Exercise for Adults With Limited Mobility

Fall Clinical Trial

Official title:

Effects of a Community Based, Task-Oriented Exercise Program on Community-Dwelling Older Adults With Limited Mobility: A 6-month Longitudinal Cohort Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05266573
• Other study ID #: 109-2013
• Status: Completed
• Phase: N/A
• Start date: January 8, 2015
• Est. completion date: March 10, 2017

Study information

• Verified date: February 2022
• Source: Youngstown State University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to evaluate the effectiveness of a structured and progressive task-oriented, community based exercise program for older adults who have limitations in mobility and examine whether improvements in mobility and quality of life would be seen following completion at 6 months.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 38
• Est. completion date: March 10, 2017
• Est. primary completion date: March 10, 2017
• Gender: All
• Age group: 18 Years to 100 Years

Eligibility

Inclusion Criteria:

• Limitations in mobility as evidenced by 6 Minute Walk Test score of < 499 meters

• Motivation to participate in an exercise program

Exclusion Criteria:

• unable to follow commands

• unstable cardiac status

• greater than minimal assist for mobility

Related Conditions & MeSH terms

• Fall
• Mobility Limitation

Intervention

Other:
• Exercise Group
The exercise program is led by an individual who has a background in exercise physiology and is trained by the Physical Therapist. The task oriented exercise program consists of 45 to 60 minutes of group exercise sessions with the following components: warm-up period (dual task activity and walking progressively), stretching/strengthening/balance (gradual progression of activities and repetitions for 30 minutes), and obstacle course (6 to 15 minutes of obstacle course and challenged walking).

Locations

Country	Name	City	State
United States	Youngstown State University	Youngstown	Ohio

Sponsors (1)

Lead Sponsor	Collaborator
Youngstown State University

Country where clinical trial is conducted

United States, 

References & Publications (10)

Alqahtani BA, Sparto PJ, Whitney SL, Greenspan SL, Perera S, VanSwearingen J, Brach JS. Effect of Community-Based Group Exercise Interventions on Standing Balance and Strength in Independent Living Older Adults. J Geriatr Phys Ther. 2019 Oct/Dec;42(4):E7-E15. doi: 10.1519/JPT.0000000000000221. — View Citation

Bird ML, Hill K, Ball M, Williams AD. Effects of resistance- and flexibility-exercise interventions on balance and related measures in older adults. J Aging Phys Act. 2009 Oct;17(4):444-54. — View Citation

Chompoonimit A, Nualnetr N. The impact of task-oriented client-centered training on individuals with spinal cord injury in the community. Spinal Cord. 2016 Oct;54(10):849-854. doi: 10.1038/sc.2015.237. Epub 2016 Jan 12. — View Citation

Merali S, Cameron JI, Barclay R, Salbach NM. Characterising community exercise programmes delivered by fitness instructors for people with neurological conditions: a scoping review. Health Soc Care Community. 2016 Nov;24(6):e101-e116. doi: 10.1111/hsc.12282. Epub 2015 Oct 7. Review. — View Citation

Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, Macera CA, Castaneda-Sceppa C. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007 Aug;39(8):1435-45. Review. — View Citation

Rensink M, Schuurmans M, Lindeman E, Hafsteinsdóttir T. Task-oriented training in rehabilitation after stroke: systematic review. J Adv Nurs. 2009 Apr;65(4):737-54. doi: 10.1111/j.1365-2648.2008.04925.x. Epub 2009 Feb 9. Review. — View Citation

Salbach NM, Howe JA, Baldry D, Merali S, Munce SEP. Considerations for expanding community exercise programs incorporating a healthcare-recreation partnership for people with balance and mobility limitations: a mixed methods evaluation. BMC Res Notes. 2018 Apr 2;11(1):214. doi: 10.1186/s13104-018-3313-x. — View Citation

Salbach NM, Howe JA, Brunton K, Salisbury K, Bodiam L. Partnering to increase access to community exercise programs for people with stroke, acquired brain injury, and multiple sclerosis. J Phys Act Health. 2014 May;11(4):838-45. doi: 10.1123/jpah.2012-0183. Epub 2013 May 13. — View Citation

Skrastins O, Tsotsos S, Aqeel H, Qiang A, Renton J, Howe JA, Tee A, Moller J, Salbach NM. Fitness coordinators' and fitness instructors' perspectives on implementing a task-oriented community exercise program within a healthcare-recreation partnership for people with balance and mobility limitations: a qualitative study. Disabil Rehabil. 2020 Sep;42(19):2687-2695. doi: 10.1080/09638288.2019.1570357. Epub 2019 Feb 10. — View Citation

Tisher K, Mann K, VanDyke S, Johansson C, Vallabhajosula S. Functional measures show improvements after a home exercise program following supervised balance training in older adults with elevated fall risk. Physiother Theory Pract. 2019 Apr;35(4):305-317. doi: 10.1080/09593985.2018.1444116. Epub 2018 Mar 5. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in 6 Minute Walk Test	A submaximal exercise test used to assess aerobic capacity and cardiorespiratory fitness.	Baseline to 6 months
Secondary	Change in Activities Balance Confidence Scale	Assesses balance confidence in ambulatory adults and can be used as a predictor for future falls in community dwelling older adults.	Baseline to 6 months
Secondary	Change in Short Form 36	A 36-item survey measuring physical function (PF), role limitations due to physical health problems, role limitations due to emotional problems, bodily pain, general health perceptions, energy/fatigue, social functioning, as well as mental health and emotional well-being.	Baseline to 6 months
Secondary	Change in Gait Speed	A measure of the time it takes to travel 10 meters at a pace that is normal for the individual.	Baseline to 6 months