Falls
Conditions
Keywords
falls, balance training, strength training
Brief summary
This study will be a randomized controlled trial to determine the efficacy of the Otago Exercise Program (OEP) on falls among seniors with a history of falls.
Detailed description
A total of 344 community-dwelling adults aged 70 years and older who are referred to a falls clinic secondary to seeking medical attention due to a fall will be randomized to either the 12-month OEP group or usual care. There will be three measurement sessions: baseline, 6 months, and 12 months.
Interventions
BEHAVIORALHome-based balance and strength retraining exercise program.
A 12-month home-based balance and strength restraining program delivered by a physical therapist
BEHAVIORALcontrol; usual care
Usual care as prescribed by geriatrician.
Sponsors
Canadian Institutes of Health Research (CIHR)
University of British Columbia
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. Adults older than or 70 years attending a Falls Prevention Clinic Service; 2. Understands, speaks, and reads English proficiently; 3. MMSE 8 score \> 24/30; 4. Had one documented non-syncopal fall in the last 12 months and one of the following: a) A Physiological Profile Assessment (PPA) score of at least 1 SD above normal; OR 2) Timed Up and Go Test (TUG) performance of greater than 15 seconds; OR 3) One additional documented non-syncopal fall in the previous 12 months; 5. Expected to live greater than 12 months; 6. Community-dwelling (i.e., not residing in a nursing home, extended care unit, or assisted-care facility); 7. Able to walk 3 meters with or without an assistive device; and 8. Able to provide written informed consent.
Exclusion criteria
1. Diagnosed with a neurodegenerative disease (e.g., Parkinson's disease); 2. Diagnosed with dementia (of any type); 3. Had a stroke; 4. Have clinically significant peripheral neuropathy or severe musculoskeletal or joint disease; or 5. Have a history indicative of carotid sinus sensitivity (i.e., syncopal falls).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Falls over a 12 month period. | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes of interest include: 1) physiological falls risk; 2) mobility; 3) cognitive function; and 4) economic evaluation. | 12 months |
Countries
Canada
Outcome results
None listed