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The overall functional gain by balance rehabilitation after hip fracture surgery has not yet been fully investigated. Therefore, clinical studies should be conducted to evaluate the effectiveness of systematic and safe balance rehabilitation in patients after hip fracture. Investigators aim to evaluate the effect of computer-based balance specific exercise on the performance and balance ability of the elderly women who underwent hip fracture surgery. Investigators also investigate the intervention can reduce their fear of falling and coping ability. This study was designed as a prospective, open-label, single-center trial at a tertiary hospital setting. During the 2-week postoperative intervention period, patients will participate in the hospital's exercise program beginning 5-7 days after hip fracture surgery. All participants will follow the computer-based balance specific exercise program. Functional outcomes will be measure periodically for 6 months after surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Balance exercise group | Experimental | During the 2-week postoperative intervention period, patients will participate in the hospital's exercise program beginning 5-7 days after HFS. All participants will follow the computer-based balance specific exercise (BSE) program. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Balance specific exercise | Procedure | Balance specific exercise consists of total 10 days' physical therapy (PT) sessions (twice per day for 60 min) after surgery. It will be conducted with a computed posturographic system for diagnostics of balance and movement skills (Balance Master® System NeuroCom®) designed to objectively quantify balance and postural function of different origin. PT (weight-bearing, strengthening, gait training, aerobic, and functional exercises) was gradually increased based on the patient's functional level. Intensive patient education by multidisciplinary rehabilitation members was also provided. |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Berg balance scale | Berg balance scale (total score; 0 to 56) | Change from Baseline Berg balance scale at 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Functional Ambulatory Category | Functional Ambulatory Category (categorical score; 0 to 5) | Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery |
| Functional Independence Measure: locomotion |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
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|
Functional Independence Measure (subscale of locomotion: 1 to 7)
| Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery |
| Modified falls efficacy scale | Modified falls efficacy scale (total score: 0 to 140) | Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery |
| Presence of Fear of falling | Fear of falling (yes or no; by simple question "Are you afraid of falling?") | Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery |
| Modified Barthel index | Modified Barthel index (tota; score: 0 to 100) | Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery |
| Short physical performance scale | Short physical performance scale (total score: 0 to 12) | Before intervention, After 2 weeks' intervention, 3 and 6 months after surgery |
| D007869 |
| Leg Injuries |