Home Based Exercise in Preventing Fall and Improving Balance in Older People
2015年4月9日 更新者:Chitima Boongird、Mahidol University
Effectiveness of a Simple Designed Programme of Home Based Exercise in Preventing Fall and Improving Balance and Strength in Older People With Mild to Moderate Balance Dysfunction: A Randomized Controlled Trials
Prior studies have shown multifaceted falls prevention program with home-based exercise reduced falls significantly in the community setting.
The Otago exercise program has been tested in four separated controlled trials of community living people in New Zealand.
Falls were the main outcome in each trail and were defined as "unintentionally coming to rest on the ground, floor or other lower level".
Not only this combination strengthening and balance training exercise could reduce fall but also could benefit in cost-effectiveness for fall prevention and decrease mortality in those 80 and older.
However the limitation of Otago exercise program is that the program was needed to be trained by skill nurses or physical therapists.
There are 17 steps levels to adhere the program.
As some studies have shown that fall prevention program adherence could be as low as 10-40%.
In Thailand the lack of medical staffs are continued the problem in the community.
Therefore to establish fall prevention guideline that will be suitable and translated into the real setting, this study is aimed to test the effectiveness of simple program home-based exercise comparing to non-simple program home based exercise in preventing fall and improve muscle strength and balance dysfunction in older people with mild to moderate balance dysfunction.
The method is the randomized controlled trails.
研究概览
地位
完全的
研究类型
介入性
注册 (实际的)
439
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
-
-
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Bangkok、泰国、10400
- Ramathibodi Hospital, Mahidol University
-
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参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
65年 及以上 (年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Thai elderly aged 65 years or older
- able to communicate and follow the home-based exercise programme
mild to moderate balance dysfunctions as followings:
- functional reach test score less than 26 cm.
- five time sit to stand test more than 17.9 seconds
- able to walk independently or walk with only single cane
- non diagnosed with moderate to severe dementia or depression
- non diagnosed with parkinson disease
- non diagnosed with cerebrovascular disease with less than grade 4 hemiparesis.
- non diagnosed with acute arthritis or recent diagnosed within 6 months.
- informed and consent to participate in the study
- not participate in regular Tai-chi or Yoga exercise training.
Exclusion criteria:
- Participants would like to withdraw from the study.
- severe injury occured after following simple designed exercise program eg. tendon injuries.
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
实验性的:Home based exercise
simple designed home based exercise program
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modified Otago exercise program to simple designed home based exercise program
其他名称:
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有源比较器:fall prevention education and counseling
fall prevention education & counseling : home modification, vision screening, avoid sedative drugs use, proper shoes, report dizziness and fall to doctors
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
number of falls
大体时间:1 year
|
Number of falls were measured at baseline, 12 weeks, 24 weeks and 1 year.
At baseline, the participants will be interviewed the number of falls that occurred in the past 1 year period before enrollment.
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1 year
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
muscle strength
大体时间:baseline, 12 weeks and 24 weeks
|
There are two Measurements as following:
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baseline, 12 weeks and 24 weeks
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Balance
大体时间:Baseline, 12 weeks and 24 weeks
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The participants will be tested their balances by using Short form of Berg Balance scale (7 items, 0-28 scores.)
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Baseline, 12 weeks and 24 weeks
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其他结果措施
结果测量 |
措施说明 |
大体时间 |
---|---|---|
fear of falling
大体时间:baseline and at 24 weeks.
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Thai Falls efficacy scale-international (FES-I)
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baseline and at 24 weeks.
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Quality of life
大体时间:1 year
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The participants will be interviewed by using Thai EQ-5D questionaires.
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1 year
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员:Chitima Boongird, MD、Department of Family Medicine, Ramathibodi Hospital, Mahidol University
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Howe TE, Rochester L, Neil F, Skelton DA, Ballinger C. Exercise for improving balance in older people. Cochrane Database Syst Rev. 2011 Nov 9;(11):CD004963. doi: 10.1002/14651858.CD004963.pub3.
- Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S, Cumming RG, Rowe BH. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD007146. doi: 10.1002/14651858.CD007146.pub2.
- Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.
- Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990 Nov;45(6):M192-7. doi: 10.1093/geronj/45.6.m192.
- Yang XJ, Hill K, Moore K, Williams S, Dowson L, Borschmann K, Simpson JA, Dharmage SC. Effectiveness of a targeted exercise intervention in reversing older people's mild balance dysfunction: a randomized controlled trial. Phys Ther. 2012 Jan;92(1):24-37. doi: 10.2522/ptj.20100289. Epub 2011 Oct 6.
- Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JC. Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc. 2008 Dec;56(12):2234-43. doi: 10.1111/j.1532-5415.2008.02014.x.
- Thomas S, Mackintosh S, Halbert J. Does the 'Otago exercise programme' reduce mortality and falls in older adults?: a systematic review and meta-analysis. Age Ageing. 2010 Nov;39(6):681-7. doi: 10.1093/ageing/afq102. Epub 2010 Sep 4.
- Campbell AJ, Robertson MC, Gardner MM, Norton RN, Tilyard MW, Buchner DM. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ. 1997 Oct 25;315(7115):1065-9. doi: 10.1136/bmj.315.7115.1065.
- Day L, Fildes B, Gordon I, Fitzharris M, Flamer H, Lord S. Randomised factorial trial of falls prevention among older people living in their own homes. BMJ. 2002 Jul 20;325(7356):128. doi: 10.1136/bmj.325.7356.128.
- Day L. The Otago strength and balance exercise programme lowers the risk of death and falls in the older people at 12 months. Evid Based Nurs. 2011 Jul;14(3):76-8. doi: 10.1136/ebn1157. Epub 2011 Mar 24. No abstract available.
- Kuptniratsaikul V, Praditsuwan R, Assantachai P, Ploypetch T, Udompunturak S, Pooliam J. Effectiveness of simple balancing training program in elderly patients with history of frequent falls. Clin Interv Aging. 2011;6:111-7. doi: 10.2147/CIA.S17851. Epub 2011 May 6.
- Simek EM, McPhate L, Haines TP. Adherence to and efficacy of home exercise programs to prevent falls: a systematic review and meta-analysis of the impact of exercise program characteristics. Prev Med. 2012 Oct;55(4):262-275. doi: 10.1016/j.ypmed.2012.07.007. Epub 2012 Jul 17.
- Gates S, Fisher JD, Cooke MW, Carter YH, Lamb SE. Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. BMJ. 2008 Jan 19;336(7636):130-3. doi: 10.1136/bmj.39412.525243.BE. Epub 2007 Dec 18.
- Fabacher D, Josephson K, Pietruszka F, Linderborn K, Morley JE, Rubenstein LZ. An in-home preventive assessment program for independent older adults: a randomized controlled trial. J Am Geriatr Soc. 1994 Jun;42(6):630-8. doi: 10.1111/j.1532-5415.1994.tb06862.x.
- Kimman M, Vathesatogkit P, Woodward M, Tai ES, Thumboo J, Yamwong S, Ratanachaiwong W, Wee HL, Sritara P. Validity of the Thai EQ-5D in an occupational population in Thailand. Qual Life Res. 2013 Aug;22(6):1499-506. doi: 10.1007/s11136-012-0251-2. Epub 2012 Aug 25.
- Csuka M, McCarty DJ. Simple method for measurement of lower extremity muscle strength. Am J Med. 1985 Jan;78(1):77-81. doi: 10.1016/0002-9343(85)90465-6.
- Chou CY, Chien CW, Hsueh IP, Sheu CF, Wang CH, Hsieh CL. Developing a short form of the Berg Balance Scale for people with stroke. Phys Ther. 2006 Feb;86(2):195-204.
- Hill KD, Schwarz JA, Kalogeropoulos AJ, Gibson SJ. Fear of falling revisited. Arch Phys Med Rehabil. 1996 Oct;77(10):1025-9. doi: 10.1016/s0003-9993(96)90063-5.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2013年8月1日
初级完成 (实际的)
2015年3月1日
研究完成 (实际的)
2015年3月1日
研究注册日期
首次提交
2014年3月10日
首先提交符合 QC 标准的
2014年3月17日
首次发布 (估计)
2014年3月18日
研究记录更新
最后更新发布 (估计)
2015年4月13日
上次提交的符合 QC 标准的更新
2015年4月9日
最后验证
2015年4月1日
更多信息
与本研究相关的术语
其他研究编号
- 01-56-37
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
生活质量的临床试验
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Swansea University完全的
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Yale-NUS College完全的
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Scripps Translational Science Institute完全的
Home based exercise的临床试验
-
University of Maryland, BaltimoreNational Institute on Aging (NIA)完全的
-
University of MinnesotaNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)完全的
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University Health Network, TorontoSunnybrook Health Sciences Centre; University of Toronto主动,不招人
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University of North Carolina, Chapel HillNational Institute of Nursing Research (NINR)完全的