Evidence map›Paper›PMID 30285645›Full record

Trial reportBMC geriatrics2018

Effects of 12-month home-based physiotherapy on duration of living at home and functional capacity among older persons with signs of frailty or with a recent hip fracture - protocol of a randomized controlled trial (HIPFRA study).

Paula Soukkio, Sara Suikkanen, Sanna Kääriä, Hannu Kautiainen, Sarianna Sipilä, Katriina Kukkonen-Harjula, Markku Hupli

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02305433 (Effects of Long-term Intensive Home-based Physiotherapy on Older People With an Operated Hip Fracture or Frailty), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02305433 nacompletednot on this map

Effects of Long-term Intensive Home-based Physiotherapy on Older People With an Operated Hip Fracture or Frailty (RCT).

TypeinterventionalSponsorSouth Karelia, Social and Health Care DistrictRan2014 to 2023Enrolled421ConditionsFrail Elderly, Hip FractureArmsHome-based physiotherapy (physical exercise)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Health-related quality of life after hip fracture: effects of a 12-month home-based exercise intervention-secondary analyses of an RCT.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Trial
  4. Trial
  5. Distal femur fractures in the elderly: Does surgical delay affect morbidity and mortality?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  6. Metabolites · 2022
    Article
  7. Article
  8. Article
  9. Kettlebell training in clinical practice: a scoping review.BMC sports science, medicine & rehabilitation · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Paula SoukkioRehabilitation, South Karelia Social and Health Care District, Valto Käkelän katu 3, FI-53130, Lappeenranta, Finland. paula.soukkio@eksote.fi.ORCID 0000-0001-6991-4095
Sara SuikkanenRehabilitation, South Karelia Social and Health Care District, Valto Käkelän katu 3, FI-53130, Lappeenranta, Finland.
Sanna KääriäAureolis Oy, Hevosenkenkä 3, FI-02600, Espoo, Finland.
Hannu KautiainenDepartment of General Practice and Helsinki University Hospital, University of Helsinki, Unit of Primary Health Care, Tukholmankatu 8 B, FI-00290, Helsinki, Finland.
Sarianna SipiläGerontology Research Center, Unit of Health Sciences, University of Jyväskylä, Rautpohjankatu 8, FI-40700, Jyväskylä, Finland.
Katriina Kukkonen-HarjulaRehabilitation, South Karelia Social and Health Care District, Valto Käkelän katu 3, FI-53130, Lappeenranta, Finland.
Markku HupliRehabilitation, South Karelia Social and Health Care District, Valto Käkelän katu 3, FI-53130, Lappeenranta, Finland.
Etelä-Karjalan sosiaali ja terveyspiiri · FIUniversity of Helsinki · FIUniversity of Jyväskylä · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth concerns, such as frailty and osteoporotic fractures decrease functional capacity and increase use of health and social care services in the aging population. The ability to continue living at home is dependent on functional capacity, which can be enhanced by rehabilitation. We study the effects of a 12-month home-based physiotherapy program with 12-month follow-up on duration of living at home, functional capacity, and the use of social and health care services among older persons with signs of frailty, or with a recently operated hip fracture.

methodsThis is a non-blinded, parallel group, randomized controlled trial performed in South Karelia Social and Health Care District, Finland (population 131,000). Three hundred community-dwelling older persons with signs of frailty (age ≥ 65) and 300 persons with a recent hip fracture (age ≥ 60) will be recruited. Frailty is screened by FRAIL questionnaire and verified by modified Fried's frailty criteria. Both patient groups will be randomized separately to a physiotherapy and a usual care arm. Individualized, structured and progressive physiotherapy will be carried out for 60 min, twice a week for 12 months at the participant's home. The primary outcome at 24 months is duration of living at home. Our hypothesis is that persons assigned to the physiotherapy arm will live at home for six months longer than those in the usual care arm. Secondary outcomes are functional capacity, frailty status, health-related quality-of-life, falls, use and costs of social and health care services, and mortality. Assessments, among others Short Physical Performance Battery, Functional Independence Measure, Mini Nutritional Assessment, and Mini-Mental State Examination will be performed at the participant's home at baseline, 3, 6, and 12 months. Register data on the use and costs of social and health care services, and mortality will be monitored for 24 months. DISCUSSION: Our trial will provide new knowledge on the potential of intensive, long-term home-based physiotherapy among older persons at risk for disabilities, to enhance functional capacity and thereby to postpone the need for institutional care, and diminish the use of social and health care services.

trial registrationClinicalTrials.gov Identifier: NCT02305433 , Registered Nov 28, 2014.

Indexed as

Frail ElderlyAccidental FallsAgedAged, 80 and overFemaleFinlandHip FracturesHome Care ServicesHumansIndependent LivingMaleNutrition AssessmentPhysical Therapy ModalitiesQuality of LifeSurveys and QuestionnairesTime FactorsCommunity-dwellingDuration of living at homeFrail elderlyFunctional capacityHip fracturesHome-based physiotherapySocial and health care services

Identifiers

PMID30285645
PMCPMC6167829
OpenAlexW2894449424

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.