Nordic Walking as Gait Training for Frail Elderly

This study has been completed.
Sponsor:
Information provided by:
McGill University
ClinicalTrials.gov Identifier:
NCT00805220
First received: December 8, 2008
Last updated: September 1, 2009
Last verified: September 2009
  Purpose

The elderly are the fastest growing proportion of the population. Ageism implies a decline of physical functions affecting functional and safe ambulation. Based on the ICF model intervening in walking capacity could have favourable impact on quality of life of frail elders. Over ground walking training is indicated as a possible exercise. However, to achieve positive results on walking capacity, an exercise-dose response is needed. A more intensive way of promoting walking training is to add skiing poles while walking, a technique called Nordic Walking (NW). This study will be the first to compare NW with usual walking training. It aims to estimate for frail elderly the relative efficacy in improving functional walking capacity of two gait training strategies: NW and usual walking training and explore its impact on fear of falling. This study hypothesized that participants receiving Nordic Walking will walk longer, faster and fear less. NW if proven effective will positively impact on the functional capacities and quality of life of frail elders and provide an more intense method of walking training.


Condition Intervention Phase
Frail Elderly
Other: Nordic Walking
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Nordic Walking for Frail Elderly: a Randomized Pilot Trial

Resource links provided by NLM:


Further study details as provided by McGill University:

Primary Outcome Measures:
  • 6 Minute Walk Test 5 Meter Walk Test Activities-Specific Balance Confidence (ABC) Scale [ Time Frame: Baseline, 3 weeks follow-up, 8 weeks follow-up ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Berg Balance Scale; CHAMPS; Lower Extremity Functional Scale; Visual Analogue Scale of Pain; EuroQol 5D. [ Time Frame: Baseline, 3 weeks follow-up, 8 weeks follow-up ] [ Designated as safety issue: No ]

Estimated Enrollment: 30
Study Start Date: December 2008
Study Completion Date: August 2009
Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Regular overground walking without poles
Other: Nordic Walking
Walking training with and without poles will be twice a week. The sessions last 20 minutes each and consist of walking, stretching and mobility exercises. This will last 8 weeks in a total of 16 sessions. A therapist will closely monitor your exercises and modify them according to your needs and comfort
Other Names:
  • PoleStriding
  • Exerstriding
Experimental: 2
Nordic Walking
Other: Nordic Walking
Walking training with and without poles will be twice a week. The sessions last 20 minutes each and consist of walking, stretching and mobility exercises. This will last 8 weeks in a total of 16 sessions. A therapist will closely monitor your exercises and modify them according to your needs and comfort
Other Names:
  • PoleStriding
  • Exerstriding

Detailed Description:

This is a single blind, randomized, pilot trial designed to estimate the amount of change between two programs. Subjects will be randomized and stratified by setting into one of two groups, over ground walking training with poles (Nordic Walking) or traditional over ground walking training (without poles). Randomization will be computer generated using randomization scheme from the website Randomization.com at http://www.randomization.com Basic descriptive statistics will be used to characterize the participants and compare the two groups at baseline. Paired t-test will be used to estimate the efficacy of each intervention. Effects size of each interventions and its ratio will be calculated. Group-specific change score will be calculated to explore the impact of prognostic variables (age, gender, number of comorbities, baseline gait speed) on change of an outcome (with or without poles).

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. 65 years old or more
  2. undergoing rehabilitation program or living a residence facility
  3. medically stable or in their usually state of health.

Exclusion Criteria:

  1. severe cognitive impairments (short mini mental score less than 14/18)47
  2. unable to ambulate a minimum of 15 meters with or without aids
  3. without mobility restrictions as represented by a gait speed greater than 1.2 m/s
  4. moderate to severe limitations of upper extremity represented by a shoulder flexion range of motion (ROM) less than 90 degrees and extension less than 20 degrees; elbow flexion ROM less than 90 degrees; and with a poor grip judged by the ability to release a can of 5 cm diameter
  5. pathological or musculoskeletal conditions of the upper extremity
  6. individuals unable to attend a minimum of eight weeks of intervention.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00805220

Locations
Canada, Quebec
Geriatric Day Hospital (GDH) at the Royal Victoria Hospital (RVH)
Montreal, Quebec, Canada
Richardson Hospital
Montreal, Quebec, Canada
Sponsors and Collaborators
McGill University
Investigators
Principal Investigator: Nancy Mayo, BSc MSc PhD McGill University
  More Information

Additional Information:
No publications provided by McGill University

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Nancy E. Mayo, BSc(PT), MSc, PhD, McGill University
ClinicalTrials.gov Identifier: NCT00805220     History of Changes
Other Study ID Numbers: NWS-001
Study First Received: December 8, 2008
Last Updated: September 1, 2009
Health Authority: Canada: Ethics Review Committee

Keywords provided by McGill University:
frail elderly walking capacity walk training Nordic Walking

ClinicalTrials.gov processed this record on August 21, 2014