The goal of this clinical trial is to learn if outpatient physical therapy (PT) results in differing functional outcomes compared to a self-guided home exercise program (HEP) in tibial or femoral nail patients. The hypothesis is that outpatient PT does not result in superior functional outcomes when compared to a self-guided home exercise program. Outpatient physical therapy for mobility and gait training is the current standard of care following lower extremity fractures. To test this question, patients will be randomized into either PT or HEP group with PT serving as the control. Researchers will compare the PT and HEP groups to see if patient outcomes differ. People who agree to join the study will be asked to attend 5 visits over one year. During these visits, they will receive surveys and physical assessments. They will also be asked to answer survey questions about their pain, recovery, and therapy through an email survey. The emailed surveys will be weekly for the first 3 months, then every 2 weeks until 6 months, then every 4 weeks until one year. There are 24 emailed surveys total.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
80
Formal Physical Therapy (PT)
Home Exercise Program (HEP)
Difference in SFMA (Selective Functional Movement Assessment) at 90 days
The Selective Functional Movement Assessment (SFMA) is a functional movement assessment method to observe movement restrictions in individuals.
Time frame: Baseline, 90 days
Any difference in hip, knee, and ankle ROM (range of motion) measured with goniometer
Measured in degrees
Time frame: Measured at 2-weeks, 6-weeks, 3-months, 6-months, and 1 year
Any difference in thigh circumference
Measured in cm.
Time frame: Measured at 2-weeks, 6-weeks, 3-months, 6-months, and 1 year
Any difference in gait speed
Measured by timing how long it takes to walk a set distance and dividing the distance by the time.
Time frame: Measured at 2-weeks, 6-weeks, 3-months, 6-months, and 1 year
Any difference in 30-second chair stand
Count the number of times the patient comes to a full standing position in 30 seconds from a chair.
Time frame: Measured at 2-weeks, 6-weeks, 3-months, 6-months, and 1 year
Any difference in stair climb power test
Measure of ability to ascend and descend a flight of stairs.
Time frame: Measured at 2-weeks, 6-weeks, 3-months, 6-months, and 1 year
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.