None listed
Conditions
Brief summary
This study investigated telephysiotherapy for fall prevention in community-dwelling older adults. The study hypothesis was to compare the effectiveness of telephysiotherapy combined with exercise snacks with exercise guidelines on mobility, fear of falling, and quality of life in older adults. It was hypothesized that telephysiotherapy combined with exercise snacks would be more effective than existing guidelines in improving mobility, lower limb muscle strength, dynamic balance, fear of falling, quality of life, and exercise adherence. Participants in the intervention group received regular physical therapy and regular self-administered home exercise snacks, while participants in the control group received physical therapist-advised exercise according to existing exercise guidelines. Participants were assessed at baseline (before the intervention began), 4 weeks later, 3 months later, and 6 months later.
Interventions
Participants will learn the telephysiotherapy and exercise snack techniques during the first face-to-face physiotherapy session, and a professionally trained physiotherapist will guide them through the exercise tasks.
The first face-to-face physiotherapy session will last 30 to 60 minutes.
The physiotherapist will check the participant's exercise environment (home) to ensure the safety of the exercise.
Training should be completed 1-3 times daily (7 days a week for 24 weeks), with each task co
Participants will learn the telephysiotherapy and exercise snack techniques during the first face-to-face physiotherapy session, and a professionally trained physiotherapist will guide them through the exercise tasks. The first face-to-face physiotherapy session will last 30 to 60 minutes. The physiotherapist will check the participant's exercise environment (home) to ensure the safety of the exercise. Training should be completed 1-3 times daily (7 days a week for 24 weeks), with each task consisting of 5 exercises, each lasting 1 minute, followed by 1 minute of rest, for a total of 9 minutes. Weeks 1-4 will include the following five exercises: Chair Sit-to-Stand, Calf Raises, Heel-to-Toe Walks (using assistive tools), Lunges with Support, and Single-Leg Stance. Weeks 5-24 will include five exercises: Body-Weight Squats, Single-Leg Calf Raises, Heel-to-Toe Walks, Step-Ups, and Single-Leg Quarter Squats (with support). Participants will meet with their physical therapists online weekly. The therapists will answer participants' questions about the exercises, addressing issues such as muscle pain, joint pain, and balance challenges, and will personalize training adjustments based on individual circumstances (e.g., different daily living environments, individual physical conditions). A handout, specifically developed for this study, is provided and includes a personal questionnaire, fall prevention education materials, exercise diagrams, and communication information. Participants will perform the exercises at home and detailed class attendance will be recorded to monitor adherence. Participants will also receive a handout with illustrations and text on the exercise standards used in the exercises.
Sponsors
HE LIYANG, PhD student in Physiotherapy at Lincoln University College, Malaysia.
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
60 Years to 85 Years
Healthy volunteers
Yes
Inclusion criteria
Who are likely to benefit from fall prevention physical therapy. TUG score 3, cognitively intact. Geriatric Depression Scale (GDS-15) score <5, no depression. Participants must have reliable access to a smartphone, tablet, or computer with internet connectivity and the ability to engage in video calls.
Exclusion criteria
Presence of dangerous diseases, such as severe cardiovascular disease or severe stroke. Acute or terminal illness likely to impact study involvement. Currently enrolled in another physical therapy or rehabilitation trial, or engaging in additional rehabilitation outside the study protocol. eHealth Literacy Scale(eHEALS)score <29.
Outcome results
None listed