurology & neurosurgery |
| الوصف: | Health concerns, such as frailty and osteoporotic fractures decrease functional capacity and increase use of health and social care services in the aging population. The ability to continue living at home is dependent on functional capacity, which can be enhanced by rehabilitation. We study the effects of a 12-month home-based physiotherapy program with 12-month follow-up on duration of living at home, functional capacity, and the use of social and health care services among older persons with signs of frailty, or with a recently operated hip fracture. This is a non-blinded, parallel group, randomized controlled trial performed in South Karelia Social and Health Care District, Finland (population 131,000). Three hundred community-dwelling older persons with signs of frailty (age ≥ 65) and 300 persons with a recent hip fracture (age ≥ 60) will be recruited. Frailty is screened by FRAIL questionnaire and verified by modified Fried’s frailty criteria. Both patient groups will be randomized separately to a physiotherapy and a usual care arm. Individualized, structured and progressive physiotherapy will be carried out for 60 min, twice a week for 12 months at the participant’s home. The primary outcome at 24 months is duration of living at home. Our hypothesis is that persons assigned to the physiotherapy arm will live at home for six months longer than those in the usual care arm. Secondary outcomes are functional capacity, frailty status, health-related quality-of-life, falls, use and costs of social and health care services, and mortality. Assessments, among others Short Physical Performance Battery, Functional Independence Measure, Mini Nutritional Assessment, and Mini-Mental State Examination will be performed at the participant’s home at baseline, 3, 6, and 12 months. Register data on the use and costs of social and health care services, and mortality will be monitored for 24 months. Our trial will provide new knowledge on the potential of intensive, long-term home-based physiotherapy among older persons at risk for disabilities, to enhance functional capacity and thereby to postpone the need for institutional care, and diminish the use of social and health care services. ClinicalTrials.gov Identifier: NCT02305433 , Registered Nov 28, 2014. |
| وصف الملف: | application/pdf; fulltext |
| تدمد: | 1471-2318 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::96e970af8b8a93b36704259e88bb2757 https://doi.org/10.1186/s12877-018-0916-y |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....96e970af8b8a93b36704259e88bb2757 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14712318 |
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