None listed
Conditions
Brief summary
In the present study we intend to apply a three months whole body vibration exercise protocol with oscillating platform in isntitutionalised older people with fear of falling. The main aim is to test the applicability and observe improvements of this training protocol in fear of falling, balance, strength, sense to vibration and quality of life in this population. The second aim is to analyse the improvements obtained in psychological parameters (as depression, dayly living functioning), fitness, weight, body mass index, physical activity, etc. In addition we intend to evaluate if this programm is cost-efective. This protocol could improve all variables described and could be a good, cost-efective and feasible strategy for falls prevention in institutionalized older people with fear of falling.
Interventions
The Exercise group will receive a three months whole body vibration treatment. Placebo group will receive a similar treatment without vibration. During the study, all participants will receive usual inpatient care of the nursing home. Whole body vibration will be applied during one hour per week distributed between different days and consist of six static exercises with rest between exercises targeting lower limb muscles. Participants will stand on the whole body vibration or placebo platform i
The Exercise group will receive a three months whole body vibration treatment. Placebo group will receive a similar treatment without vibration. During the study, all participants will receive usual inpatient care of the nursing home. Whole body vibration will be applied during one hour per week distributed between different days and consist of six static exercises with rest between exercises targeting lower limb muscles. Participants will stand on the whole body vibration or placebo platform in a semi-squat position and hold on to the railings secured onto the platform. The frequency (load) of the vibrating platform will be at 12.5 to 18.5 Hz and the amplitude will be 4 mm. The intervention will begin with two 30 seconds sets of three exercices with 30 seconds rest between exercises. The exercise volume and intensity will be progressively increased according to the overload-principle.
Sponsors
University of Extremadura
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
65 Years to 120 Years
Healthy volunteers
No
Inclusion criteria
Individuals are potentially eligible if they meet all of the following criteria: (i) Aged 65 years or over; (ii) living in a nursing home; (iii) have fear of falling (FES-I score >23) ; (iv) can provide written informed consent to participate in the study; (v) can do all the physical fitness tests; (vi) have capacity to understand instructions.
Exclusion criteria
Clinicians may consider a patient unsuitable to enrol if they have any of the following: (i) History of severe trauma; (ii) Artificial prosthesis; (iii) Peripheral nerve entrapment; (iv) Inflammatory rheumatic diseases; (v) Severe cognitive impairment or otherwise judged unable to understand or comply with treatment protocol; (vi) Other diseases that do not allow them to make the training protocol; (vii) Having some other pathology that contraindicates exercise program or requiring special care (coronary artery disease, thrombosis, bone diseases, lung or kidney moderate or severe); (viii) Having some pathology that required daily intake of psychotropic drugs or affecting the vestibular system (Parkinson, etc..) to avoid the influence on measures of balance; (ix) Participation in regular physical exercise programs more than once a week for 30 minutes or more, during two weeks, in the last five years.
Outcome results
None listed