The aim of this study is to investigate the effects of a prolonged physical therapy protocol for patients treated for acetabular fractures.
ID
Source
Brief title
Condition
- Fractures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcome of this study is the health related quality of life.
Secondary outcome
Secondary outcomes are muscle strength, range of motion, gait pattern,
complications of the surgery and residual displacement after surgery.
Background summary
Acetabular fractures are relatively rare and occur after a high energy impact
on the hip. Acetabular fractures are intra-articular fractures. Incongruency in
the hip socket results in early post traumatic arthritis. Therefore, acetabular
fractures should be anatomically reduced. Open reduction and internal fixation
(ORIF) is the standard current treatment for these injuries.
Limited data is available regarding the impact of physical therapy on the
quality of life, muscle strength, range of motion and gait pattern after
surgical treatment of acetabular fractures. In our daily practice, patients
start directly post-operatively with physical therapy, supervised by a
specialized physical therapist. When patients can go home, physical therapy is
continued by physical therapists at home, who see these injuries on a rare
basis. We hypothesize that patients will benefit from a physical treatment
protocol under supervision of a specialized hospital-based trauma physical
therapist, which is continued during outpatient follow-up. This allows them to
mobilize in a better way in comparison with regular physical therapy treatment.
This might lead to an improvement of quality of life and functional outcome.
Study objective
The aim of this study is to investigate the effects of a prolonged physical
therapy protocol for patients treated for acetabular fractures.
Study design
Pilot randomized controlled trial
Intervention
One group receive physical therapy as usual care after treatment of acetabular
fractures. The other group will be treated with individual goals at a
functional level based on the results of measurements during follow-up
Study burden and risks
The benefit of this study is the possibility that the participant will recover
faster or that they will experience less pain. The disadvantage of this study
is that it takes thirty minutes extra time per visit to the outpatient clinic.
In our opinion, this study adds a small chance (*kleine kans*) of mild damage
(*lichte schade*) and consequently adds a negligible risk (*verwaarloosbaar
risico*) according to the risk classification of the *Nederlandse Federatie van
Universitair Medische Centra* (NFU).
Geert Grooteplein Zuid 10
Nijmegen 6525GA
NL
Geert Grooteplein Zuid 10
Nijmegen 6525GA
NL
Listed location countries
Age
Inclusion criteria
- Patients with a fracture of the acetabulum which will be surgically treated,
age 16 or older with a fully grown skeleton*
- Able to fill in online questionnaires in Dutch
- Able to give written informed consent
*When bone growth is complete, the epiphyseal cartilage is replaced with bone,
which joints it to the diaphysis. This can be checked with X-rays and CT. Both
examinations are part of usual care.
Exclusion criteria
- Mentally not fit to complete the questionnaire
- Not able to perform activities of daily living independently and without
mobility aids before the accident
- Other injury of the spine, upper or lower extremites that affect mobilization
- No use of physical therapy after discharge
- Not treated according to the standard rehabilitation protocol (Appendix A)
- Illiteracy
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL75648.091.20 |