Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/26934
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dc.contributor.authorSaid, Catherine M-
dc.contributor.authorDelahunt, Marisa-
dc.contributor.authorHardidge, Andrew J-
dc.contributor.authorSmith, Paul-
dc.contributor.authorTran, Phong-
dc.contributor.authorMcDonald, Luke A-
dc.contributor.authorKefalianos, Emmanuel-
dc.contributor.authorDaniel, Cathy-
dc.contributor.authorBerney, Susan C-
dc.date2021-06-29-
dc.date.accessioned2021-07-05T06:10:35Z-
dc.date.available2021-07-05T06:10:35Z-
dc.date.issued2021-06-29-
dc.identifier.citationBMC Geriatrics 2021; 21(1): 394en
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/26934-
dc.description.abstractEarly mobilization after surgery is a key recommendation for people with hip fracture, however this is achieved by only 50% of people. Recumbent bike riding has been used in other populations with limited mobility and has potential to allow early exercise in people post hip fracture. The primary aim of this pilot trial was to demonstrate the feasibility of a trial protocol designed to determine the effect of early post-operative cycling in bed on outcomes in people with hip fracture. Single-blinded, multi-site randomized controlled pilot trial. Fifty-one people with hip fracture were recruited within 4 days of surgery from two sites in Victoria. Participants were randomly allocated to receive either usual care (n = 25) or usual care plus active cycling in bed (n = 26). The cycling intervention was delivered on weekdays until the participant could walk 15 m with assistance of one person. The primary outcomes were trial feasibility and safety. Clinical outcomes, including mobility (Modified Iowa Level of Assistance Scale) and delirium were measured at day seven post-operatively and at hospital discharge by an assessor blinded to group. Additional outcomes at discharge included gait speed, cognition and quality of life. The intervention was safe, feasible and acceptable to patients and staff. Delivery of the intervention was ceased on (median) day 9.5 (IQR 7, 12); 73% of scheduled sessions were delivered; (median) 4 sessions (IQR 2.0, 5.5) were delivered per participant with (median) 9 min 34 s (IQR 04:39, 17:34) of active cycling per session. The trial protocol was feasible, however at day seven 75% of participants had not met the criterion (able to walk 15 m with assistance of one person) to cease the cycling intervention.. In bed cycling is feasible post-operatively following hip fracture, however seven days post-operatively is too early to evaluate the impact of the cycling intervention as many participants were still receiving the intervention. A fully powered RCT to explore the effectiveness and cost efficiency of this novel intervention is warranted. The trial was prospectively registered (25/09/2017) with the Australian New Zealand Clinical Trials Registry ACTR N12617001345370 .en
dc.language.isoeng
dc.subjectBicyclingen
dc.subjectEarly ambulationen
dc.subjectExerciseen
dc.subjectFeasibility studiesen
dc.subjectHip fracturesen
dc.titleRecumbent cycling to improve outcomes in people with hip fracture: a feasibility randomized trial.en
dc.typeJournal Articleen
dc.identifier.journaltitleBMC Geriatricsen
dc.identifier.affiliationThe University of Melbourne, Melbourne, Australiaen
dc.identifier.affiliationPhysiotherapy, Melbourne School of Health Sciences, The University of Melbourne, Parkville, Australiaen
dc.identifier.affiliationOrthopaedics, Austin Health, Heidelberg, Australiaen
dc.identifier.affiliationPhysiotherapy Department, Austin Health, Heidelberg, Australiaen
dc.identifier.affiliationAustralian Institute for Musculoskeletal Science (AIMSS), St Albans, Australiaen
dc.identifier.affiliationDepartment of Orthopaedic Surgery, Western Health, Footscray, Australiaen
dc.identifier.affiliationPhysiotherapy Department, Western Health, St Albans, Australiaen
dc.identifier.affiliationNursing, Melbourne School of Health Sciences, The University of Melbourne, Parkville, Australiaen
dc.identifier.doi10.1186/s12877-021-02321-8en
dc.type.contentTexten
dc.identifier.pubmedid34187387
local.name.researcherBerney, Susan C
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptPhysiotherapy-
crisitem.author.deptOrthopaedic Surgery-
crisitem.author.deptPhysiotherapy-
crisitem.author.deptPhysiotherapy-
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