NCT03430193

Fragility Fracture Integrated Rehabilitation Management (FIRM)

Comparative Effectiveness Research of Rehabilitation Methods and Prevention of Refracture After Fractures in Elderly Patients

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 288 (estimated)
• Sponsor: Seoul National University Bundang Hospital · Academic / Other
• Sex: All
• Age: 65 Years
• Healthy volunteers: Accepted

Summary

A number of studies for clinical pathway (CP) after hip fracture have been suggested to improve post-fracture outcome. However, CP is not carried out properly in most countries due to inadequate system and awareness, and lack of interdisciplinary approach among orthopaedists, geriatricians and rehabilitation specialists. Thus, we developed Fragility fracture integrated rehabilitation management (FIRM), a new standardized guideline and the multidisciplinary fragility fracture care based on the clinical rehabilitation pathway and conducted a prospective study to evaluate the effects of FIRM compared to conventional rehabilitation.

Detailed description

The purpose of this prospective study To develop a standardized fragility fracture integrated rehabilitation management (FIRM) based on the critical rehabilitation pathway for fragility fractures. 1. Standardization of initial evaluation for fall and re-fracture risks before rehabilitation 2. Standardization in initial screening for prevention for common complication after fracture and early diagnosis 3. Evidence based standardization in rehabilitation after fragility fracture 4. Development for safe return to normal daily life

Conditions

• Hip Fractures

Interventions

Type	Name	Description
OTHER	FIRM	FIRM program consisted of total 10 days session including PT, in two times twenty-minute sessions per day and 4 times OT during admission initiated before transfer to rehabilitation ward. PT (Weight bearing exercise, strengthening exercise, gait training, aerobic exercise and functional training) progressed gradually based on individual functional level and OT of activities of daily life (ADL) training (transfer, sit to stand, bed mobility, dressing, self-care retraining and using adaptive equipment) was provided.
OTHER	Conventional rehabilitation	Conventional rehabilitation program consisted of total 10 days session of PT focused on simple standing and gait training, in one time twenty-minute sessions per day.

Timeline

• Start date: 2018-02-12
• Primary completion: 2021-09-30
• Completion: 2021-09-30
• First posted: 2018-02-12
• Last updated: 2021-01-15

Locations

1 site across 1 country: South Korea