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Effects of a Music-Based Multitask Exercises Program on Gait, Balance and Fall Risk in the 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.
ClinicalTrials.gov Identifier: NCT01107288
Recruitment Status : Completed
First Posted : April 20, 2010
Last Update Posted : February 24, 2014
Information provided by (Responsible Party):

Study Description
Brief Summary:
The aim of this study is to investigate the effectiveness of a 6-month music-based multitask exercises program (Jaques-Dalcroze eurhythmics) in improving gait and balance, and reducing fall risk in community-dwelling older adults with an increased risk of falling.

Condition or disease Intervention/treatment
Gait Balance Falls Other: Music-based multitask exercises program

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Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 134 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: A Randomized Controlled Trial of Music-Based Multitask Exercises (Jaques-Dalcroze Eurhythmics) on Gait, Balance and Fall Risk in the Elderly
Study Start Date : February 2008
Primary Completion Date : December 2009
Study Completion Date : December 2012

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U.S. FDA Resources

Arms and Interventions

Arm Intervention/treatment
Experimental: Intervention group
Randomized to receive the intervention first
Other: Music-based multitask exercises program
Subjects are entered into a 6-month Jaques-Dalcroze eurhythmics program and are followed for an additional 6 months after the intervention period. They complete assessments at baseline, 6 and 12 months. The program consists of structured 1-hour group exercises classes, conducted weekly by an experimented instructor, that include varied multitask exercises performed to the rhythm of improvised piano music, sometimes with the manipulation of objects (e.g., instruments of percussion, balls), with gradually increasing difficulty over time. Basic exercises consist of walking following the music, responding directly to changes in music's rhythmic patterns.
Other Name: Jaques-Dalcroze Eurhythmics
Delayed intervention control group
Randomized to wait-list control first
Other: Music-based multitask exercises program
Subjects are wait-listed to receive, 6 months after randomization, the same 6-month Jaques-Dalcroze eurhythmics program as the Intervention group. They complete assessments at baseline, 6 and 12 months.
Other Name: Jaques-Dalcroze Eurhythmics

Outcome Measures

Primary Outcome Measures :
  1. Change in gait variability [ Time Frame: 6 months ]

Secondary Outcome Measures :
  1. Change in other spatio-temporal gait parameters [ Time Frame: 6 months, 12 months ]
  2. Change in balance measures (Trunk sway parameters) [ Time Frame: 6 months, 12 months ]
  3. Change in functional tests performances (Timed Up & Go test and simplified Tinetti test) [ Time Frame: 6 months, 12 months ]
  4. Number of falls, fallers and multiple fallers (Daily recording of falls using falls calendars, to be returned monthly) [ Time Frame: 6 months, 12 months ]
  5. Change in quality of life (SF-12 Health Survey questionnaire), anxiety/depression (HAD scale), cognitive function (Mini-Mental State Examination, Frontal Assessment Battery, clock drawing test), nutritional status (Mini Nutritional Assessment tool) [ Time Frame: 6 months, 12 months ]
  6. Change in gait variability [ Time Frame: 12 months ]
  7. Change in all outcome measures [ Time Frame: 4 years ]
    Long-term extension study

Eligibility Criteria

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Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Aged 65 years or older
  • Living in the community
  • Without previous Jaques-Dalcroze eurhythmics experience (except during childhood)
  • Identified as being at high risk of fall (i.e., one or more self-reported falls after the age of 65 years or balance impairment as assessed by a simplified Tinetti test higher than 2 over 7 or the presence of one or two indicators of physical frailty based on Fried's criteria)

Exclusion Criteria:

  • Neurological or orthopaedic disease (e.g., stroke with residual motor deficit, Parkinson's disease, osteoarthritis) with a significant impact on gait and balance performances
  • Progressive or unstable medical conditions that could limit participation (e.g., terminal illness)
  • Fully dependent on an assistive device such as canes and walkers
Contacts and Locations

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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): NCT01107288

Department of Rehabilitation and Geriatrics, Geneva University Hospitals
Geneva, Switzerland, CH-1211
Sponsors and Collaborators
University Hospital, Geneva
University Hospital, Basel, Switzerland
Jaques-Dalcroze Institute, Geneva, Switzerland
Principal Investigator: Andrea Trombetti, MD Bone Diseases Service, Department of Rehabilitation and Geriatrics, University Hospitals and Faculty of Medicine of Geneva
More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Andrea Trombetti, Principal investigator, University Hospital, Geneva
ClinicalTrials.gov Identifier: NCT01107288     History of Changes
Other Study ID Numbers: 07-156
First Posted: April 20, 2010    Key Record Dates
Last Update Posted: February 24, 2014
Last Verified: February 2014

Keywords provided by Andrea Trombetti, University Hospital, Geneva: