Accidental Falls
Conditions
Keywords
Exercise, Rehabilitation, Postural Balance, Accidental Falls, Geriatrics
Brief summary
This study aims to investigate the potential to train compensatory stepping and grasping reactions for the prevention of falls.
Detailed description
Physical activity and exercise have been shown to prevent falling in older adults, although the exact mechanisms by which exercise prevents falls is unclear. Compensatory stepping and grasping reactions are frequently used to prevent a fall to the ground following a loss of balance. Age-related impairment in these reactions may be related to an increased risk of falling. Therefore, the purpose of this study is to investigate means for reversing age-related impairment in compensatory stepping and grasping reactions. A training program involving perturbation-evoked reactions will be evaluated. Comparison(s): Balance recovery ability before and after a 6-week training program will be assessed. Performance of the training group will be compared to a control group not receiving stepping and grasping training.
Interventions
Perturbation-based balance training. 30-minute sessions three times per week for six weeks.
30-minute sessions, three times per week for six weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Community dwelling * History of falls (at least 1 fall in the past 12 months) or poor balance * Functional mobility (no dependence on mobility aids)
Exclusion criteria
* Neurological or musculoskeletal disorder * Cognitive disorder (e.g. dementia) * Osteoporosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ability to recover balance by stepping and grasping | Before and after 6-week intervention |
Secondary
| Measure | Time frame |
|---|---|
| Fall frequency; clinical measures related to balance and fall risk (e.g. FallScreen, Community Balance and Mobility Scale, balance confidence) | One year post-intervention |
Countries
Canada