Rehabilitation program for older adults with hip fractures and cognitive impairment

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the feasibility of a progressive, individualized, and structured exercise program for older adults who have recently undergone surgical repair of a hip fracture and exhibit signs of cognitive impairment. The intervention targets a subgroup of patients who are often excluded from traditional rehabilitation studies, focusing on improving their functional recovery and quality of life. Participants will be recruited from various healthcare centers in Denmark and will undergo a personalized home training program designed to enhance their mobility and independence. The study seeks to determine whether this tailored approach is more effective than standard rehabilitation practices.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Recently (within 3 weeks) underwent surgical repair of a hip fracture (femoral neck or trochanteric fracture)
* Independent pre-fracture ambulatory function (≥2 on the New Mobility Score on indoor walking)
* Having signs of cognitive impairment measured with the Mini-Mental Score Examination of \<24 points, or a verified dementia diagnosis, or on information from the patient record
* Living in their own home, nursing home, or assisted living facilities
* Informed consent by patient

Exclusion Criteria:

* Pathological hip fracture
* Having signs of severe dementia measured with the Mini-Mental State Examination (\<10 points)
* Non-Danish speaking
* Patients with an unstable health condition (e.g. not treated high blood pressure (\>180 mm HG)) evaluated by medical consultant
* "Safety concerns" (e.g. underlying comorbidities that might be associated with serious adverse events) - not safe to participate in the opinion of the investigator
* Having behavioral or psychotic disorders
* Alcohol or drug abuse
* Unable to participate in the intervention (e.g. due to blindness, no language)
* Patients with any weight-bearing restrictions after surgery

Where it's running

• Frederiksberg Healthcare center and 24-hour rehabilitation
  Frederiksberg, Denmark Recruiting
• Stevns Healthcare Center, Stevns Municipality
  Hårlev, Denmark Recruiting
• Hørsholm Health and Rehabilitation Center
  Hørsholm, Denmark Recruiting
• Maribo Health Center, Lolland Municipality
  Maribo, Denmark Recruiting
• Guldborgsund Healthcare Center, Guldborgsund Municipality
  Nykøbing Falster, Denmark Recruiting
• Vordingborg Healthcare Center, Vordingborg Municipality
  Vordingborg, Denmark Recruiting

Study contacts

• Study coordinator: Jan Arnholtz Overgaard, MSc.
• Email: jover@lolland.dk
• Phone: +4561121191

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.