AzTrials
AzTrials

Hip FracturesFIRMNCT03430193

Fragility Fracture Integrated Rehabilitation Management (FIRM)

A study testing FIRM and Conventional rehabilitation in people with Hip Fractures, run by Seoul National University Bundang Hospital at 1 site in South Korea.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

A number of studies for clinical pathway (CP) after hip fracture have been suggested to improve post-fracture outcome. However, CP is not carried out properly in most countries due to inadequate system and awareness, and lack of interdisciplinary approach among orthopaedists, geriatricians and rehabilitation… Read more about this study

Who is it for?
Ages 65 years and olderHealthy volunteers can take part
Conditions the study is for
Hip Fractures
What is being tested?
FIRM and Conventional rehabilitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
288 participants
Where
1 siteSouth Korea
Study dates
12 Feb 2018to 30 Sep 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Type of fracture : Femoral neck, intertrochanteric, subtrochanteric fracture
  • Type of surgery : Bipolar hemiarthroplasty, THA, ORIF

Who cannot join

  • Surgery not for hip fracture, but for infection, arthritis, implant loosening, AVN
  • Femur Shaft fracture, acetabular fracture, periprosthetic fracture, pathologic fracture for tumor
  • Combined multiple fracture (ex. Upper extremity)
  • Revision operation
  • Disagree to participation for clinical trial
  • Severe cognitive dysfunction (Obey command ≤1)

Trial locations and contacts

1 site in 1 country.

South Korea1 site, 1 recruiting
  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggi-do, 463-707

    Jae-Young Lim, MD, PhD, +82317877732, jaden.lim@gmail.com

    Seung-Kyu Lim, MD, +821096045700, flyingmango77@gmail.com

    Recruiting

Other trials in South Korea

About this study

Official title: Comparative Effectiveness Research of Rehabilitation Methods and Prevention of Refracture After Fractures in Elderly Patients

A number of studies for clinical pathway (CP) after hip fracture have been suggested to improve post-fracture outcome. However, CP is not carried out properly in most countries due to inadequate system and awareness, and lack of interdisciplinary approach among orthopaedists, geriatricians and rehabilitation specialists. Thus, we developed Fragility fracture integrated rehabilitation management (FIRM), a new standardized guideline and the multidisciplinary fragility fracture care based on the clinical rehabilitation pathway and conducted a prospective study to evaluate the effects of FIRM compared to conventional rehabilitation.

Read the detailed description

The purpose of this prospective study

To develop a standardized fragility fracture integrated rehabilitation management (FIRM) based on the critical rehabilitation pathway for fragility fractures.

  1. Standardization of initial evaluation for fall and re-fracture risks before rehabilitation
  2. Standardization in initial screening for prevention for common complication after fracture and early diagnosis
  3. Evidence based standardization in rehabilitation after fragility fracture
  4. Development for safe return to normal daily life
Conditions
Hip Fractures
Being tested
FIRM, Conventional rehabilitation
Keywords
rehabilitation, multi-disciplinary rehabilitation, clinical pathway, Fragility
Medical subject headings
Hip Fractures

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FIRMOther

    FIRM program consisted of total 10 days session including PT, in two times twenty-minute sessions per day and 4 times OT during admission initiated before transfer to rehabilitation ward.

    PT (Weight bearing exercise, strengthening exercise, gait training, aerobic exercise and functional training) progressed gradually based on individual functional level and OT of activities of daily life (ADL) training (transfer, sit to stand, bed mobility, dressing, self-care retraining and using adaptive equipment) was provided.

  • Conventional rehabilitationOther

    Conventional rehabilitation program consisted of total 10 days session of PT focused on simple standing and gait training, in one time twenty-minute sessions per day.

Study groups in NCT03430193
Study groupRoleWhat they receive
FIRM groupExperimentalFIRM program consisted of total 10 days session including PT, in two times twenty-minute sessions per day and 4 times OT during admission initiated before transfer to rehabilitation ward. PT (Weight bearing exercise, strengthening exercise, gait training, aerobic exercise and functional training) progressed gradually based on individual functional level and OT of activities of daily life (ADL) training (transfer, sit to stand, bed mobility, dressing, self-care retraining and using adaptive equipment) was provided.
Receives: Other: FIRM
Conventional groupActive comparatorConventional rehabilitation program consisted of total 10 days session of PT focused on simple standing and gait training, in one time twenty-minute sessions per day.
Receives: Other: Conventional rehabilitation
No-rehabilitation groupNo interventionDischarged patients not transferred to rehabilitation unit after surgery for hip fracture.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baselines mobility status (Functional Ambulatory Category (FAC)) after rehabilitation

    range, 0 to 5; decreasingly worse

    Measured: 0, 3 month, 6 month, 12 month

Secondary outcomes (10)
  1. Change from baselines mobility status (KOVAL) after rehabilitation

    range, 1 to 7; increasingly worse

    Measured: 0, 3 month, 6 month, 12 month

  2. Change from baselines mobility status (Functional Independence Measure (FIM)- locomotion) after rehabilitation

    range, 1 to 7; decreasingly worse

    Measured: 0, 3 month, 6 month, 12 month

  3. Change from baselines balance and fall risk (Berg Balance Scale (BBS)) after rehabilitation

    range, 0 to 56; decreasingly worse

    Measured: 0, 3 month, 6 month, 12 month

  4. Change from baselines from cognition (Korean Mini-Mental State Examination (K-MMSE)) after rehabilitation

    range, 0 to 30; decreasingly worse

    Measured: 0, 3 month, 6 month, 12 month

  5. Change from baselines from mood (Korean version of the Geriatric Depression Scale (GDS)) after rehabilitation

    range, 0 to 30 ; increasingly worse

    Measured: 0, 3 month, 6 month, 12 month

  6. Change from baselines Quality of life (Euro Quality of Life Questionnaire 5-Dimensional Classification (EQ-5D)) after rehabilitation

    range, 0 to 1; decreasingly worse

    Measured: 0, 3 month, 6 month, 12 month

  7. Change from baselines from activities of daily life (Korean modified Barthel index (K-MBI)) after rehabilitation

    range, 0 to 100; decreasingly worse

    Measured: 0, 3 month, 6 month, 12 month

  8. Change from baselines from activities of daily life (Korean instrumental ADL (K-IADL)) after rehabilitation

    range, 0 to 3; increasingly worse

    Measured: 0, 3 month, 6 month, 12 month

  9. Change from baselines frailty (Korean version of fatigue, resistance, ambulation, illnesses, and loss of weight (FRAIL) scale) after rehabilitation

    range, 0 to 5; increasingly worse

    Measured: 0, 3 month, 6 month, 12 month

  10. Change from baselines hand grip strength after rehabilitation

    measured by a a digital dynamometer (TKK 5401 Grip-D; Takei, Niigata, Japan)

    Measured: 0, 3 month, 6 month, 12 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Feb 2018
  2. Study start12 Feb 2018
  3. Primary completion30 Sep 2021 (estimated)
  4. Study completion30 Sep 2021 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
288 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03430193
Sponsor's protocol ID
HC15C1189
Acronym
FIRM
Status last verified
Jan 2021
First submitted
5 Jan 2018
Last updated
15 Jan 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Beaupre LA, Cinats JG, Senthilselvan A, Lier D, Jones CA, Scharfenberger A, Johnston DW, Saunders LD. Reduced morbidity for elderly patients with a hip fracture after implementation of a perioperative evidence-based clinical pathway. Qual Saf Health Care. 2006 Oct;15(5):375-9. doi: 10.1136/qshc.2005.017095.

    PubMed 17074877
  • Lyons AR. Clinical outcomes and treatment of hip fractures. Am J Med. 1997 Aug 18;103(2A):51S-63S; discussion 63S-64S. doi: 10.1016/s0002-9343(97)90027-9.

    PubMed 9302897
  • Magaziner J, Fredman L, Hawkes W, Hebel JR, Zimmerman S, Orwig DL, Wehren L. Changes in functional status attributable to hip fracture: a comparison of hip fracture patients to community-dwelling aged. Am J Epidemiol. 2003 Jun 1;157(11):1023-31. doi: 10.1093/aje/kwg081.

    PubMed 12777366
  • Sellier E, Labarere J, Sevestre MA, Belmin J, Thiel H, Couturier P, Bosson JL; Association pour la Promotion de l'Angiologie Hospitaliere. Risk factors for deep vein thrombosis in older patients: a multicenter study with systematic compression ultrasonography in postacute care facilities in France. J Am Geriatr Soc. 2008 Feb;56(2):224-30. doi: 10.1111/j.1532-5415.2007.01545.x. Epub 2007 Dec 7.

    PubMed 18070003
  • Hannan EL, Magaziner J, Wang JJ, Eastwood EA, Silberzweig SB, Gilbert M, Morrison RS, McLaughlin MA, Orosz GM, Siu AL. Mortality and locomotion 6 months after hospitalization for hip fracture: risk factors and risk-adjusted hospital outcomes. JAMA. 2001 Jun 6;285(21):2736-42. doi: 10.1001/jama.285.21.2736.

    PubMed 11386929
  • Siu AL, Penrod JD, Boockvar KS, Koval K, Strauss E, Morrison RS. Early ambulation after hip fracture: effects on function and mortality. Arch Intern Med. 2006 Apr 10;166(7):766-71. doi: 10.1001/archinte.166.7.766.

    PubMed 16606814
  • Koval KJ, Cooley MR. Clinical pathway after hip fracture. Disabil Rehabil. 2005 Sep 30-Oct 15;27(18-19):1053-60. doi: 10.1080/09638280500056618.

    PubMed 16278174
  • Halbert J, Crotty M, Whitehead C, Cameron I, Kurrle S, Graham S, Handoll H, Finnegan T, Jones T, Foley A, Shanahan M; Hip Fracture Rehabilitation Trial Collaborative Group. Multi-disciplinary rehabilitation after hip fracture is associated with improved outcome: A systematic review. J Rehabil Med. 2007 Sep;39(7):507-12. doi: 10.2340/16501977-0102.

    PubMed 17724548
  • Adunsky A, Lusky A, Arad M, Heruti RJ. A comparative study of rehabilitation outcomes of elderly hip fracture patients: the advantage of a comprehensive orthogeriatric approach. J Gerontol A Biol Sci Med Sci. 2003 Jun;58(6):542-7. doi: 10.1093/gerona/58.6.m542.

    PubMed 12807926
  • Lim SK, Lim JY. Nutritional status modifies the effect of rehabilitation strategy on functional recovery after hip fracture in older adults. Maturitas. 2026 Aug;211:109008. doi: 10.1016/j.maturitas.2026.109008. Epub 2026 Jun 2.

    PubMed 42250394
  • Lee SY, Beom J, Kim BR, Lim SK, Lim JY; Fragility Fracture Rehabilitation Study Group. Comparative effectiveness of fragility fracture integrated rehabilitation management for elderly individuals after hip fracture surgery: A study protocol for a multicenter randomized controlled trial. Medicine (Baltimore). 2018 May;97(20):e10763. doi: 10.1097/MD.0000000000010763.

    PubMed 29768364

Questions about this trial

What is this clinical trial studying?

A study testing FIRM and Conventional rehabilitation in people with Hip Fractures, run by Seoul National University Bundang Hospital at 1 site in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 15 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Seung-Kyu Lim, MD (+821096045700, flyingmango77@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baselines mobility status (Functional Ambulatory Category (FAC)) after rehabilitation (time frame: 0, 3 month, 6 month, 12 month). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03430193, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jan 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in