Age Problems, Cognitive Impairment, Elderly, Postural Balance, Strength
Conditions
Keywords
Physical Therapy Modalities, Accidental Fall, Elderly, Hydrotherapy, Nursing Home
Brief summary
This is a pilot randomized control trial with single blinding of the assessor that will be conducted in two nursing homes residence to evaluate the applicability of a physical exercise program performed in an aquatic environment compared with the same realization but land-based to reduce falls in the institutionalized old people. The secondary objectives are to study the applicability of the intervention in improving balance, function, gait mobility, muscle strength of the lower limbs and the perception of the intervention.
Detailed description
The participants will be randomized and divided into the hydrotherapy group or the control group. Each participant will attend a total of 24 physical exercise sessions of 50 minutes of duration. The study outcomes will be measured before the intervention and in 3 posterior phases to evaluate its effects in the short, medium and long terms.
Interventions
OTHERExercise
Sponsors
Sanitas Mayores Les Corts
Residencial Augusta Park
University Ramon Llull
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Be institutionalized in a care center * Participate voluntarily and sign the informed consent * Have a punctuation of 2 or more in The Downton Fall Risk Index
Exclusion criteria
* Suffer from a condition that can be affected or hinder exercise * Acute disease unresolved in 10 days * Not controlled hypertension * Contagious skin disorder * Urinary or faecal incontinence
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Number of Falls at 3 months, 6 months and 9 months | 3 months, 6 months, 9 months | Falls follow up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain measured with Visual Analogue Scale | 3 months, 6 months, 9 months | Measured with Visual Analogue Scale |
| Mobility measured with Timed Up & Go Test | 3 months, 6 months, 9 months | Measured with Timed Up & Go Test |
| Balance measured with Performance Oriented Mobility Assessment | 3 months, 6 months, 9 months | Measured with Performance Oriented Mobility Assessment |
| Muscle strength measured with Five Sit to Stand test and Handgrip Test | 3 months, 6 months, 9 months | Measured with Five Sit to Stand test and Handgrip Test |
| Intervention Perception measured with Qualitative interview | 3 months | Qualitative interview |
| Daily living activities measured with Barthel Test | 3 months, 6 months, 9 months | Measured with Barthel Test |
Countries
Spain
Outcome results
None listed