Falls and fall risk Injury, Occupational Diseases, Poisoning
Conditions
Interventions
The treatment will last four months with a follow-up of two months.
The intervention group will receive an ICT system comprising of the PC, a set top box (STB), a Microsoft Kinect console, an Senior M
Sponsors
University of Siegen (Germany)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Men and women, aged 65+ years 2. Participants must be able to understand, read and speak German or Spanish, respectively 3. Not cognitively impaired 4. Are able to walk without walking aid 5. Television with HDMI 6. Internet access at home
Exclusion criteria
Exclusion criteria: 1. Acute coronary heart disease 2. Pulmonary embolism =6 months 3. Acute infections 4. Severe visual impairment 5. Psychiatric disorders 6. Untreated hypertension 7. Uncontrolled hypertension 8. Myocarditis 9. Bypass surgery =6 months 10. Participants with active implants (e.g., implantable defibrillators and pacemakers) 11. Severe neurological disorders: M. Parkinson, dementia, multiple sclerosis 12. Drug or alcohol dependence 13. Large abdominal aortic aneurysm 14. Uncontrolled metabolic diseases 15. Stroke 16. Acute cancer 17. Unstable cardiac disease 18. Arrhythmia 19. Chronic heart failure 20. Pulmonary embolism 21. Pneumonia 22. Chronic obstructive pulmonary disease (COPD) 23. Insufficient visual acuity 24. Insufficient visual aid 25. Colour blindness 26. Insufficient auditory acuity 27. Insufficient auditory aid 28. Valvular defect 29. Severe motor impairment 30. Anaemia 31. Renal insufficiency 32. Intermittent claudication 33. Osteoporosis 34. Inoperable enlarging aortic aneurysm 35. Malignant ventricular arrhythmia related to exertion 36. Severe aortic stenosis 37. End stage congestive heart failure 38. Other rapidly terminal illness 39. Severe behavioural agitation in response to exercise 40. Unstable angina 41. Uncontrolled cardiac failure 42. Severe aortic stenosis 43. Uncontrolled hypertension or grade 3 (severe) hypertension (e.g., blood pressure 180 mmHg [systolic] or 110 mmHg [diastolic]) 44. Symptomatic hypotension 15 mmol/L
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Reduction of fall risk by Short-form Physiological Profile Assessment (PPA; Lord, Menz, & Tiedemann, 2003), which includes five validated measures of physiological falls risk (visual contrast sensitivity, postural sway, quadriceps strength, reaction time and lower limb proprioception). 2. Improvement of quality of life by 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0; http://www.who.int/classifications/icf/whodasii/en/) and by European Quality of Life-5 Dimensions (EQ-5D; http://www.euroqol.org/). 3. Provide an improved fall prediction and prevention assessment with balance, sit-to-stand from the Short Physical Performance Battery (SPPB; Guralnik et al. 1994) and reaction tests adapting for the iStoppFalls system. 4. Improve the prediction of falls (sensitivity, specificity, positive predictive value [PPV], negative predictive value [NPV] and total predictive accuracy [TPA]) based on algorithms and modeling. The risk assessment includes general questions (e.g., age, gender), fall-specific questionnaires (e.g., previous falls, medication) and physical tests (e.g., reaction time, balance). 5. Daily life mobility trend and risk indicator by a biomechanical model of exercises and movements based on the kinematics of the population. Measured at baseline, mid-assessment after 2 months, post-assessment after 4 months, and 2 months follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. History of falls by questionnaire and monthly falls calendar. 2. Gait velocity by 4 m walking from the SPPB (Guralnik et al. 1994), and 10 m walking in participants' habitual speed with 2 m for acceleration and deceleration. 3. Muscle strength and power of the lower extremities by sit-to-stand test from the SPPB (Guralnik et al. 1994) and the adaptation for the iStoppFalls system. 4. Functional mobility by Timed up and go test (TUG; Podsiadlo & Richardson, 1991). 5. Reaction time: hand and stepping choice reaction time adapted for the iStoppFalls system. 6. Balance by Maximal Balance Range (MBR; Lord et al., 1996), coordinated stability (CoStab; Lord et al., 1996), adapted balance tests (bipedal, semi-tandem, near tandem, tandem stance) from the SPPB (Guralnik et al. 1994) for the iStoppFalls system. 7. Cognitive functions which include general fluid function by Digit-Symbol-Coding (WAIS-III; Wechsler, 1997), divided and switched attention by Trail Making Test parts A and B Test (TMT A+B; Reitan, 1958) and by Attention Network Test (ANT) on PEBL, inhibition by the Victoria Stroop Test on PEBL, memory and working memory by digits forward and backward (WAIS-III; Wechsler, 1997). 8. Dual task costs by 10 walk + counting backwards by 3, sway + counting backwards by 3, sway + digit forward span. 9. Self-efficacy and fear of falling by Shortened Iconographical-Falls Efficacy Scale (Icon-FES; Delbaere, Smith, & Lord; http://www.neura.edu.au/sites/neura.edu.au/files/page-downloads/Icon-FES_10item.pdf) 10. Daily life activity profile by SMM. 11. Daily life movement quality indicator by SMM. Measured at baseline, mid-assessment after 2 months, post-assessment after 4 months, and 2 months follow-up. | — |
Countries
Australia, Germany, Spain
Outcome results
None listed