Evaluation of a Balance-recovery Specific Falls Prevention Exercise Program

This study has been completed.
Sponsor:
Collaborator:
Canadian Institutes of Health Research (CIHR)
Information provided by:
Sunnybrook Health Sciences Centre
ClinicalTrials.gov Identifier:
NCT00187317
First received: September 9, 2005
Last updated: April 1, 2010
Last verified: April 2010
  Purpose

This study aims to investigate the potential to train compensatory stepping and grasping reactions for the prevention of falls.


Condition Intervention Phase
Accidental Falls
Behavioral: Balance training (exercise)
Other: Flexibility and relaxation exercise
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Development and Evaluation of a Perturbation-based Balance-training Program for Older Adults

Resource links provided by NLM:


Further study details as provided by Sunnybrook Health Sciences Centre:

Primary Outcome Measures:
  • Ability to recover balance by stepping and grasping [ Time Frame: Before and after 6-week intervention ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Fall frequency; clinical measures related to balance and fall risk (e.g. FallScreen, Community Balance and Mobility Scale, balance confidence) [ Time Frame: One year post-intervention ] [ Designated as safety issue: No ]

Enrollment: 37
Study Start Date: November 2005
Study Completion Date: March 2008
Primary Completion Date: March 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: PERT
Perturbation-based balance training.
Behavioral: Balance training (exercise)
Perturbation-based balance training. 30-minute sessions three times per week for six weeks.
Placebo Comparator: CON
Flexibility and relaxation training.
Other: Flexibility and relaxation exercise
30-minute sessions, three times per week for six weeks.

Detailed Description:

Physical activity and exercise have been shown to prevent falling in older adults, although the exact mechanisms by which exercise prevents falls is unclear. Compensatory stepping and grasping reactions are frequently used to prevent a fall to the ground following a loss of balance. Age-related impairment in these reactions may be related to an increased risk of falling. Therefore, the purpose of this study is to investigate means for reversing age-related impairment in compensatory stepping and grasping reactions. A training program involving perturbation-evoked reactions will be evaluated.

Comparison(s): Balance recovery ability before and after a 6-week training program will be assessed. Performance of the training group will be compared to a control group not receiving stepping and grasping training.

  Eligibility

Ages Eligible for Study:   64 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Community dwelling
  • History of falls (at least 1 fall in the past 12 months) or poor balance
  • Functional mobility (no dependence on mobility aids)

Exclusion Criteria:

  • Neurological or musculoskeletal disorder
  • Cognitive disorder (e.g. dementia)
  • Osteoporosis
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00187317

Locations
Canada, Ontario
Centre for Studies in Aging, Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada, M4N 3M5
Sponsors and Collaborators
Sunnybrook Health Sciences Centre
Canadian Institutes of Health Research (CIHR)
Investigators
Principal Investigator: Brian Maki, PhD, PEng Sunnybrook & Women's College Health Sciences Centre; University of Toronto
  More Information

Additional Information:
Publications:

Responsible Party: Brian Maki, Centre for Studies in Aging
ClinicalTrials.gov Identifier: NCT00187317     History of Changes
Other Study ID Numbers: NET-54025-01
Study First Received: September 9, 2005
Last Updated: April 1, 2010
Health Authority: Canada: Health Canada

Keywords provided by Sunnybrook Health Sciences Centre:
Exercise
Rehabilitation
Postural Balance
Accidental Falls
Geriatrics

ClinicalTrials.gov processed this record on April 17, 2014