Improving Capacity to Reduce Fall-Related Injury Risk in Older Adults (FAST2)
28. juli 2021 oppdatert av: Cathy Arnold, University of Saskatchewan
Fall Arrest Strategy Training (FAST) is a unique, simple exercise program designed to improve one's ability to prevent injury when a fall is unavoidable.
Women are more likely to participate in fall prevention programming than men despite risk of serious fall related injuries such as head injury similar in both men and women.
The purpose of this project is to test differences between men and women's physical capacity to control the downward descent of a forward fall and prevent injury and to understand factors that influence participation of women and men in fall prevention programming.
A total of 60 seniors (30 men and 30 women) age 60 years or older will do their regular activities for 12 weeks followed by 12 weeks of FAST training.
They will be tested before and after for muscle strength, balance and their ability to land and descend in a simulated forward fall using a safe protocol in our lab.
Group discussions among women and men after FAST will help us determine facilitators and barriers to exercise participation.
Studieoversikt
Detaljert beskrivelse
The purpose of this proposed study is to advance our knowledge of this innovative and simple training program, FAST, to determine if it has potential to improve the physical capacity to arrest a fall and reduce injury risk in older community-dwelling women and men. Using our novel lab-based energy absorption and strength measures, we will be able to compare fall-arrest capacity changes in older men and women.This study will also help to inform strategies to engage older men in exercise programming.
Research Goals and Objectives: The principal research questions of this study are:
- Does the FAST improve fall arrest capacity in older women and men as compared to usual activity (wait control period)?,
- Does FAST increase arm muscle strength, response time, mobility and balance control compared to usual activity? ,
- Are there sex differences in fall risk changes, fall arrest capacity, and chance of head impact? and
- Do men differ from women in their perceptions of the barriers and facilitators to participating in FAST? The hypotheses are that: 1) FAST will result in greater improvements in energy absorption, UE strength, response time and mobility compared to usual activity for both older men and women; however 2) men will demonstrate enhanced fall arrest capacity and 3) will identify unique barriers and facilitators to participation compared to women.
The study is a quasi-experimental pre-post design with a wait list control period where 60 men and women, age 60 years or older will be recruited to participate in FAST.
Studietype
Intervensjonell
Registrering (Faktiske)
78
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
Saskatchewan
-
Saskatoon, Saskatchewan, Canada, S7N 2Z4
- University of Saskatchewan
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-
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
60 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Adults aged 60 years living in the community
Exclusion Criteria:
- recent upper body injury or pain,
- recent or history of more than one distal radial fracture,
- history of upper extremity neurological conditions or conditions contradicting upper extremity strength testing or training,
- signs of severe cognitive impairment identified with the mini-Cog
- unable to safely ambulate independently in the community
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Annen
- Tildeling: Ikke-randomisert
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Aktiv komparator: FAST
12 weeks of FAST, 2/week 45 minute sessions with half hour per week of education, same group of men and women
|
usual activities
|
|
Placebo komparator: wait control
12 weeks of usual activity prior to intervention, same group of men and women
|
usual activities
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Muscle strength dynamic
Tidsramme: 12 weeks
|
concentric and eccentric isokinetic dynamometry
|
12 weeks
|
|
Muscle Strength isometric
Tidsramme: 12 weeks
|
Hand held dynamometry
|
12 weeks
|
|
Muscle Strength isometric
Tidsramme: 12 weeks
|
grip strength
|
12 weeks
|
|
Muscle strength isometric
Tidsramme: 12 weeks
|
push off test
|
12 weeks
|
|
response time
Tidsramme: 12 weeks
|
signal to touch on force plate
|
12 weeks
|
|
Balance
Tidsramme: 12 weeks
|
one leg stand
|
12 weeks
|
|
Balance
Tidsramme: 12 weeks
|
tandem stand
|
12 weeks
|
|
Balance
Tidsramme: 12 weeks
|
modified clinical test of sensory interaction and balancer
|
12 weeks
|
|
Balance Confidence
Tidsramme: 12 weeks
|
Activities balance confidence scale
|
12 weeks
|
|
Fall Risk
Tidsramme: 12 weeks
|
Fall Risk for older people in the community-screen
|
12 weeks
|
|
timed up and go test
Tidsramme: 12 weeks
|
stand, walk 3 meters, turn and return to sit
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12 weeks
|
|
chair stand
Tidsramme: 12 weeks
|
30-second chair stand test
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12 weeks
|
|
gait velocity
Tidsramme: 12 weeks
|
timed 6 meters within 10 meter walk
|
12 weeks
|
|
fall landing capacity
Tidsramme: 12 weeks
|
energy absorption, force, elbow range of motion
|
12 weeks
|
Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
physical activity
Tidsramme: 12 weeks
|
physical activity scale for the elderly
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12 weeks
|
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fall history
Tidsramme: 12 weeks
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questionnaire
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12 weeks
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Cathy o Arnold, School of Physical Therapy
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
1. januar 2017
Primær fullføring (Faktiske)
31. desember 2018
Studiet fullført (Faktiske)
31. januar 2019
Datoer for studieregistrering
Først innsendt
28. juli 2021
Først innsendt som oppfylte QC-kriteriene
28. juli 2021
Først lagt ut (Faktiske)
3. august 2021
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
3. august 2021
Siste oppdatering sendt inn som oppfylte QC-kriteriene
28. juli 2021
Sist bekreftet
1. juli 2021
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- University of Saskatchewan
Plan for individuelle deltakerdata (IPD)
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IPD-planbeskrivelse
de-identified group data to be shared via peer review publication and on request to corresponding author
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