HealthySteps: Exercise for Older Adults With Mobility Limitation

Mobility Limitation Clinical Trial

— HealthySteps  

Official title:

HealthySteps: A Pilot Randomized Controlled Trial of Exercise to Improve Walking Energetics, Fatigue, and Activity in Older Adults With Mobility Limitation

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01740505
• Other study ID #: DFMG-001
• Status: Completed
• Phase: N/A
• First received: November 23, 2012
• Last updated: January 19, 2015
• Start date: January 2013
• Est. completion date: November 2013

Study information

• Verified date: January 2015
• Source: Simon Fraser University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Ethics Review Committee
• Study type: Interventional

Clinical Trial Summary

This study will compare three different exercise programs in older adults who report difficulty walking and will determine if the programs improve walking.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 72
• Est. completion date: November 2013
• Est. primary completion date: November 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Men and women who live in the lower mainland (greater Vancouver) area of British Columbia

• Aged 65 years or older

• Living independently in their own home

• Report mobility limitation, defined as any difficulty walking one-quarter mile (about 2-3 blocks) outside on level ground or climbing one flight of stairs (about 10 steps) without resting because of a health or physical problem

Exclusion Criteria:

• Have a current medical condition for which exercise is contraindicated

• Have participated in an exercise intervention study in the past 6 months

• Do not have adequate cognitive function to provide informed consent and participate fully in the study

• Do not speak and understand English fluently

Study Design

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

Related Conditions & MeSH terms

• Mobility Limitation

Intervention

Behavioral:
• Timing and Coordination
This intervention is based on progressively difficult stepping and walking patterns that promote the timing and coordination of stepping within the gait cycle. Small-group 60-minute classes twice weekly for 12 weeks.
• Aerobic Walking
Outdoor walking with progressive increases in exercise intensity. Small-group 60-minute classes twice weekly for 12 weeks.
• Stretching and Relaxation
Full-body stretching, range-of-motion exercises, and relaxation techniques. No specific gait training. Small-group 60-minute classes twice weekly for 12 weeks.

Locations

Country	Name	City	State
Canada	Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute	Vancouver	British Columbia

Sponsors (2)

Lead Sponsor	Collaborator
Simon Fraser University	Drummond Foundation

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	energy cost of walking	assessed by oxygen consumption during treadmill and overground walking	12 weeks	No
Primary	fatigue and fatigability	assessed by questionnaire, rated perceived exertion during walking, and decrements in walking performance over time.	12 weeks	No
Primary	daily activity	assessed by accelerometry and the Physical Activity Scale for the Elderly	12 weeks	No
Primary	life-space mobility	assessed by life-space mobility questionnaire	12 weeks	No
Primary	endurance	assessed by the long-distance corridor walk	12 weeks	No
Primary	physical function	assessed by standing balance, gait speed, and chair stands	12 weeks	No
Secondary	energy cost of walking	assessed by oxygen consumption during treadmill and overground walking	24 weeks	No
Secondary	fatigue and fatigability	assessed by questionnaire, rated perceived exertion during walking, and decrements in walking performance over time	24 weeks	No
Secondary	daily activity	assessed by accelerometry and the Physical Activity Scale for the Elderly	24 weeks	No
Secondary	life-space mobility	assessed by the life-space mobility questionnaire	24 weeks	No
Secondary	endurance	assessed by the long-distance corridor walk	24 weeks	No
Secondary	physical function	assessed by standing balance, gait speed, and chair stands	24 weeks	No