| Unique ID issued by UMIN | UMIN000060061 |
|---|---|
| Receipt number | R000068659 |
| Scientific Title | The Effect of Cold Therapy in the Early Postoperative Period on Pain During Weight-Bearing and Weight-Bearing Ratio in Proximal Femoral Fractures |
| Date of disclosure of the study information | 2025/12/12 |
| Last modified on | 2025/12/12 01:42:15 |
The Effect of Cold Therapy in the Early Postoperative Period on Pain During Weight-Bearing and Weight-Bearing Ratio in Proximal Femoral Fractures
Randomized controlled trial
The Effect of Cold Therapy in the Early Postoperative Period on Pain During Weight-Bearing and Weight-Bearing Ratio in Proximal Femoral Fractures
Randomized controlled trial
| Japan |
Proximal femur fracture (femoral neck fracture, trochanteric fracture)
| Orthopedics |
Others
NO
Proximal femoral fractures are common in the elderly, requiring early weight-bearing and walking initiation postoperatively. Postoperative inflammation and acute pain inhibit weight-bearing on the affected side and delay walking acquisition. Therefore, methods to reduce inflammation and pain while promoting weight-bearing are needed. Icing is considered effective for reducing pain and inflammation, but no reports have examined its effects on weight-bearing rate and walking ability when applied immediately before exercise therapy. This study aimed to clarify the effects of icing immediately before exercise therapy on weight-bearing ratio, weight-bearing pain, motor function, walking ability, and CRP levels.
Efficacy
Confirmatory
Phase I
The primary outcomes are affected-side weight-bearing ratio and weight-bearing pain (NRS).
Secondarily, knee extension strength, walking ability (FIM), balance function (FBS), and CRP levels were evaluated.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
No treatment
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
2
Treatment
| Maneuver |
Icing was performed using wet ice made by adding 50 mL of water to 500 g of pure ice. The application site was directly above the wound, and icing was administered for four consecutive days immediately before the start of physical therapy. The intervention frequency was once daily, with each icing session lasting 20 minutes.
The control group did not perform icing immediately before rehabilitation, but both groups were similarly permitted to use general icing in the ward (for pain management purposes).
| 50 | years-old | <= |
| 100 | years-old | > |
Male and Female
Patients undergoing acute postoperative care who underwent total hip arthroplasty or intramedullary nailing for proximal femoral fractures between April and November 2025.
Exclusion criteria were defined as having a history of disease in the knee or ankle joint on the operative side, having a disease likely to affect blood data, or having weight-bearing restrictions postoperatively.
48
| 1st name | Keishin |
| Middle name | |
| Last name | Kobayashi |
Koshigaya Seiwa hospital
Rehabilitation Department
3430026
Room 204, Charman Kita-Koshigaya 2 4-16-9 Kita-Koshigaya, Koshigaya City, Saitama Prefecture
09058359691
keishin2525@gmail.com
| 1st name | Keishin |
| Middle name | |
| Last name | Kobayashi |
Koshigaya Seiwa Hospital
Rehabilitation Department
3430856
4-25-5 Yanaka, Koshigaya-city, Saitama Prefecture
048-967-2215
keishin2525@gmail.com
Jousai International University
Keishin Kobayashi
Jousai International University
Profit organization
Japan
Koshigaya Seiwa Hospital
4-25-5 Yanaka, Koshigaya-city, Saitama Prefecture
0489672215
keishin2525@gmail.com
NO
埼玉県
| 2025 | Year | 12 | Month | 12 | Day |
Unpublished
48
Completed
| 2025 | Year | 03 | Month | 15 | Day |
| 2025 | Year | 09 | Month | 20 | Day |
| 2025 | Year | 04 | Month | 01 | Day |
| 2025 | Year | 12 | Month | 01 | Day |
| 2025 | Year | 12 | Month | 12 | Day |
| 2025 | Year | 12 | Month | 12 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068659