Aquatic Exercise and Efficacy Enhancement to Decrease Fall Risk in Older Adults With Hip Osteoarthritis

Arthritis Clinical Trial

Official title:

The Effect of Aquatic Exercise and Aquatic Exercise Combined With Education and Efficacy Enhancement on Improving Indices of Fall Risk in Older Adults With Hip Osteoarthritis: a Randomized Controlled Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00289458
• Other study ID #: BIO-REB 05-158
• Status: Completed
• Phase: Phase 1
• First received: February 7, 2006
• Last updated: July 6, 2010
• Start date: October 2005
• Est. completion date: April 2008

Study information

• Verified date: July 2010
• Source: University of Saskatchewan
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Ethics Review Committee
• Study type: Interventional

Clinical Trial Summary

The objective of this project is to determine the effect of aquatic exercise and aquatic exercise combined with an education program on decreasing fall risk in older adults with hip osteoarthritis. The hypothesis is that aquatic exercise will improve function, strength and balance and the addition of the education session will enhance confidence in movement.

Description:

Older adults with hip osteoarthritis (OA) often experience pain and loss of mobility that significantly impairs their ability to walk, climb stairs, shop or participate in exercise programs. This can result in social isolation, depression and loss of confidence in their ability to manage independently in the community. A decline in physical and psycho-social function leads to increased risk of falling. It is crucial to identify high-risk fallers as well as the best interventions to decrease that risk; hip fractures from falls are devastating, resulting in death or admission to long-term care for the majority who sustain them.

Exercise programs designed to improve balance, strength and mobility can help to improve function and decrease risk of falling. However, individuals with hip OA may have difficulty participating in these programs due to pain. Aquatic exercise offers an activity alternative to improve mobility, strength and decrease fall risk. As well, the addition of a group program designed to enhance confidence in movement may further reduce the risk of falls by improving independence to be more active at home and in the community.

This project will evaluate the effect of aquatic exercise and aquatic exercise combined with a group educational program on decreasing fall risk in older adults with hip OA. Determining optimal fall prevention programs may avert death and loss of quality of life for older adults, clearly an important contribution to preventative health care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 79
• Est. completion date: April 2008
• Est. primary completion date: April 2008
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• over age 65

• clinical diagnosis of hip osteoarthritis

Exclusion Criteria:

• medical condition tha significantly decreases functional ability such that not safe to exercise in a community program

• already exercising in a moderate exercise program 2/week or more

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Arthritis
• Osteoarthritis
• Osteoarthritis, Hip

Intervention

Behavioral:
• exercise
A community aquatic exercise program designed for older adults to improve balance, strength and mobility to decrease the risk of falls.
• 2
Same as 1 with the addition of a 1/week educational group program to improve confidence in movement, learn about fall risk and fall prevention and the rationale for the exercises to decrease fall risk.
• Control
no exercise

Locations

Country	Name	City	State
Canada	College of Kinesiology	Saskatoon	Saskatchewan

Sponsors (2)

Lead Sponsor	Collaborator
University of Saskatchewan	Canadian Institutes of Health Research (CIHR)

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Balance	Berg Balance Scale range 0 - 36 (36 is excellent balance, 0 is poor or no ability for standing balance)	baseline and 11 weeks	No
Primary	Change in Chair Stands	change in number of repetitions (the number of times moving from full sitting to full standing in 30 seconds)	baseline and 11 weeks	No
Primary	Change in Walking	change in 6 minute walk (distance in meters covered in 6 minutes)over 11 weeks	baseline and 11 weeks	No
Primary	Change in Falls-Efficacy	change in Activities Balance Confidence Scale (0 - 100, 100 represents high confidence, 0 represents low confidence)	baseline and 11 weeks	No
Primary	Change in Dual Task Function	change in Timed Up and Go Cognitive Test (time in sec., lower number means better performance)	baseline and 11 weeks	No
Secondary	Change in Physical Activity	change in Physical Activity Scale for the Elderly (0 - up to 300, higher score more active)	baseline and 11 weeks	No