Accidental Fall
Conditions
Brief summary
Fall prevention programs should include strength and balance training, home hazard assessment and intervention, vision assessment and referral and also medication review with modification/withdrawal. Evidence exists that a tailored exercise program can reduce falls by as much as 54%. The FallSensing games software include 3 mini-games to be played by two teams with up to 3 players each will compete against each other alternately. The players will perform an initial evaluation with FallSensing screening tool, 16 sessions of group games (2 times a week/8weeks) with FallSensing multiplayer games and a final evaluation also with FallSensing screening tool. Both initial and final evaluation include six functional tests (Grip Strength, Timed Up and Go, 30 seconds Sit-to-Stand, Step test, 4 Stage Balance test modified and 10 meters Walking Speed) and a questionnaire concerning self-efficacy for Exercise.
Interventions
FallSensing multiplayer games is a technological solution based on an interactive (exer)game. Players will wear a strap on the lower limbs contaning an inertial sensor. This device enables movement identification on the characterization in real time, triggering actions in the game. The exercise games are based on a validated fall prevention exercise plan - the Otago Exercise Programme. The exercises were designed to promote mobility and improve muscle strength and balance.
Sponsors
Study design
Eligibility
Inclusion criteria
* adults aged 50 years or over; * Community-dweller; * independent to be standing and walking, with or without walking aids; * interest to participate in the study.
Exclusion criteria
* individuals with severe sensorial impairments (deafness or blindness) * individuals with cognitive impairments which precludes the ability to comprehend the questionnaire, functional tests and exercises included in the protocol.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 30 seconds Sit-to-Stand | Change from baseline 30 seconds Sit-to-Stand score up to 8 weeks | number of stands |
| 4 Stage Balance Test Modified | Change from baseline 4 Stage Balance Test Modified score up to 8 weeks | last position accomplished |
| Self-efficacy for Exercise | Change from baseline Self-efficacy for exercise score up to 8 weeks | Score 5 to 20 points (the higher the score, the better Self-efficacy) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timed Up and Go | Outset and up to 8 weeks | seconds |
| 10 meters Walking Speed | Outset and up to 8 weeks | meters per second |
| Grip Strength | Outset and up to 8 weeks | Kilogram-force |
| Step Test | Outset and up to 8 weeks | number of steps |
Countries
Portugal