Effects of Long-term Intensive Home-based Physiotherapy on Older People With an Operated Hip Fracture or Frailty (RCT). (HIPFRA)
Frail Elderly, Hip Fracture
About this trial
This is an interventional supportive care trial for Frail Elderly focused on measuring elderly, functional-based physiotherapy, frailty syndrome, osteoporotic hip fractures, home-based physiotherapy, home-dwelling, intervention, randomised controlled trial, costs of social and health care, quality of life, physical functioning, mobility, nutrition
Eligibility Criteria
Inclusion Criteria:
- age 65+ for frail persons and 60 + for hip fracture patients
- home-dwelling but an increased risk for disabilities or for institutional care
- ability to walk inside one´s own home with or without mobility aids
- ability to communicate in Finnish
- in case of hip fracture: the first operated hip fracture
- in case of frailty: signs of frailty assessed by modified Fried's frailty criteria
Exclusion Criteria:
- living in nursing home or institutional care facility
- severe neurological diseases (Parkinson, MS, stroke)
- severe heart diseases with physical capacities significantly impaired (NYHA class III or IV)
- severe musculoskeletal diseases which prevent from participating in long-term physiotherapy
- terminal illnesses (e.g. cancer) that diminish the estimated home-dwelling time to less than two years
- severe mental problems (severe depression, psychosis or schizophrenia)
- severe alcohol or drug abuse
- severe problems with hearing or eyesight
Sites / Locations
- South Karelia Social and Health Care District
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
No Intervention
No Intervention
Physiotherapy (physical exercise) for frail elderly
Physiotherapy (physical exercise) for operated hip fracture patients
Usual care for frail elderly
Usual care for operated hip fracture patients
Individually tailored, long-term home-based physiotherapy (physical exercise)twice a week for 12 months. The duration of one session is 60 minutes.
Individually tailored, long-term home-based physiotherapy (physical exercise)twice a week for 12 months. The duration of one session is 60 minutes.
Usual care follows the standard care procedures in the South Karelia Social and Health Care District in health care and in assisted home living.
Usual care follows the standard care procedures in the South Karelia Social and Health Care District in health care and in assisted home living.