title: Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people.
abstract: BACKGROUND
  To cope at their homes, community-dwelling older people surviving a hip fracture need a sufficient amount of functional ability and mobility. There is a lack of evidence on the best practices supporting recovery after hip fracture. The purpose of this article is to describe the design, intervention and demographic baseline results of a study investigating the effects of a rehabilitation program aiming to restore mobility and functional capacity among community-dwelling participants after hip fracture.
  
  
  METHODS
  Population-based sample of over 60-year-old community-dwelling men and women operated for hip fracture (n = 81, mean age 79 years, 78% were women) participated in this study and were randomly allocated into control (Standard Care) and ProMo intervention groups on average 10 weeks post fracture and 6 weeks after discharged to home. Standard Care included written home exercise program with 5-7 exercises for lower limbs. Of all participants, 12 got a referral to physiotherapy. After discharged to home, only 50% adhered to Standard Care. None of the participants were followed-up for Standard Care or mobility recovery. ProMo-intervention included Standard Care and a year-long program including evaluation/modification of environmental hazards, guidance for safe walking, pain management, progressive home exercise program and physical activity counseling. Measurements included a comprehensive battery of laboratory tests and self-report on mobility limitation, disability, physical functional capacity and health as well as assessments for the key prerequisites for mobility, disability and functional capacity. All assessments were performed blinded at the research laboratory. No significant differences were observed between intervention and control groups in any of the demographic variables.
  
  
  CONCLUSIONS
  Ten weeks post hip fracture only half of the participants were compliant to Standard Care. No follow-up for Standard Care or mobility recovery occurred. There is a need for rehabilitation and follow-up for mobility recovery after hip fracture. However, the effectiveness of the ProMo program can only be assessed at the end of the study.
  
  
  BACKGROUND
  Current Controlled Trials ISRCTN53680197.
authors.affiliation: Gerontology Research Centre, University of Jyväskylä, Jyväskylä, Finland. sarianna.sipila@jyu.fi
authors.forename: Sarianna
authors.initials: S
authors.lastname: Sipilä
authors.forename: Anu
authors.initials: A
authors.lastname: Salpakoski
authors.forename: Johanna
authors.initials: J
authors.lastname: Edgren
authors.forename: Ari
authors.initials: A
authors.lastname: Heinonen
authors.forename: Markku A
authors.initials: MA
authors.lastname: Kauppinen
authors.forename: Marja
authors.initials: M
authors.lastname: Arkela-Kautiainen
authors.forename: Sanna E
authors.initials: SE
authors.lastname: Sihvonen
authors.forename: Maija
authors.initials: M
authors.lastname: Pesola
authors.forename: Taina
authors.initials: T
authors.lastname: Rantanen
authors.forename: Mauri
authors.initials: M
authors.lastname: Kallinen
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D001696:Biomechanical Phenomena; D004185:Disability Evaluation; D005260:Female; D005387:Finland; D006620:Hip Fractures / Q000175:diagnosis / Q000503:physiopathology / Q000534:rehabilitation*; D006621:Hip Joint / Q000503:physiopathology*; D006801:Humans; D057187:Independent Living; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D026741:Physical Therapy Modalities; D015397:Program Evaluation; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012107:Research Design; D013997:Time Factors; D016896:Treatment Outcome