Resistance Training for Broken Leg Recovery

DS
Overseen ByDavid Sanders, MD, FRCS(C) Principal Investigator
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new method to help individuals regain strength and function after surgery for a fracture in the long bone of the thigh (femur) or shin (tibia). The researchers aim to determine if a structured resistance training program, starting about 12 weeks post-surgery, outperforms the usual care patients receive. Participants will be divided into two groups: one will engage in resistance training alongside their usual care, while the other will continue with their standard care routine. Those who have undergone surgery for a thigh or shin fracture and are cleared to bear weight on their leg without major complications may find this trial suitable. As an unphased trial, this study provides a unique opportunity to contribute to innovative recovery methods that could enhance future patient care.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that this resistance training program is safe for adults recovering from leg fractures?

Research has shown that structured resistance training programs are generally safe and well-tolerated by patients recovering from fractures. In studies involving patients with hip fractures, gradually increasing strength exercises improved their strength, balance, and walking speed, with no major safety issues reported. This suggests that similar programs for leg fracture recovery are likely safe.

Exercise also aids natural healing by boosting blood flow and preventing muscle loss, which can support recovery. No specific reports of serious problems related to resistance training in these cases have emerged. This is encouraging for those considering joining a similar program for leg fracture recovery.12345

Why are researchers excited about this trial?

Most treatments for broken leg recovery, like physical therapy and rest, focus on gradually increasing mobility and strength over time. However, the structured supervised resistance training program is unique because it introduces a targeted and intensive exercise regimen specifically designed to enhance muscle recovery and strength after surgery. Researchers are excited about this approach because it could accelerate healing and improve outcomes by systematically challenging the muscles, potentially leading to faster and more robust recovery than traditional methods alone. This program adds a layer of active engagement and coaching, offering a personalized and dynamic path to recovery.

What evidence suggests that this resistance training program is effective for broken leg recovery?

Research has shown that structured resistance training aids recovery after bone fractures. In this trial, participants in the Structured Resistance Training Program arm will engage in a 12-week structured, supervised resistance training and activity program, alongside usual postoperative care. Studies have found that gradually increasing resistance exercises boosts muscle strength and walking speed after hip fracture surgery. One study found that trainer-led rehabilitation programs outperform self-directed exercises for adults recovering from ankle fractures. Structured exercise programs also correlate with improved overall movement after hip fractures. These findings suggest that this type of training could enhance strength and function in individuals recovering from fractures of the thigh bone (femur) or shin bone (tibia).26789

Are You a Good Fit for This Trial?

This trial is for adults who had surgery to fix a broken thigh or shin bone (femur or tibia) and are about 12 weeks into recovery. Participants should still have some weakness, pain, or trouble moving after their fracture has healed.

Inclusion Criteria

I can understand instructions and safely join supervised exercise.
Able to provide written informed consent in English without an interpreter
I am between 20 and 65 years old.
See 2 more

Exclusion Criteria

I have chronic pain or a recent history of opioid dependence.
I have fractures in both limbs, open fractures, or multiple serious injuries.
I do not have cognitive problems that affect my ability to consent or participate.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Recruitment

Participants are recruited from routine postoperative fracture clinic visits

Up to 6 months

Treatment

Participants engage in a 12-week structured, supervised resistance training program

12 weeks
Weekly visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

52 weeks
Multiple visits at 12, 18, 24, and 52 weeks post-surgery

What Are the Treatments Tested in This Trial?

Interventions

  • Structured Supervised Resistance Training and Coaching Program

Trial Overview

The study is testing whether a supervised resistance training and coaching program started around 3 months after leg fracture surgery is practical and acceptable compared to usual care without extra exercise support.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Structured Resistance Training ProgramExperimental Treatment1 Intervention
Group II: Usual Care ControlActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

Lead Sponsor

Trials
678
Recruited
421,000+

Citations

Feasibility of Structured Resistance Training After Lower ...

This is a prospective, non-randomized, controlled pilot feasibility study enrolling adults aged 20 to 65 years with isolated diaphyseal femur or ...

Progressive Resistance Training Program Characteristics in ...

Progressive resistance training improved muscle strength and gait speed after hip fracture surgery in adults ≥50years old immediately after the program ended.

Feasibility of Structured Resistance Training After Lower ...

This prospective, non-randomized pilot study evaluates the feasibility and acceptability of a structured, supervised resistance training program ...

Effectiveness of supervised versus self-directed rehabilitation ...

This study will assess whether supervised rehabilitation is more effective than self-directed rehabilitation for adults aged 50 years and older after ankle ...

Structured Exercise Program May Lower Risk of Cancer ...

New study results show that a structured exercise program following surgery and adjuvant chemotherapy reduced the risk of recurrent or new cancer and increased ...

Effects of Progressive Resistance Training After Hip Fracture

Progressive strength training programs in post-hip fracture patients generally show an improvement in functional capacity, strength, balance, walking speed, ...

Influence of muscle loading on early-stage bone fracture ...

Muscle loads could be up to 38% of the joint loads for quiet standing. Omitting muscle loads may lead up to 25% error in interfragmentary strain predictions.

7 Femur Fracture Exercises That Can Restore Strength

Learn how targeted exercises can speed up femur fracture recovery and help regain mobility with this practical guide to ease your healing ...

Tib/Fib fracture recovery EXERCISES (rehab & strength)

In this video, I walk you through a select collection of exercises I've been using to successfully recover from tib/fib fracture surgery.