This is a parallel Randomized Controlled Trial comparing two different delivery modes of post hip fracture management-a specialized Fracture Follow-up Clinic versus Usual Care alone. The Fracture Follow-up Clinic will focus on bone health and fall risk factors. The investigators will evaluate the effect of the clinic and exercise program on mobility and falls. The investigators primary hypothesis is that within the first year following a hip fracture, older adults who are assessed in the B4 Clinic and prescribed an exercise program will have significantly improved Short Physical Performance Battery (SPPB) scores compared with participants who receive usual care alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
53
Fracture Follow-Up Clinic plus Exercise Program
University of British Columbia - VCHRI
Vancouver, British Columbia, Canada
Short Physical Performance Battery
The primary outcome for this trial is the Short Physical Performance Battery (SPPB). The SPPB is composed of three separate tests that are timed and categorized depending on performance. The three domains evaluated in the SPPB are standing balance, gait speed, and sit to stand performance. The SPPB scores can range from 0-12, a higher score indicates better performance. The subscales are combined.
Time frame: 12 months post-fracture
Difference in Sedentary Behavior Minutes/Day
difference between groups in minutes of sedentary behavior as captured by accelerometry
Time frame: 12 months
Falls
number of self-reported falls over 12 months/group
Time frame: 12 months
Quality of Life (ICECAP-O)
self-reported quality of life measure, scores range from 0 to 1 (0 = no capability, 1 = full capability); the higher the score the better.
Time frame: 12 months
Health Related Quality of Life (EQ5D-5L)
self-reported health related quality of life (Visual Analogue Scale, 0 to 100). The higher the score means a better outcome.
Time frame: 12 months
Lower Extremity Measure
Self reported measure of lower extremity function. Scored 0 to 100. The higher the score the better.
Time frame: 12 months
Gait Speed (m/s)
measurement of walking speed over 3 or 4 meters
Time frame: 12 months
Grip Strength (Bilateral)
measurement of grip strength using a dynamometer
Time frame: 12 months
Leg Strength (Fractured Leg)
measurement of leg strength using a hand-held dynamometer
Time frame: 12 months
Timed up and Go (TUG)
Measure of global mobility, reported in s. Participant is asked to rise from a chair, walk 3 meters, turn and walk back to chair and sit down.
Time frame: baseline
Falls Self-efficacy International (FES-I)
16 items, the lower the score the better, e.g., more falls efficacy (range from 7-28)
Time frame: baseline
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