Functionality, Falls, Elderly, Fall Prevention, Exercise Elderly, Assessment, Rehabilitation, Community-Dwelling Clinical Trial
Official title:
The Effectiveness of Group Intervention Exercise on Fall Risk Factors Reduction in Community-Dwelling Older Adults
Verified date | April 2020 |
Source | University of Thessaly |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Objective: To assess the effectiveness of an intervention exercise program on enhancing fall
risk deterrent factors, such as balance, postural control, overall strength, functionability
in community-dwelling individuals.
Design: Single-blinded randomized controlled trial, comparing two groups, with follow-ups at
the begging and 15 days after the completion of the program
Setting: Nursing homes in Ano Volos and Kanalia
Participants: A total of 40 elderly people, both male and female, aged 65 years and older
were randomly assigned to an intervention exercise group (n = 20) and a control group (n =
20).
Interventions: Intervention exercise program consisted of two sessions each week for 8
consecutive weeks. The control group received no exercise intervention.
Measurements: Main outcomes were measured by the Timed Up and Go Test, Berg Balance Scale,
10-second chair stand test, Saehan hand grip dynamometer, Upper and Lower Limp reach tests.
Status | Completed |
Enrollment | 50 |
Est. completion date | June 5, 2019 |
Est. primary completion date | June 5, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: Community-Dwelling Older Adults >65 years old Exclusion Criteria: - absence of neurological diseases - absence of dementia - no recent surgeries. |
Country | Name | City | State |
---|---|---|---|
Greece | University of Thessaly | Lamia |
Lead Sponsor | Collaborator |
---|---|
University of Thessaly |
Greece,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Mobility | Mobility was assessed using the Time Up & Go Test (TUG) which was measured by recording the time taken to stand up from a standard chair (43cm), walk 3m at a natural pace, turn around, and sit back down in the chair. Expected time for the completion of this task is estimated at 7-10''. (Viccaro et al 2011) | 8 weeks | |
Primary | Functional balance | Functional balance was assessed with the Berg Balance Scale that has been developed to measure an elderly person's static and dynamic balancing abilities. It is composed of a total of 14 items and a full score of 56 points. The time required is around 15 minutes. Higher scores indicate better degrees of balance. Based on the total score participants are classified in: a) need for a wheelchair (0-20 points), b) need of aiding tools to walk (21-40 points), c) independent (41 points or higher). Persons with scores of 40 points or higher are not likely to fall (Berg et al., 1992 ; Bogle & Newton 1996; Downs et al 2013) | 8 weeks | |
Primary | Upper Limb Strength | Upper Limb Strength was measured using the SAEHAN hand grip dynamometer. The subject was sitting on a standard chair with the elbow flexed at 900. When the subject was ready, he would begin to strain the device in a maximal isometric effort, maintaining, at the same time, high concentration, as this was a required condition for maximal results. No other body movement was allowed during testing. | 8 weeks | |
Primary | Lower Limb strength | Lower Limb's strength was assessed through the "sit to stand 10" trial. Subjects were asked to sit on a chair, stand up and return to the sitting position for 10 consecutive times at full speed, with no intervals between. Normal time expected for the successful completion of the trial was estimated at 24"-27" | 8 weeks | |
Primary | Upper Body Flexibility | Upper Body Flexibility assessment, subjects were instructed to bring their hand back as high as possible in order to reach the A7 vertebra. The distance between the thumb and the A7 vertebra was measured (Collins et al 2004) | 8 weeks | |
Primary | Lower Body Flexibility | Lower Body Flexibility was assessed using a modified Sit and Reach test. This test was performed in a standard chair with one leg fully extended and the other in a flexed position. Participants reached forward with one hand as far as possible and held this position for three seconds. Distance between fingers and toes was measured. | 8 weeks |