Effect of Baduanjin on Functional Performance in Pre-Frail/Frail Older Adults

Effect of Community-based Baduanjin (八段锦) on Functional Performance in Pre-Frail/Frail Older Adults: A Randomised Controlled Trial

Sponsors

Lead Sponsor: Geriatric Education and Research Institute

Collaborator: Tsao Foundation

Source Geriatric Education and Research Institute
Brief Summary

The aim for this study is to investigate the effectiveness of a 16-week realistic community-delivered Baduanjin training program compared to a waitlist control intervention, in improving functional outcomes among pre-frail and frail older adults in Singapore. It is hypothesized that participants that receive 16-week of BDJ training will have significant improvement in physical function (including balance, muscle strength, and endurance); alleviate exhaustion; reduce risk of falling and fear of falling; potentially reverse frailty; reduce depression; and improve quality of life, potentially with greater improvements in area(s) for individuals with lower baseline measures. Whereas, participants in the waitlist control group, will have insignificant changes to their baseline measures.

Overall Status Not yet recruiting
Start Date January 2021
Completion Date December 2023
Primary Completion Date December 2022
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Change in Knee Extension Strength Baseline, and after 16-weeks of intervention
Change in Maastricht Vital Exhaustion Score (MQ) Baseline, and after 16-weeks of intervention
Change in Falls Efficacy Scale-International (FES-I) Baseline, and after 16-weeks of intervention
Secondary Outcome
Measure Time Frame
Change in Physiological Profile Assessment. (PPA - Short Form) Baseline, and after 16-weeks of intervention
Change in Hand Grip Strength Baseline, and after 16-weeks of intervention
Change in 6-meter Fast Gait Speed Test Baseline, and after 16-weeks of intervention
Change in Time Up and Go test (TUG) Baseline, and after 16-weeks of intervention
Change in 30 seconds Sit-to-stand (STS) Baseline, and after 16-weeks of intervention
Change in Frailty Score Baseline, and after 16-weeks of intervention
Change in EuroQol-Five Dimensions (EQ-5D) Baseline, and after 16-weeks of intervention
Change in Geriatric Depression Scale (GDS) Baseline, and after 16-weeks of intervention
Enrollment 60
Condition
Intervention

Intervention Type: Other

Intervention Name: Baduanjin exercise program

Description: Baduanjin (BDJ), also known as Eight-Section Brocades, is one of the forms of traditional Chinese Qigong exercises, characterized by symmetrical physical posture, movements, mindfulness, and breathing. Its primary focus is on the release of 'Qi' or internal body energy with the intent of improving health outcomes. BDJ encompasses eight simple movements involving combinations of postures, meditation, slow relaxing movements, and breathing exercises. It is a low intensity exercise, which have been found to improve range of motion, strength and general health. The simplicity and low intensity level is ideal for older adults to practice at home using instructional videos.

Arm Group Label: Intervention Group

Eligibility

Criteria:

Inclusion Criteria:

- Pre-frail and frail adults aged 55 years and above

- Able to ambulate (move about) without personal assistance and has no other physical limitations affecting participation and adherence

- Able to understand basic instructions

- Generally sedentary lifestyle

Exclusion Criteria:

- Participating in other intervention studies

- Perform regular moderate to vigorous intensity exercise

- Perform regular Taichi or Qigong exercise

- Have severe audio-visual impairment

- Diagnosed with cognitive impairment (e.g. dementia, Alzheimer's Disease) and/or history of neurological disorder (e.g. cerebral palsy, Parkinson's Disease)

- Diagnosed with postural hypotension (have a drop of 20mmHg systolic blood pressure, or a drop of 10mmHg diastolic blood pressure within two to five minutes of standing up, or if standing causes signs and symptoms)

- Unable to participate for the full duration of the study

- Unable to come to the training site by himself/herself or by the help of caregivers

- Not suitable to participate in exercise as deemed by a medical doctor

Gender: All

Minimum Age: 55 Years

Maximum Age: N/A

Healthy Volunteers: No

Overall Contact

Last Name: Shiou-Liang Wee, PhD

Phone: +65 6807 8018

Email: [email protected]

Verification Date

September 2020

Responsible Party

Type: Sponsor

Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: Intervention Group

Type: Experimental

Description: Intervention group will receive the 16-week Baduanjin exercise intervention.

Label: Control Group

Type: No Intervention

Description: Control group will not receive the exercise intervention, but they will attend four education classes about managing their health status.

Patient Data No
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Intervention Model Description: Randomised controlled trail

Primary Purpose: Treatment

Masking: Double (Investigator, Outcomes Assessor)

Source: ClinicalTrials.gov