Accidental Falls
Conditions
Keywords
Elderly, home-based exercises programm
Brief summary
The aim of the pilot-study is to evaluate the feasability of a future RCT, regarding recruitement of eligible participants, adhesion rate, datarecording and cost. In this feasibility pilot study, 18 patients with at least 65 years will be allocated randomly to one of two interventions. The control group gets a well-known home-based exercise program (OTAGO) aiming to prevent falls where the exercises are prescribed by a physical therapists. The exercises will be presented on a booklet and on printed cards. The Intervention group consists of an exercise program, the T&E program, where the elderly persons can choose the exercises depending on their abilities. The exercises in the T&E program will be presented in a printed manual and shown on videos on an electronic tablet. Both intervention groups receive 6 hours of instruction and control/supervision sessions by physical therapists. In addition, the participants will exercise alone. The interventions will be performed over 24 weeks. In this pilot study, the hypothesis is that the adhesion rate is at least 65%. Other feasibility criteria will be costs, data recording issues and the qualitative evaluation of the booklet and the tablet. Falls will be assessed with a falls calendar. The amount of physical activity of the participants is assessed with an accelerometers (actigraph) and quality of life will be assessed with OPQOL-35 at baseline, week 16 and week 24.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Living at home * Ability to perform standing position independently with/without walking aids (rollator crutch) * Reported fall(s) during the last 12 months and/or fear of falling (Short FES-I ≥8) * Understand french / german
Exclusion criteria
* Actually in treatment with a physical therapist * Participate at an other home-based programm exercises * MMS Score ≥ 25.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adhesion rate | 24 weeks | Feasability of a futur study about the recruting processus and adhesion rate (≥ 65%) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feasability | 24 weeks | Feasability about cost, datarecording, qualitativ evaluation of the booklet and the electronic tablet |
Other
| Measure | Time frame | Description |
|---|---|---|
| Quality of life | 24 weeks | OPQOL-35 questionnaire, at baseline, on the 16st week and end of intervention |
| Timed Up and Go (TUG) test | 24 weeks | at baseline and at the end of the intervention |
| Functional Reach test (FR) | 24 weekds | at baseline and at the end of the intervention |
| Falls | 24 weeks | monthly calendar |
| Five Time Sit to Stand (FTSTS) | 24 weeks | at baseline and at the end of the intervention |
| Walking speed | 24 weeks | at baseline and at the end of the intervention |
| Four-Test balance scale | 24 weeks | at the baseline and at the end of the intervention |
| Physical activity | 24 weeks | 6 monthly calendars and accelerometer (baseline and 16st week) |
Countries
Switzerland