- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01076413
Comparison of Two Exercise Interventions to Improve Gait in Older Persons (PRIME)
Comparison of Two Exercise Interventions to Improve Gait in Older Persons: The PRIME (Program to Improve Mobility in The Elderly) Study
Studieoversigt
Status
Betingelser
Intervention / Behandling
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
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Pennsylvania
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Pittsburgh, Pennsylvania, Forenede Stater, 15260
- University of Pittsburgh
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-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- 65 years of age and older
- Ambulatory without an assistive device or the assistance of another person
- Usual 4 meter gait speed ≥1.0 m/s
- Completes a figure-of-eight walk in > 8.0 seconds
Exclusion Criteria:
Inability to participate in testing:
- 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
- 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)
- calf pain or cramping which worsens with walking and is relieved by rest (PAD)
- refusal to walk on a treadmill
Safety concerns:
- dyspnea at rest or during activities of daily living or use supplemental oxygen (CHF, COPD)
- any acute illness or medical condition that is not stable according to the approving physician
- resting systolic blood pressure ≥ 200 mm Hg or diastolic blood pressure ≥ 100 mm Hg or resting heart rate > 100 or < 40 beats per minute85
- diagnosed dementia or cognitive impairment defined as a MMSE score < 24
- hospitalized in the past 6 months for acute illness or surgery, other than minor surgical procedures
- severe visual impairment with visual acuity < 20/70 with best correction
- history of stroke
- fixed or fused lower extremity joints such as hip, knee or ankle
- lower extremity strength <4/5 on manual muscle testing
- lower extremity amputation
- progressive movement disorder such as MS, ALS or Parkinson's disease
Studieplan
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
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2 times per week for 12 weeks Pre gait and gait activities
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Aktiv komparator: aerobic exercise training
warm-up, strengthening and aerobic conditioning (treadmill walking)
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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
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LLFDI function and disability scales
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12 weeks
|
|
Physical Activity
Tidsramme: 12 weeks
|
Actigraph accelerometer
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12 weeks
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Disability and health care costs
Tidsramme: 6 months post exercise
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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
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6 months post exercise
|
Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Publikationer og nyttige links
Generelle publikationer
- Brach JS, Lowry K, Perera S, Hornyak V, Wert D, Studenski SA, VanSwearingen JM. Improving motor control in walking: a randomized clinical trial in older adults with subclinical walking difficulty. Arch Phys Med Rehabil. 2015 Mar;96(3):388-94. doi: 10.1016/j.apmr.2014.10.018. Epub 2014 Nov 10.
- Brach JS, Van Swearingen JM, Perera S, Wert DM, Studenski S. Motor learning versus standard walking exercise in older adults with subclinical gait dysfunction: a randomized clinical trial. J Am Geriatr Soc. 2013 Nov;61(11):1879-86. doi: 10.1111/jgs.12506. Epub 2013 Oct 28.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
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
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Georgia Institute of TechnologyChildren's Healthcare of AtlantaIkke rekrutterer endnuCrouch Gait | Genu RecurvatumForenede Stater
-
Philadelphia University, JordanRekrutteringCerebral parese (CP) | Crouch Gait | Muskelsvaghed | Patient | Diaplegi | Forreste bækkenhældningJordan
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Ludwig Boltzmann Institute for Arthritis and RehabilitationReha-Zentrum GröbmingRekrutteringSlag | Vibrationsterapi | Gangbiomekanik | Robot Assisted Gait TrainingØstrig
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National Taiwan University HospitalAfsluttetCerebral Parese | Crouch GaitTaiwan
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Hospital for Special Surgery, New YorkRekruttering
-
Heidelberg UniversityElse Kröner Fresenius FoundationUkendtCerebral Parese | Fejlstilling | Interal rotationsgang | Crouch GaitTyskland
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G. d'Annunzio UniversityFondazione Centri di Riabilitazione Padre Pio Onlus - Gli Angeli di Padre...RekrutteringCerebral Parese Infantil | Robot Assisted Gait TrainingItalien
Kliniske forsøg med skill based exercise
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-
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Penn State UniversityRekrutteringAutismespektrumforstyrrelseForenede Stater
-
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Sakarya UniversityAfsluttetKunstig intelligens assisteret undervisning i struktureret sygepleje i henhold til ERAS -protokollenCase-baseret læring | Sygeplejestuderende | ERAS | AI (kunstig intelligens) | Uddannelse sygeplejeTyrkiet (Türkiye)
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Saglik Bilimleri UniversitesiAfsluttetAstma hos børnKalkun
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FHI 360United States Agency for International Development (USAID); UNICEF; Ministry...AfsluttetAmning | Ernæring | Underernæring af børnAfghanistan
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Mersin UniversityAfsluttetAfhængighed af sociale medierKalkun