Hip fractures

Loss of muscle strength in the operated leg as compared to the non-operated leg is observed after a hip fracture (HF), and especially for those with an intertrochanteric fracture as compared to cervical fractures. The HF research-focus in PMR-C is to investigate potential factors influencing outcome, and to investigate the effectiveness of physical rehabilitation modalities to enhance recovery after a HF. We systematically quantify deficits in muscle strength and examine the association with functional performance after surgery – along with other key clinical symptoms – to gain a detailed understanding of these impairments. We then explore the feasibility of early-commenced, impairment-directed physical rehabilitation modalities. The rehabilitation modalities are typically simple, they are designed on the basis of identified deficits, and they use a basic exercise physiology rationale. If a rehabilitation modality seems feasible: that is, can it be performed progressively without exacerbating pre-defined post-operative symptoms, the effectiveness of the rehabilitation modality is finally investigated in a randomized controlled design.

Selected papers
Kronborg L, Bandholm T, Palm H, Kehlet H, Kristensen MT (2014). Feasibility of progressive strength training implemented in the acute ward after hip fracture surgery. PLoS One 9: e93332.

Kristensen MT, Bandholm T, Bencke J, Ekdahl C, Kehlet H (2009). Quadriceps strength, postural control and function are related to fracture type and thigh edema in patients with hip fracture. Clin Biomech (Bristol, Avon) 24: 218-224.

Kristensen MT (2011). Factors affecting functional prognosis of patients with hip fracture. Eur J Phys Rehabil Med 47: 257-64.

Ongoing research

Rehabilitation after hip fracture: the role of progressive strength training

Six versus twelve weeks of progressive strength training in patients with hip fracture: a randomized controlled trial.

Inter-rater reliability and agreement of the 6-minute-walk-test in patients with hip fracture.

 


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