Rehabilitation program for older adults with hip fractures and cognitive impairment
Optimized Rehabilitation of Older Adults With Hip Fracture and Signs of Cognitive Impairment - the ENHANCE Project - Feasibility Study
NA · Lolland Community, Denmark · NCT06286722
This study is testing a special exercise program at home for older adults with hip fractures and memory issues to see if it helps them recover better than regular rehab.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 20 (estimated) |
| Ages | 65 Years and up |
| Sex | All |
| Sponsor | Lolland Community, Denmark (other) |
| Locations | 6 sites (Frederiksberg and 5 other locations) |
| Trial ID | NCT06286722 on ClinicalTrials.gov |
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.
Who should consider this trial
Good fit: Ideal candidates are older adults who have recently had a hip fracture, are cognitively impaired, and are living independently or in assisted living facilities.
Not a fit: Patients with severe dementia, unstable health conditions, or those who do not speak Danish may not benefit from this study.
Why it matters
Potential benefit: If successful, this program could significantly improve recovery outcomes and quality of life for older adults with hip fractures and cognitive impairment.
How similar studies have performed: While limited, existing studies suggest that similar rehabilitation interventions may benefit older adults with hip fractures and cognitive impairment, though this specific approach has not been extensively tested.
Eligibility criteria
Show full inclusion / exclusion criteria
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 this trial is running
Frederiksberg and 5 other locations
- 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
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Hip Fractures, Cognitive Impairment, Outpatient, Rehabilitation, Progressive, structured exercise, Hip Fracture, Cognitive impairment