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Improving Balance in Frail Elderly

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00785746
Recruitment Status : Completed
First Posted : November 5, 2008
Last Update Posted : February 4, 2013
Information provided by (Responsible Party):
Nancy Mayo, McGill University

Brief Summary:
The objective of this pilot study is to estimate, for a frail elderly population, the extent to which balance improves following a Core-Strength training program in comparison to a Stretch & Strength program. A secondary objective is to explore the impact of core strength training on urinary incontinence.

Condition or disease Intervention/treatment Phase
Elderly Frail Other: Core Early Phase 1

Detailed Description:
Participants will be randomized to one of the two exercise groups, Core-Strength training group or the Stretch & Strength group. The exercises will consist of 15-20 minute session for every day they attend the GDH. Measures will be made at admission, after 6 weeks of the program and at discharge if more than past 6 weeks.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Official Title: Improving Balance in Frail Elderly: A Randomized Clinical Trial of Two Methods to Enhance Strength (Stretch and Strength Versus Core Strength)
Study Start Date : August 2006
Actual Primary Completion Date : December 2009
Actual Study Completion Date : December 2009

Arm Intervention/treatment
Experimental: core
strength training of the core muscles.
Other: Core
We have devised a series of core strength training exercises that can be easily and safely performed under the supervision of trained staff. The exercises will be individualized depending on the participants' ability and health conditions. The majority, but not all, of exercises will be performed on or with exercise balls of different sizes and shapes, round for more advanced persons and oval for more frail persons.

No Intervention: stretch and strength
This program consists of general stretching exercises and peripheral muscle strengthening exercises with a special emphasis on strengthening the upper extremity muscles because of their importance for ADL but not necessarily balance.

Primary Outcome Measures :
  1. Berg balance scale [ Time Frame: baseline, 6 weeks, discharge ]

Secondary Outcome Measures :
  1. Functional walking capacity 6 minute walk test [ Time Frame: baseline, 6 weeks, discharge ]
  2. Gait speed [ Time Frame: baseline, 6 weeks, discharge ]
  3. Bridge Test [ Time Frame: Baseline, 6 weeks, discharge ]
  4. Activities-Specific Balance Confidence Scale (ABC Scale) [ Time Frame: Baseline, 6 weeks, Discharge ]
  5. International Consultation on Urinary Incontinence Questionnaire- Urinary Incontinence Short Form (ICIQ-UI) [ Time Frame: Baseline, 6 weeks, discharge ]

Information from the National Library of Medicine

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, Learn About Clinical Studies.

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • elderly persons attending the geriatric day hospital at the royal victoria hospital

Exclusion Criteria:

  • persons who are not medically fit to participate in the Geriatric day hospital physiotherapy component.
  • the individuals at high risk for falls

Information from the National Library of Medicine

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 identifier (NCT number): NCT00785746

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Canada, Quebec
McGill University-Royal Victoria Hospital Site
Montreal, Quebec, Canada, H3A-1A1
Sponsors and Collaborators
McGill University
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Principal Investigator: Nancy E Mayo, PhD McGill University, Division of Clinical Epidemiology

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Responsible Party: Nancy Mayo, BSc(PT), MSc, PhD, McGill University Identifier: NCT00785746     History of Changes
Other Study ID Numbers: SDR-06--010
First Posted: November 5, 2008    Key Record Dates
Last Update Posted: February 4, 2013
Last Verified: March 2010

Keywords provided by Nancy Mayo, McGill University:
elderly, balance, core, strength