Comparative Effects of Closed Kinetic Chain Exercises and Mobilization Exercises in Elderly Females With NFF

N/AActive Not RecruitingNCT06901843

Superior University44 enrolled

Overview

This study investigates the additional benefits of Mobilization Exercises and Closed Kinetic Chain Exercises (CKCE) in elderly individuals with post-operative neck of femur fracture. The researcher employs a randomized controlled trial which will involve 49 participants aged above 65 years with post-operative neck of femur fracture.

Participants are divided into two groups: one receiving Mobilization Exercises, and the other receiving Closed Kinetic Chain Exercises. Outcomes are assessed over a 6 week period, focusing on pain intensity, Range of motion, risk of fall by goniometer, visual analogue scale (VAS) and dynamic gait index (DGI) scores. Data will be analyzed using SPSS-23. The study will conclude whether CKCE or Mobilization exercises offer a significant benefit in pain reduction, prevent risk of falls and range of motion.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Neck of Femur Fracture

Interventions

Mobilizations ExercisesCOMBINATION_PRODUCT

Group A was treated with mobilizations exercises for 40 minutes for 3 sessions per week for 6 weeks. Patients received hip mobilizations. Therapist perform anterior posterior glide, caudal glide, posterior anterior glide with abduction, flexion and lateral rotation in 3 sets with 10 repetitions .Mobilization grades were performed according to patients tolerance level with duration 30-second rest .Hip strengthening exercises were performed 3 sets with 10 repetition with hip abduction in side lying, hip extension in prone position, sideway walk, hip abduction in a stand up position.

Closed Kinetic Chain ExercisesCOMBINATION_PRODUCT

Group B was treated with Closed Kinetic Chain Exercises for 40 minutes for 3 sessions per week for 6 weeks. Closed kinetic chain exercises were performed with 5 minute break between each exercise. Leg press in horizontal position ,Stationary bicycling and Stairmaster climbing.

Eligibility

Sex: FEMALEMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosed by Orthopedic Surgeon with neck of femur fracture by x ray findings * Patients undergone surgical treatment for neck of femur fracture within one year. * Patients administer in groups after 12 weeks of post-operative period * X-ray reexamination with no fracture or dislocation before treatment * Ability to walk normally or with crutches * Patients walk without any assistance before injury * Un-displaced neck of femur fracture according to Garden Classification * Operated on using internal fixation * Only females were included * Aged 65 years or older Exclusion Criteria: * Bilateral hip fracture * Bedridden patient before fracture * Patient who have undergone any previous surgery of lower limb * Neurological Condition

Locations (1)

Bajwa hospital J7JP+4WH, GT Rd, Shahdara Town, Shahdara

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Visual Analogue Scale (VAS)

The 10-point numeric scale ranges from '0' representing "no pain" to '10' representing "pain as bad as you can imagine" or "worst pain imaginable". The VAS is a valid and reliable scale to measure pain intensity. VAS demonstrates strong correlation validity with other established pain measurement scales, making it a reliable tool for clinical assessments. Validity is 0.88 % and Reliability is 0.90%.

Time frame: 12 Months

Dynamic Gait Index (DGI)

The questionnaire has been designed to evaluate risk of fall and balance during dynamic tasks. DGI includes 8 items, score between 0-3 scales. Score of 0 indicates severe impairment and score of 3 indicates normal function. Total score is between 0-24. Validity is 0.88% and Reliability is 0.97%. Interpretation 0-11: Severe impairment 12-19: Moderate impairment 20-24: Mild impairment

Time frame: 12 months

GONIOMETER

Goniometer is used to measure the joint angle in degrees, ROM and flexibility. The goniometer measures ranges and degrees of joints. The range of goniometer is typically 0-180 degrees or o-360 degrees. The intervals on scale can vary from 0-10 degrees. Hip Joint Ranges of Motion 1. Flexion: 120-130 degrees 2. Extension: 10-20 degrees 3. Abduction: 40-50 degrees 4. Adduction: 20-30 degrees 5. Internal Rotation: 30-40 degrees 6. External Rotation: 40-50 degrees

Time frame: 12 months

Data from ClinicalTrials.gov

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