Home Based Exercise in Preventing Fall and Improving Balance in Older People

April 9, 2015 updated by: Chitima Boongird, Mahidol University

Effectiveness of a Simple Designed Programme of Home Based Exercise in Preventing Fall and Improving Balance and Strength in Older People With Mild to Moderate Balance Dysfunction: A Randomized Controlled Trials

Prior studies have shown multifaceted falls prevention program with home-based exercise reduced falls significantly in the community setting. The Otago exercise program has been tested in four separated controlled trials of community living people in New Zealand. Falls were the main outcome in each trail and were defined as "unintentionally coming to rest on the ground, floor or other lower level". Not only this combination strengthening and balance training exercise could reduce fall but also could benefit in cost-effectiveness for fall prevention and decrease mortality in those 80 and older. However the limitation of Otago exercise program is that the program was needed to be trained by skill nurses or physical therapists. There are 17 steps levels to adhere the program. As some studies have shown that fall prevention program adherence could be as low as 10-40%. In Thailand the lack of medical staffs are continued the problem in the community. Therefore to establish fall prevention guideline that will be suitable and translated into the real setting, this study is aimed to test the effectiveness of simple program home-based exercise comparing to non-simple program home based exercise in preventing fall and improve muscle strength and balance dysfunction in older people with mild to moderate balance dysfunction. The method is the randomized controlled trails.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

439

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Thailand
      • Bangkok, Thailand, 10400
        • Ramathibodi Hospital, Mahidol University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

65 years and older (Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Thai elderly aged 65 years or older
  2. able to communicate and follow the home-based exercise programme

  3. mild to moderate balance dysfunctions as followings:

    • functional reach test score less than 26 cm.
    • five time sit to stand test more than 17.9 seconds
    • able to walk independently or walk with only single cane
  4. non diagnosed with moderate to severe dementia or depression
  5. non diagnosed with parkinson disease
  6. non diagnosed with cerebrovascular disease with less than grade 4 hemiparesis.
  7. non diagnosed with acute arthritis or recent diagnosed within 6 months.
  8. informed and consent to participate in the study
  9. not participate in regular Tai-chi or Yoga exercise training.

Exclusion criteria:

  1. Participants would like to withdraw from the study.
  2. severe injury occured after following simple designed exercise program eg. tendon injuries.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Home based exercise
simple designed home based exercise program
Behavioral: Home based exercise
modified Otago exercise program to simple designed home based exercise program
Other Names:
  • combination strengthening and balance training program
Other: fall prevention education and counseling
Active Comparator: fall prevention education and counseling
fall prevention education & counseling : home modification, vision screening, avoid sedative drugs use, proper shoes, report dizziness and fall to doctors
Other: fall prevention education and counseling

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
number of falls
Time Frame: 1 year
Number of falls were measured at baseline, 12 weeks, 24 weeks and 1 year. At baseline, the participants will be interviewed the number of falls that occurred in the past 1 year period before enrollment.
1 year

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
muscle strength
Time Frame: baseline, 12 weeks and 24 weeks

There are two Measurements as following:

  1. Five time sit to stand test The participant stood up and sat down as quickly as possible from standard chair (47 cm high) 5 times, with arms folded across the chest.
  2. Timed up and go test The time required to rise from a chair, walk 3 meters distance, turn around, walk back and sit down.
baseline, 12 weeks and 24 weeks
Balance
Time Frame: Baseline, 12 weeks and 24 weeks
The participants will be tested their balances by using Short form of Berg Balance scale (7 items, 0-28 scores.)
Baseline, 12 weeks and 24 weeks

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
fear of falling
Time Frame: baseline and at 24 weeks.
Thai Falls efficacy scale-international (FES-I)
baseline and at 24 weeks.
Quality of life
Time Frame: 1 year
The participants will be interviewed by using Thai EQ-5D questionaires.
1 year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Mahidol University

Investigators

  • Principal Investigator: Chitima Boongird, MD, Department of Family Medicine, Ramathibodi Hospital, Mahidol University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

August 1, 2013

Primary Completion (Actual)

March 1, 2015

Study Completion (Actual)

March 1, 2015

Study Registration Dates

First Submitted

March 10, 2014

First Submitted That Met QC Criteria

March 17, 2014

First Posted (Estimate)

March 18, 2014

Study Record Updates

Last Update Posted (Estimate)

April 13, 2015

Last Update Submitted That Met QC Criteria

April 9, 2015

Last Verified

April 1, 2015

More Information

Terms related to this study

Other Study ID Numbers

  • 01-56-37

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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