Home Based Exercise in Preventing Fall and Improving Balance in Older People

NCT ID: NCT02089815

Last Updated: 2015-04-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

439 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2015-03-31

Brief Summary

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Prior studies have shown multifaceted falls prevention program with home-based exercise reduced falls significantly in the community setting. The Otago exercise program has been tested in four separated controlled trials of community living people in New Zealand. Falls were the main outcome in each trail and were defined as "unintentionally coming to rest on the ground, floor or other lower level". Not only this combination strengthening and balance training exercise could reduce fall but also could benefit in cost-effectiveness for fall prevention and decrease mortality in those 80 and older. However the limitation of Otago exercise program is that the program was needed to be trained by skill nurses or physical therapists. There are 17 steps levels to adhere the program. As some studies have shown that fall prevention program adherence could be as low as 10-40%. In Thailand the lack of medical staffs are continued the problem in the community. Therefore to establish fall prevention guideline that will be suitable and translated into the real setting, this study is aimed to test the effectiveness of simple program home-based exercise comparing to non-simple program home based exercise in preventing fall and improve muscle strength and balance dysfunction in older people with mild to moderate balance dysfunction. The method is the randomized controlled trails.

Detailed Description

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Conditions

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Patient Fall Muscle Balance Fear of Falling Quality of Life

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Home based exercise

simple designed home based exercise program

Group Type EXPERIMENTAL

Home based exercise

Intervention Type BEHAVIORAL

modified Otago exercise program to simple designed home based exercise program

fall prevention education and counseling

Intervention Type OTHER

fall prevention education and counseling

fall prevention education \& counseling : home modification, vision screening, avoid sedative drugs use, proper shoes, report dizziness and fall to doctors

Group Type ACTIVE_COMPARATOR

fall prevention education and counseling

Intervention Type OTHER

Interventions

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Home based exercise

modified Otago exercise program to simple designed home based exercise program

Intervention Type BEHAVIORAL

fall prevention education and counseling

Intervention Type OTHER

Other Intervention Names

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combination strengthening and balance training program

Eligibility Criteria

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Inclusion Criteria

1. Thai elderly aged 65 years or older
2. able to communicate and follow the home-based exercise programme
3. mild to moderate balance dysfunctions as followings:

* functional reach test score less than 26 cm.
* five time sit to stand test more than 17.9 seconds
* able to walk independently or walk with only single cane
4. non diagnosed with moderate to severe dementia or depression
5. non diagnosed with parkinson disease
6. non diagnosed with cerebrovascular disease with less than grade 4 hemiparesis.
7. non diagnosed with acute arthritis or recent diagnosed within 6 months.
8. informed and consent to participate in the study
9. not participate in regular Tai-chi or Yoga exercise training.

Exclusion Criteria

1. Participants would like to withdraw from the study.
2. severe injury occured after following simple designed exercise program eg. tendon injuries.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mahidol University

OTHER

Sponsor Role lead

Responsible Party

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Chitima Boongird

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chitima Boongird, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Family Medicine, Ramathibodi Hospital, Mahidol University

Locations

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Ramathibodi Hospital, Mahidol University

Bangkok, Bangkok, Thailand

Site Status

Countries

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Thailand

References

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Day L. The Otago strength and balance exercise programme lowers the risk of death and falls in the older people at 12 months. Evid Based Nurs. 2011 Jul;14(3):76-8. doi: 10.1136/ebn1157. Epub 2011 Mar 24. No abstract available.

Reference Type BACKGROUND
PMID: 21436159 (View on PubMed)

Kuptniratsaikul V, Praditsuwan R, Assantachai P, Ploypetch T, Udompunturak S, Pooliam J. Effectiveness of simple balancing training program in elderly patients with history of frequent falls. Clin Interv Aging. 2011;6:111-7. doi: 10.2147/CIA.S17851. Epub 2011 May 6.

Reference Type BACKGROUND
PMID: 21594001 (View on PubMed)

Yang XJ, Hill K, Moore K, Williams S, Dowson L, Borschmann K, Simpson JA, Dharmage SC. Effectiveness of a targeted exercise intervention in reversing older people's mild balance dysfunction: a randomized controlled trial. Phys Ther. 2012 Jan;92(1):24-37. doi: 10.2522/ptj.20100289. Epub 2011 Oct 6.

Reference Type BACKGROUND
PMID: 21979272 (View on PubMed)

Campbell AJ, Robertson MC, Gardner MM, Norton RN, Tilyard MW, Buchner DM. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ. 1997 Oct 25;315(7115):1065-9. doi: 10.1136/bmj.315.7115.1065.

Reference Type BACKGROUND
PMID: 9366737 (View on PubMed)

Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JC. Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc. 2008 Dec;56(12):2234-43. doi: 10.1111/j.1532-5415.2008.02014.x.

Reference Type BACKGROUND
PMID: 19093923 (View on PubMed)

Simek EM, McPhate L, Haines TP. Adherence to and efficacy of home exercise programs to prevent falls: a systematic review and meta-analysis of the impact of exercise program characteristics. Prev Med. 2012 Oct;55(4):262-275. doi: 10.1016/j.ypmed.2012.07.007. Epub 2012 Jul 17.

Reference Type BACKGROUND
PMID: 22813920 (View on PubMed)

Howe TE, Rochester L, Neil F, Skelton DA, Ballinger C. Exercise for improving balance in older people. Cochrane Database Syst Rev. 2011 Nov 9;2011(11):CD004963. doi: 10.1002/14651858.CD004963.pub3.

Reference Type BACKGROUND
PMID: 22071817 (View on PubMed)

Thomas S, Mackintosh S, Halbert J. Does the 'Otago exercise programme' reduce mortality and falls in older adults?: a systematic review and meta-analysis. Age Ageing. 2010 Nov;39(6):681-7. doi: 10.1093/ageing/afq102. Epub 2010 Sep 4.

Reference Type BACKGROUND
PMID: 20817938 (View on PubMed)

Gates S, Fisher JD, Cooke MW, Carter YH, Lamb SE. Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. BMJ. 2008 Jan 19;336(7636):130-3. doi: 10.1136/bmj.39412.525243.BE. Epub 2007 Dec 18.

Reference Type BACKGROUND
PMID: 18089892 (View on PubMed)

Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S, Cumming RG, Rowe BH. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD007146. doi: 10.1002/14651858.CD007146.pub2.

Reference Type BACKGROUND
PMID: 19370674 (View on PubMed)

Day L, Fildes B, Gordon I, Fitzharris M, Flamer H, Lord S. Randomised factorial trial of falls prevention among older people living in their own homes. BMJ. 2002 Jul 20;325(7356):128. doi: 10.1136/bmj.325.7356.128.

Reference Type BACKGROUND
PMID: 12130606 (View on PubMed)

Fabacher D, Josephson K, Pietruszka F, Linderborn K, Morley JE, Rubenstein LZ. An in-home preventive assessment program for independent older adults: a randomized controlled trial. J Am Geriatr Soc. 1994 Jun;42(6):630-8. doi: 10.1111/j.1532-5415.1994.tb06862.x.

Reference Type BACKGROUND
PMID: 8201149 (View on PubMed)

Kimman M, Vathesatogkit P, Woodward M, Tai ES, Thumboo J, Yamwong S, Ratanachaiwong W, Wee HL, Sritara P. Validity of the Thai EQ-5D in an occupational population in Thailand. Qual Life Res. 2013 Aug;22(6):1499-506. doi: 10.1007/s11136-012-0251-2. Epub 2012 Aug 25.

Reference Type BACKGROUND
PMID: 22926727 (View on PubMed)

Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990 Nov;45(6):M192-7. doi: 10.1093/geronj/45.6.m192.

Reference Type BACKGROUND
PMID: 2229941 (View on PubMed)

Csuka M, McCarty DJ. Simple method for measurement of lower extremity muscle strength. Am J Med. 1985 Jan;78(1):77-81. doi: 10.1016/0002-9343(85)90465-6.

Reference Type BACKGROUND
PMID: 3966492 (View on PubMed)

Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.

Reference Type BACKGROUND
PMID: 1991946 (View on PubMed)

Chou CY, Chien CW, Hsueh IP, Sheu CF, Wang CH, Hsieh CL. Developing a short form of the Berg Balance Scale for people with stroke. Phys Ther. 2006 Feb;86(2):195-204.

Reference Type BACKGROUND
PMID: 16445333 (View on PubMed)

Hill KD, Schwarz JA, Kalogeropoulos AJ, Gibson SJ. Fear of falling revisited. Arch Phys Med Rehabil. 1996 Oct;77(10):1025-9. doi: 10.1016/s0003-9993(96)90063-5.

Reference Type BACKGROUND
PMID: 8857881 (View on PubMed)

Other Identifiers

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01-56-37

Identifier Type: -

Identifier Source: org_study_id

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