Fall
Conditions
Keywords
Elderly, Exercise, Fall, Home safety
Brief summary
This proposed randomized controlled trial aims to study the long-term compliance of the LiFE program and its combined effects with a home safety visit on fall prevention in community-dwelling older fallers.
Detailed description
This will be a single-blinded randomized controlled trial. The subjects will be randomly assigned to the LiFE exercise plus home safety assessment group, or the control group by a computer program operated by an independent researcher. This study conforms to the ethical principles of the World Medical Association Declaration of Helsinki.
Interventions
OTHERLifestyle integrated functional exercise program
Lifestyle-integrated exercise training targeting to improve strength and balance. Strategy to embed the exercise in the daily activity would also be taught so that the life exercise can be performed at any time of the day. The exercise would be taught in 6 home visits over 6-months.
OTHERHome safety assessment
Home safety assessment and modification that targets to reduce environmental risk factors of falls.
Sponsors
Chinese University of Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* aged 60 or older * able to ambulate with a Functional Ambulation Category (FAC) score ≥ 3 * able to walk for ≥ 10 meters * history of falls in the past 12 months * living in the community * without MCI or dementia according to the 5-minute Montreal Cognitive assessment * have a moderate fall risk or above as assessed by the Physiological Profile Assessment * able to understand Chinese.
Exclusion criteria
* blindness * diagnosis of mental disorders (e.g., severe depression, schizophrenia) * any contraindications to exercise (e.g. unstable angina).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fall | 1.5 years | Prospective fall data will be collected through telephone follow-up for 1.5 year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional lower body strength | Baseline and follow-up assessment at 6-month | Five-time sit-to-stand test will be used to assess lower body strength |
| Single leg standing balance | Baseline and follow-up assessment at 6-month | Single leg standing balance of both legs will be assessed |
| 10-meter walk test | Baseline and follow-up assessment at 6-month | The usual walking speed on a 10-meter walkway |
| Timed-up and Go test | Baseline and follow-up assessment at 6-month | The time required to stand up from a chair, walk 3-m, return, and sit down, in comfortable speed |
| Handgrip strength | Baseline and follow-up assessment at 6-month | Hand grip strength will be assessed by handheld dynamometer |
| Montreal Cognitive Assessment 5-minute protocol | Baseline and follow-up assessment at 6-month | A standardized cognitive test |
| Activity level | Baseline and follow-up assessment at 6-month | Selected participants will be asked to wear an activity tracker for 7 days to examine their activity level |
| Fall risk | Baseline and follow-up assessment at 6-month | Physiological Profile Assessment (PPA) will be used to assess fall risk |
| Timed-up and Go test with dual-task | Baseline and follow-up assessment at 6-month | The timed-up and Go test would be tested while asking the participants to do serial-3-subtraction |
Countries
Hong Kong
Outcome results
None listed