Optimized Rehabilitation of Older Adults With Hip Fracture and Signs of Cognitive Impairment - Feasibility Study

Summary

Older adults suffering from a hip fracture are a significant concern, with higher incidence rates among women. Mortality rates post-hip fracture are alarming, with up to 8-fold increased risk within 3 months and significant percentages within 30 days and 12 months. Older adults with hip fracture face challenges in regaining pre-fracture level of function, especially those with cognitive impairment, which affects 25% to 40% of cases and increases mortality risk. While interventions exist, such as progressive strength training and structured exercise programs, patients with hip fracture don't consistently restore pre-fracture function, particularly in cognitively impaired patients, who are often excluded from studies. Limited evidence exists on effective management for this subgroup, with a lack of clarity on community-based rehabilitation. Although guidelines suggest exercise interventions for patients with mild to moderate cognitive impairment, the specifics remain uncertain due to insufficient research focused solely on this population.

This feasibility study aims to assess the practicality and safety of implementing a 12-week individualized, progressive exercise program for older adults with hip fracture and cognitive impairment in an outpatient setting. Additionally, the investigators seek to gather qualitative insights through observations and interviews regarding participants' experiences and the perceived value of rehabilitation post-hip fracture, particularly focusing on the exercise intervention provided.

Conditions

• Hip Fractures
• Cognitive Impairment

Interventions

OTHER

Progressive, individualized and structured exercise program

See description under Arms

Sponsors & Collaborators

• Vordingborg Municipality

  collaborator UNKNOWN

• Stevns Municipality

  collaborator UNKNOWN

• Guldborgsund Municipality

  collaborator UNKNOWN

• Frederiksberg Municipality

  collaborator UNKNOWN

• Horsholm Municipality

  collaborator OTHER

• Lolland Community, Denmark

  lead OTHER

Principal Investigators

• Trine Nordentoft · Vordingborg Municipality

• Halil Baldan · Guldborgsund Municipality

• Lotte Bylov · Stevns Municipality

• Gwen Tremmel · Lolland Municipality

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-02-08

Primary Completion

2025-12-31

Completion

2026-06-30

Countries

• Denmark

Study Locations