Virtual Tai ji Quan Exercise to Prevent Falls in Older Adults

NCT ID: NCT05822466

Last Updated: 2024-01-09

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 620 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-09-29
• Study Completion Date: 2028-03-31

Brief Summary

To examine two different exercise programs in reducing incidence of falls among community-dwelling older adults

Detailed Description

This is a randomized controlled trial aimed at determining the effectiveness of a virtual and home-based tai ji quan intervention vs. a virtual and home-based multimodal exercise intervention in reducing incidence of falls among community-dwelling older adults at high risk of falling

Conditions

Accidental Fall

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: DOUBLE

Study Groups

Virtual tai ji quan

Participants participating are intervened with practice and drills of tai ji quan forms and associated movements. Training focuses on lower-extremity strength, postural control, and mobility, with an emphasis on weight bearing and weight shifting, extending and controlling the body's center of mass over its base of support; self-induced movement perturbation; gait preparation, initiation, locomotion, and termination; and sensory integration. The exercise training also emphasizes connecting tai ji quan forms to transitional movements that are associated with performing daily activities. Each session includes brief movement-based warm-ups and light breathing cool-down exercises.

Group Type: ACTIVE_COMPARATOR

Virtual tai ji quan: moving for better balance intervention (V-TJQMBB)

Intervention Type: BEHAVIORAL

This intervention involves a tai ji quan exercise program, named tai ji quan: moving for better balance

Virtual multimodal exercise

Participants participating are intervened with a multicomponent exercise program that involves light walking, strength, postural control, and flexibility exercises. Walking exercises include amble forward and backward walk, long strides, heel-toe walking, narrow- and wide-base walking, and sidestepping. Strength training includes single- and multi-joint exercises such as semi-squats, lunging forward and sideways, and toe stands that involve exercising ankle dorsiflexors, knee extensors, and hip abductors. Balance training involves semi-tandem foot-standing, heel-toe and line walking, single-leg standing, alternation of the base of support, weight transfers, toe and heel movements, and various reaching and stretching movements away from the center of the base of support. Flexibility exercises include a static stretching routine of major upper and lower body muscle groups. Each session includes brief movement-based warm-ups and light breathing cool-down exercises.

Group Type: ACTIVE_COMPARATOR

Virtual multimodal exercise intervention (V-Multimodal)

Intervention Type: BEHAVIORAL

This intervention involves a multimodal exercise program that consists of balance, strength, light walking, and stretching exercises

Interventions

Virtual tai ji quan: moving for better balance intervention (V-TJQMBB)

This intervention involves a tai ji quan exercise program, named tai ji quan: moving for better balance

Intervention Type: BEHAVIORAL

Virtual multimodal exercise intervention (V-Multimodal)

This intervention involves a multimodal exercise program that consists of balance, strength, light walking, and stretching exercises

Intervention Type: BEHAVIORAL

Other Intervention Names

V-TJQMBB; V-Multimodal

Eligibility Criteria

Inclusion Criteria

• age between 65 and 90 years and
• having had 1 or more falls in the preceding 12 months or having a score ≥12 seconds on the Timed Up&Go (TUG) test.

Exclusion Criteria

• showing a diagnosis of dementia or significant cognitive impairment, as indicated by a score of <24 on the Mini Mental State Evaluation (MMSE, range: 0-30);
• being unable to ambulate independently for household distances; (c) having no medical clearance;
• having participated in any regular and structured tai ji quan-based or multicomponent exercise programs (≥2 times weekly) in the preceding 6 months;
• having any physical condition that would preclude participation in moderate-intensity exercise; and
• being unwilling to commit to the duration of the intervention or accept group assignment.

• Minimum Eligible Age: 65 Years
• Maximum Eligible Age: 90 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Oregon Research Institute

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Oregon Research Institute

Springfield, Oregon, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Fuzhong Li, Ph.D.

Role: CONTACT

fuzhongl@ori.org

541-484-2123

Facility Contacts

Fuzhong Li, Ph.D.

Role: primary

fuzhongl@ori.org

541-484-2123 ext. 2137

Other Identifiers

R01AG081206

Identifier Type: NIH

Identifier Source: org_study_id

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