Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Comparison of Two Exercise Interventions to Improve Gait in Older Persons (PRIME)

21. januar 2016 opdateret af: Jennifer S. Brach, University of Pittsburgh

Comparison of Two Exercise Interventions to Improve Gait in Older Persons: The PRIME (Program to Improve Mobility in The Elderly) Study

The purpose of this research study is to compare two different exercise treatments for walking problems in older adults. The investigators want to determine if participation in the exercise programs for 3 months will improve walking abilities by improving balance and strength.

Studieoversigt

Detaljeret beskrivelse

The purpose of this research study is to compare two different exercise treatments for walking problems in older adults. We want to determine if participation in the exercise programs for 3 months will improve walking abilities by improving balance and strength.

Adults aged 65 years or older, who are able to walk without the help of another person, are being asked to participate. If you are able to walk independently and you have medical clearance from your physician to participate in activities requiring low to moderate physical activity, you are invited to participate. We plan to enroll 40 older adults, all who have small problems with walking due to balance or strength, in this research study.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

40

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Pennsylvania
      • Pittsburgh, Pennsylvania, Forenede Stater, 15260
        • University of Pittsburgh

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

65 år og ældre (Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. 65 years of age and older
  2. Ambulatory without an assistive device or the assistance of another person
  3. Usual 4 meter gait speed ≥1.0 m/s
  4. Completes a figure-of-eight walk in > 8.0 seconds

Exclusion Criteria:

  1. Inability to participate in testing:

    1. persistent lower extremity pain that is present on most days of the week and crepitus, tenderness or enlargement of joints of the lower extremity (arthritis).84
    2. back pain that is present on most days of the weeks and interferes with walking and activities of daily living or back pain that increases with walking (lumbar stenosis)
    3. calf pain or cramping which worsens with walking and is relieved by rest (PAD)
    4. refusal to walk on a treadmill
  2. Safety concerns:

    1. dyspnea at rest or during activities of daily living or use supplemental oxygen (CHF, COPD)
    2. any acute illness or medical condition that is not stable according to the approving physician
    3. resting systolic blood pressure ≥ 200 mm Hg or diastolic blood pressure ≥ 100 mm Hg or resting heart rate > 100 or < 40 beats per minute85
    4. diagnosed dementia or cognitive impairment defined as a MMSE score < 24
    5. hospitalized in the past 6 months for acute illness or surgery, other than minor surgical procedures
    6. severe visual impairment with visual acuity < 20/70 with best correction
    7. history of stroke
    8. fixed or fused lower extremity joints such as hip, knee or ankle
    9. lower extremity strength <4/5 on manual muscle testing
    10. lower extremity amputation
    11. progressive movement disorder such as MS, ALS or Parkinson's disease

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: skill-based exercise
2 times per week for 12 weeks. warm-up, stretching, strengthening, and skill-based exercises. Pre-gait and gait activities including stepping patterns and walking patterns and treadmill training at various walking speeds
2 times per week for 12 weeks Pre gait and gait activities
Aktiv komparator: aerobic exercise training
warm-up, strengthening and aerobic conditioning (treadmill walking)
2 times per week for 12 weeks. aerobic conditioning exercise consisting of treadmill walking

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Gait
Tidsramme: 12 weeks
gait characteristics, smoothness of walking, 6 MWT, complex walking tests, GARS-M, SPPB, energy cost, SAFFE, GES, figure of 8
12 weeks
Physical function
Tidsramme: 12 weeks
LLFDI function and disability scales
12 weeks
Physical Activity
Tidsramme: 12 weeks
Actigraph accelerometer
12 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Disability and health care costs
Tidsramme: 6 months post exercise
Late Life Function and disability index, fall history and health care cost questionnaire will be administered through a phone interview 6 months following completion of the exercise program
6 months post exercise

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. marts 2010

Primær færdiggørelse (Faktiske)

1. september 2011

Studieafslutning (Faktiske)

1. marts 2012

Datoer for studieregistrering

Først indsendt

24. februar 2010

Først indsendt, der opfyldte QC-kriterier

25. februar 2010

Først opslået (Skøn)

26. februar 2010

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

25. januar 2016

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

21. januar 2016

Sidst verificeret

1. januar 2016

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • PRO09080228
  • K23AG026766 (U.S. NIH-bevilling/kontrakt)

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Gang

Kliniske forsøg med skill based exercise

Abonner