- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02648646
Falls Prevention Program for Adults With Osteoarthritis
Purpose: To report the feasibility and to obtain preliminary data on the effects of using an enhanced Otago Exercise Programme to reduce fall risk in individuals with osteoarthritis (OA).
Participants: Ten participants from the Johnston County Osteoarthritis Project who have OA, are at risk for falls, and are 65+ years old.
Procedures (methods): All participants will receive the 6-month enhanced Otago program. The investigators will assemble data: quantifying participant adherence to and safety of the intervention, ascertaining retention of participants for 6 months, determining acceptability of the program, and other validated measures (e.g., number of falls and fall severity, balance measures).
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- history of falls
- knee or hip radiographic OA
- 65+ years of age
- normal cognitive function (based on the Mini-Mental State Examination)
- current knee/hip symptoms
Exclusion Criteria:
- hospitalized for stroke, myocardial infarction, or coronary artery revascularization in past 3 months
- diagnosis of metastatic cancer in the past 3 months
- terminal illness
- progressive neurological disorders
- rheumatoid arthritis
- severe fibromyalgia
- other systemic rheumatic disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Single Arm - Intervention
Receives Otago Exercise Programme and Walk with Ease
|
The Otago Exercise Programme is a falls prevention program that is successful at reducing falls in adults 65+ years of age.
Briefly, this program includes flexibility, progressive lower extremity strengthening with ankle weights, and balance exercises.
The investigators are replacing the Otago walking program with the evidence-based Arthritis Foundation's Walk With Ease program.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Participant Adherence to Intervention
Time Frame: 6 months
|
Number of participants who adhere to the intervention.
|
6 months
|
Participant Safety With the Intervention
Time Frame: 6 months
|
Number and type of adverse events related to the intervention.
|
6 months
|
Retention of Participants
Time Frame: 6 months
|
Number of participants who participate in the study for the full 6 month program.
|
6 months
|
Acceptability of the Program
Time Frame: 6 months
|
Descriptive summary of participants' reports from closing interview of what they like and do not like about the program, any challenges they experienced with doing the program, and whether they plan to continue what they learned.
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Falls
Time Frame: Baseline to Month 6
|
Participant will record occurrence of falls on a monthly falls calendar.
Number of falls over the 6 month program will be calculated.
|
Baseline to Month 6
|
Number of People With Severe of Falls
Time Frame: Baseline to Month 6
|
Participant will record whether the fall resulted in an injury and the type of injury that occurred.
A fall will be considered severe if an injury occurred.
|
Baseline to Month 6
|
Berg Balance Scale
Time Frame: Baseline
|
This is 14 item scale that measures balance among older adults.
The participant attempts to complete 14 different balance tests (e.g., stand unsupported with eyes closed, pick up object from floor from standing position), closely supervised by a physical therapist to prevent fall or injury.
The test takes no more than 15 minutes to complete and a total score is calculated of 0-56 (high fall risk to low fall risk).
|
Baseline
|
Four-tests Balance: Feet Together Stand
Time Frame: Baseline
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Baseline
|
Hand Grip Dynamometry Right Hand
Time Frame: Baseline
|
Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.
|
Baseline
|
30-second Chair Stand Test
Time Frame: Baseline
|
Participant rises from chair to full standing position and sits back down as quickly as possible for 30 seconds.
Number of completed sit to stand to sit maneuvers is recorded.
|
Baseline
|
Timed Up and Go Test
Time Frame: Baseline
|
Participant stands up from chair, walks 3 meters, turns around, walks back to chair, and sits down.
Time to complete task is recorded in seconds.
|
Baseline
|
Stair Climb Test
Time Frame: Baseline
|
Participant ascends and descends 3 stairs as quickly as possible in a safe manner, using handrail and walking aid if needed.
Time to complete task is recorded in seconds.
|
Baseline
|
Western Ontario and McMaster Universities Osteoarthritis Index
Time Frame: Baseline
|
This questionnaire include 5 questions about knee or hip pain, 2 questions about knee or hip stiffness, and 17 questions about difficulty with performing daily activities that involve the lower body.
Each item is scored from 0-4 (none, slight, moderate, severe, and extreme).
A total score is calculated by summing the item scores and ranges from 0 (no problems) to 96 (extreme problems).
|
Baseline
|
Activities-specific Balance Confidence Scale
Time Frame: Baseline
|
Participant reports level of confidence in doing an activity without losing balance or becoming unsteady on a scale of 0-100%.
The ratings are totaled and divided by 16 (the number of items) to calculate a total score.
|
Baseline
|
Rapid Assessment of Physical Activity: Aerobic Score
Time Frame: Baseline
|
Participants are asked to identify from a list of 7 items which one accurately describes their current level of aerobic physical activity. Participants who identify with items 6 or 7 are considered active. Those who identify with items 1-5 are considered to have suboptimal aerobic physical activity levels. Sedentary:
|
Baseline
|
Berg Balance Scale
Time Frame: Week 8
|
This is 14 item scale that measures balance among older adults.
The participant attempts to complete 14 different balance tests (e.g., stand unsupported with eyes closed, pick up object from floor from standing position), closely supervised by a physical therapist to prevent fall or injury.
The test takes no more than 15 minutes to complete and a total score is calculated of 0-56 (high fall risk to low fall risk).
|
Week 8
|
Berg Balance Scale
Time Frame: Month 6
|
This is 14 item scale that measures balance among older adults.
The participant attempts to complete 14 different balance tests (e.g., stand unsupported with eyes closed, pick up object from floor from standing position), closely supervised by a physical therapist to prevent fall or injury.
The test takes no more than 15 minutes to complete and a total score is calculated of 0-56 (high fall risk to low fall risk).
|
Month 6
|
Four-tests Balance: Feet Together Stand
Time Frame: Week 8
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Week 8
|
Four-tests Balance: Feet Together Stand
Time Frame: Month 6
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Month 6
|
Four-tests Balance: Semi-tandem Stand
Time Frame: Baseline
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Baseline
|
Four-tests Balance: Semi-tandem Stand
Time Frame: Week 8
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Week 8
|
Four-tests Balance: Semi-tandem Stand
Time Frame: Month 6
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Month 6
|
Four-tests Balance: Tandem Stand
Time Frame: Baseline
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Baseline
|
Four-tests Balance: Tandem Stand
Time Frame: Week 8
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Week 8
|
Four-tests Balance: Tandem Stand
Time Frame: Month 6
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Month 6
|
Four-tests Balance: One Leg Stand
Time Frame: Baseline
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Baseline
|
Four-tests Balance: One Leg Stand
Time Frame: Week 8
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Week 8
|
Four-tests Balance: One Leg Stand
Time Frame: Month 6
|
Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds.
Time for each test is recorded in seconds.
If the participant cannot achieve a task, this is recorded as 0 seconds.
|
Month 6
|
Hand Grip Dynamometry Right Hand
Time Frame: Week 8
|
Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.
|
Week 8
|
Hand Grip Dynamometry Right Hand
Time Frame: Month 6
|
Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.
|
Month 6
|
Hand Grip Dynamometry Left Hand
Time Frame: Baseline
|
Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.
|
Baseline
|
Hand Grip Dynamometry Left Hand
Time Frame: Week 8
|
Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.
|
Week 8
|
Hand Grip Dynamometry Left Hand
Time Frame: Month 6
|
Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.
|
Month 6
|
30-second Chair Stand Test
Time Frame: Week 8
|
Participant rises from chair to full standing position and sits back down as quickly as possible for 30 seconds.
Number of completed sit to stand to sit maneuvers is recorded.
|
Week 8
|
30-second Chair Stand Test
Time Frame: Month 6
|
Participant rises from chair to full standing position and sits back down as quickly as possible for 30 seconds.
Number of completed sit to stand to sit maneuvers is recorded.
|
Month 6
|
Timed Up and Go Test
Time Frame: Week 8
|
Participant stands up from chair, walks 3 meters, turns around, walks back to chair, and sits down.
Time to complete task is recorded in seconds.
|
Week 8
|
Timed Up and Go Test
Time Frame: Month 6
|
Participant stands up from chair, walks 3 meters, turns around, walks back to chair, and sits down.
Time to complete task is recorded in seconds.
|
Month 6
|
Stair Climb Test
Time Frame: Week 8
|
Participant ascends and descends 3 stairs as quickly as possible in a safe manner, using handrail and walking aid if needed.
Time to complete task is recorded in seconds.
|
Week 8
|
Stair Climb Test
Time Frame: Month 6
|
Participant ascends and descends 3 stairs as quickly as possible in a safe manner, using handrail and walking aid if needed.
Time to complete task is recorded in seconds.
|
Month 6
|
Western Ontario and McMaster Universities Osteoarthritis Index
Time Frame: Week 8
|
This questionnaire include 5 questions about knee or hip pain, 2 questions about knee or hip stiffness, and 17 questions about difficulty with performing daily activities that involve the lower body.
Each item is scored from 0-4 (none, slight, moderate, severe, and extreme).
A total score is calculated by summing the item scores and ranges from 0 (no problems) to 96 (extreme problems).
|
Week 8
|
Western Ontario and McMaster Universities Osteoarthritis Index
Time Frame: Month 6
|
This questionnaire include 5 questions about knee or hip pain, 2 questions about knee or hip stiffness, and 17 questions about difficulty with performing daily activities that involve the lower body.
Each item is scored from 0-4 (none, slight, moderate, severe, and extreme).
A total score is calculated by summing the item scores and ranges from 0 (no problems) to 96 (extreme problems).
|
Month 6
|
Activities-specific Balance Confidence Scale
Time Frame: Week 8
|
Participant reports level of confidence in doing an activity without losing balance or becoming unsteady on a scale of 0-100%.
The ratings are totaled and divided by 16 (the number of items) to calculate a total score.
|
Week 8
|
Activities-specific Balance Confidence Scale
Time Frame: Month 6
|
Participant reports level of confidence in doing an activity without losing balance or becoming unsteady on a scale of 0-100%.
The ratings are totaled and divided by 16 (the number of items) to calculate a total score.
|
Month 6
|
Rapid Assessment of Physical Activity: Aerobic Score
Time Frame: Week 8
|
Participants are asked to identify from a list of 7 items which one accurately describes their current level of aerobic physical activity. Participants who identify with items 6 or 7 are considered active. Those who identify with items 1-5 are considered to have suboptimal aerobic physical activity levels. Sedentary:
|
Week 8
|
Rapid Assessment of Physical Activity: Aerobic Score
Time Frame: Month 6
|
Participants are asked to identify from a list of 7 items which one accurately describes their current level of aerobic physical activity. Participants who identify with items 6 or 7 are considered active. Those who identify with items 1-5 are considered to have suboptimal aerobic physical activity levels. Sedentary:
|
Month 6
|
Collaborators and Investigators
Investigators
- Principal Investigator: Yvonne Golightly, PT, PhD, University of North Carolina, Chapel Hill
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 15-1448
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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