The Effectiviness of Pilates on the Risk of Fall in Healthy Older Adults

Healthy Clinical Trial

Official title:

The Effectiviness of Pilates on the Risk of Fall in Healthy Older Adults

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04343300
• Other study ID #: LdaSilva
• Secondary ID: CAPES
• Status: Completed
• Phase: N/A
• Start date: January 2016
• Est. completion date: December 2018

Study information

• Verified date: April 2020
• Source: National University of Ireland, Galway, Ireland
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This research examine the effectiveness of a Pilates intervention for reducing the risk of falls among adults aged over 65 years. The effects were measured the Pilates classes with a supplementary home-based exercises in two phases: Phase I investigated (Mat Pilates supervised with a supplementary home-based Pilates exercise for the pre and post-test of 6 weeks intervention. Eligible 32 participants). The main study randomised controlled trial (phase II) investigate whether a Pilates intervention of 12 weeks with a supplementary at home program is effective in reducing falls risk factors. Pilates group which practiced Pilates and the control group which did not practice Pilates The aim of the study is to identify whether spatiotemporal gait parameters, mobility, postural stability parameters of anteroposterior and mediolateral (AP-ML), functional mobility, fear of falling and physical activity changes.

Description:

There are a lack of studies evaluating the spatiotemporal parameters of gait, fear of falling, and physicial activity after a Pilates intervention. The inclusion criteria were healthy older adults (≥ 65 years). Demographic details: age, gender, height, weight, Body Mass Index, health status, 2 question of fear and previous falls (one year). Screening test: The Montreal cognitive MOCA test. Participants were assessed using the following fall-predictor measures. Primary outcomes: the 16-item Falls Efficacy Scale-International (FES-16), and the Footwork Pro pressure plate system. Secondary outcomes: the Timed Up and Go (TUG), the GAITRite system, the International Physical Activity Questionnaire (IPAQ), the Functional Reach Test (FRT). The randomised controlled trial, eligible n=61 participants and randomise allocated into control group (no exercise) and Pilates group. The Pilates intervention took place at the Aras Moyola building, NUI Galway.The instructor is fully qualified to carry out the Pilates programme. The instructor is a qualified physiotherapist and has undertaken courses clinical Pilates in Valeria Figueireido International and Body Control Pilates for older adults. The video and booklet were built by the PI. The booklet contains pictures demonstrated by the instructor. Participants also had access to the home-based Pilates exercise video via a Dropbox link sent to their email by PI. The instructor demonstrated, explained and showed the exercises through the video to the participants during the first supervised Pilates class which participants also performed the home-based exercises. Feedback notes and comments were also taken from the participants. The participants were asked to give feedback on the same day as the assessments (Post-test). Questionnaire of Pilates exercises applied for the participants after Pilates 24 sessions supervised completed and a diary calendar of falls during the period of the intervention of 12 weeks, phone calls and e-mails were provided by the PI.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: December 2018
• Est. primary completion date: June 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 65 Years to 87 Years

Eligibility

Inclusion Criteria:

Those over 65 years older, both male and female, healthy and able to attend the Pilates sessions regularly were included. Those included had not had surgery in the past six months, had no restriction recommended by their General Practitioner and had a Montreal Cognitive Assessment score of over 26

Exclusion Criteria:

Those excluded had a MOCA score of less than 26, had a fall in the last six months. had several pain, had acute inflammation, had a history of neurological illness, had medical and pharmacologic contraindications to exercise, vertigo or had a strong exercise routine already.

Related Conditions & MeSH terms

• Healthy

Intervention

Other:
• Pilates
Intervention of12 weeks of Pilates
• exercise without Pilates
exercise without Pilates

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
National University of Ireland, Galway, Ireland	Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Falls Efficacy Scale	Participants should answer items thinking about how they usually do the activity and they should answer items to show how concerned they would be about falling: 1 = not at all concerned 2 = somewhat concerned 3 = fairly concerned 4 = very concerned. Total score ranging from 16 (not at all) to 64 (very much).	up to 12 weeks
Primary	Platform Footworkpro Pressure plate	Measure the two parameters of stabilometry in mediolateral (cm) and anteroposterior (cm) sway in static position performance	up to 12 weeks
Secondary	Functional Reach Test (FRT)	Mobility and balance	Baseline, post-test 12 weeks
Secondary	Functional Reach Test (FRT)	Mobility and balance	Baseline, post-test 6 weeks
Secondary	Timed Up and Go (TUG)	Functional mobility	Baseline, post-test 12 weeks
Secondary	Timed Up and Go (TUG)	Functional mobility	Baseline, post-test 6 weeks
Secondary	GAITRite® system	Spatial and temporal parameters of gait	Baseline, post-test 12 weeks
Secondary	GAITRite® system	Spatial and temporal parameters of gait	Baseline, post-test 6 weeks
Secondary	The short International Physical Activity Questionnaire	Measure daily physical activity such as leisure time, domestic and gardening (yard) activities, work-related and transport-related activities. The total scores of walking; moderate, and vigorous-intensity activity described the overall level of activity in (METs) metabolic equivalent minutes per week, calculates as the MET intensity multiplied per min for each activity during the last seven days such as walking=3.3 METs, Moderate PA= 4.0 METs and Vigorous PA= 8.0 METs. The total MET min/week = (walk MET*min*days) + (Mod MET*min*days) +Vig METs*min*days) (http://www.ipaq.ki.se).	Baseline, post-test 12 weeks
Secondary	The short International Physical Activity Questionnaire	Measure daily physical activity such as leisure time, domestic and gardening (yard) activities, work-related and transport-related activities. The total scores of walking; moderate, and vigorous-intensity activity described the overall level of activity in (METs) metabolic equivalent minutes per week, calculates as the MET intensity multiplied per min for each activity during the last seven days such as walking=3.3 METs, Moderate PA= 4.0 METs and Vigorous PA= 8.0 METs. The total MET min/week = (walk MET*min*days) + (Mod MET*min*days) +Vig METs*min*days) (http://www.ipaq.ki.se).	Baseline, post-test 6 weeks