Accidental Falls Clinical Trial
— HIPSOfficial title:
Hip Muscle Power, Lateral Balance Function, and Falls in Aging
Falls and their consequences are among the major problems in the medical care of older individuals. The long-term goal of this research is to develop a mechanistically based therapeutic intervention to enhance muscle power, weight-shifting capability, and lateral balance function through protective stepping to prevent falls. When human balance is challenged, protective stepping is a vital strategy for preventing a fall during activities of daily life. Many older people at risk for falls have particular difficulties with successfully stepping sideways as a protective response to loss of balance in the lateral direction. Age-related declines in lateral balance function result from neuromuscular and biomechanical limitations in hip abductor-adductor muscle power generation. This study will test whether these impairments can be improved with high-velocity hip muscle resistance power training that will be more effective than conventional resistance strength training.
Status | Recruiting |
Enrollment | 100 |
Est. completion date | December 31, 2024 |
Est. primary completion date | May 31, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 65 Years and older |
Eligibility | Inclusion Criteria: 1. 65 years of age or older 2. Functionally independent 3. Living in the community 4. Generally healthy Exclusion Criteria: 1. Cognitive impairment (Mini Mental Score Exam less than 24) 2. Sedative use 3. Non-ambulatory 4. Any clinically significant musculoskeletal impairment 5. Any clinically significant neurological impairment 6. Any clinically significant cardiopulmonary impairment 7. Any clinically significant metabolic impairment 8. Any general medical problem that will interfere with testing or training 9. Diabetes, renal, or liver disease by identified by routine chemistry |
Country | Name | City | State |
---|---|---|---|
United States | VA Maryland Health Care System | Baltimore | Maryland |
Lead Sponsor | Collaborator |
---|---|
University of Maryland, Baltimore | VA Maryland Health Care System |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence of single lateral steps | Change in number of single steps between pre and post tests | At 3 months | |
Secondary | Hip muscle power | Change in maximum hip power between pre and post tests | At 3 months | |
Secondary | Number of Falls | Total number of falls reported at 1 year follow up. | 12 months |
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