Related Experiment Video
Updated: Jul 5, 2025
04:19
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
436
HIP fracture Supplemental Therapy to Enhance Recovery (HIPSTER): a protocol for a randomised controlled trial
Lara A Kimmel1,2, Eleanor Raper3,4, Ian A Harris5,6
1Department of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia L.kimmel@alfred.org.au.
BMJ Open
|January 18, 2024
Summary
This study compares early intensive physiotherapy with usual care for hip fracture patients to improve mobility and reduce hospital stays. Findings will guide optimal rehabilitation intensity for better patient outcomes and cost-effectiveness.
Area of Science:
- Geriatric Medicine
- Rehabilitation Medicine
- Health Services Research
Background:
- Hip fractures cause significant morbidity, prolonged hospital stays, and reduced mobility in patients.
- Optimal intensity of physical rehabilitation post-hip fracture surgery is not well-defined.
- Current care often results in functional deficits, impacting independence and increasing healthcare costs.
Purpose of the Study:
- To compare the clinical efficacy of early intensive in-hospital physiotherapy versus usual care.
- To evaluate the cost-effectiveness of intensive physiotherapy in hip fracture patients.
- To determine the impact on hospital length of stay and functional recovery.
Main Methods:
- A two-arm, randomized controlled trial involving 620 post-hip fracture surgery patients across eight hospitals.
- Intervention group receives two daily intensive physiotherapy sessions for the first 7 days post-surgery.
- Primary outcome: total hospital length of stay; secondary outcomes include functional mobility, quality of life, and fall concerns.
Main Results:
- Primary outcome data on hospital length of stay is being collected.
- Secondary outcome data on functional mobility, quality of life, and fall concerns will be analyzed.
- Healthcare utilization and cost-effectiveness will be evaluated over 12 months.
Conclusions:
- The study will provide evidence on the effectiveness and cost-effectiveness of early intensive physiotherapy for hip fracture patients.
- Findings aim to inform clinical guidelines for optimizing rehabilitation intensity.
- Results will guide strategies to improve functional recovery and reduce healthcare burden.
More Related Videos
Related Concept Videos
01:26Flail Chest-II
174
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
174
01:27Fractures: Bone Repair
3.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.2K