Aquatic Exercise and Efficacy Enhancement to Decrease Fall Risk in Older Adults With Hip Osteoarthritis
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|ClinicalTrials.gov Identifier: NCT00289458|
Recruitment Status : Completed
First Posted : February 9, 2006
Results First Posted : August 3, 2010
Last Update Posted : August 3, 2010
|Condition or disease||Intervention/treatment||Phase|
|Arthritis||Behavioral: exercise Behavioral: 2 Behavioral: Control||Phase 1|
Older adults with hip osteoarthritis (OA) often experience pain and loss of mobility that significantly impairs their ability to walk, climb stairs, shop or participate in exercise programs. This can result in social isolation, depression and loss of confidence in their ability to manage independently in the community. A decline in physical and psycho-social function leads to increased risk of falling. It is crucial to identify high-risk fallers as well as the best interventions to decrease that risk; hip fractures from falls are devastating, resulting in death or admission to long-term care for the majority who sustain them.
Exercise programs designed to improve balance, strength and mobility can help to improve function and decrease risk of falling. However, individuals with hip OA may have difficulty participating in these programs due to pain. Aquatic exercise offers an activity alternative to improve mobility, strength and decrease fall risk. As well, the addition of a group program designed to enhance confidence in movement may further reduce the risk of falls by improving independence to be more active at home and in the community.
This project will evaluate the effect of aquatic exercise and aquatic exercise combined with a group educational program on decreasing fall risk in older adults with hip OA. Determining optimal fall prevention programs may avert death and loss of quality of life for older adults, clearly an important contribution to preventative health care.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||79 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Official Title:||The Effect of Aquatic Exercise and Aquatic Exercise Combined With Education and Efficacy Enhancement on Improving Indices of Fall Risk in Older Adults With Hip Osteoarthritis: a Randomized Controlled Clinical Trial|
|Study Start Date :||October 2005|
|Actual Primary Completion Date :||April 2008|
|Actual Study Completion Date :||April 2008|
Experimental: Aquatic Education
Exercise combined with education
Same as 1 with the addition of a 1/week educational group program to improve confidence in movement, learn about fall risk and fall prevention and the rationale for the exercises to decrease fall risk.
A community aquatic exercise program designed for older adults to improve balance, strength and mobility to decrease the risk of falls.
|Placebo Comparator: Control||
- Change in Balance [ Time Frame: baseline and 11 weeks ]Berg Balance Scale range 0 - 36 (36 is excellent balance, 0 is poor or no ability for standing balance)
- Change in Chair Stands [ Time Frame: baseline and 11 weeks ]change in number of repetitions (the number of times moving from full sitting to full standing in 30 seconds)
- Change in Walking [ Time Frame: baseline and 11 weeks ]change in 6 minute walk (distance in meters covered in 6 minutes)over 11 weeks
- Change in Falls-Efficacy [ Time Frame: baseline and 11 weeks ]change in Activities Balance Confidence Scale (0 - 100, 100 represents high confidence, 0 represents low confidence)
- Change in Dual Task Function [ Time Frame: baseline and 11 weeks ]change in Timed Up and Go Cognitive Test (time in sec., lower number means better performance)
- Change in Physical Activity [ Time Frame: baseline and 11 weeks ]change in Physical Activity Scale for the Elderly (0 - up to 300, higher score more active)
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00289458
|College of Kinesiology|
|Saskatoon, Saskatchewan, Canada, S7N 5B2|
|Principal Investigator:||Cathy M Arnold, MSc||University of Saskatchewan|