Aging, Fall, Mobility Limitation, Muscle Weakness
Conditions
Brief summary
Older adults who are referred to home care physiotherapy often only get to see the physiotherapist three to five times and are expected to continue exercising on their own. We have developed an interactive technology called ABLE that helps older adults do exercise in their homes by making it fun and interactive. We want to see if we can help 25 older adults to exercise with ABLE for three months and if exercising with ABLE for three months changes older adults' strength and balance. A physiotherapist will visit the older adults three times in their homes and show them how to use ABLE and which exercises to do. We will measure older adults' strength and balance before and after using the program and ask them and their family members for feedback about using ABLE. The results of our study will help us decide if we can do a bigger study to test the effect of using ABLE in a larger group of older adults, and to see what effect ABLE might have on strength and balance. The study will also help us incorporate feedback from the older adults and their families to improve ABLE for the next study.
Interventions
BEHAVIORALABLE - exercise with interactive technology
Multicomponent exercise with interactive technology - consists of wearable sensors and a screen displaying interaction. When the person does the exercises it produces an arts-based response on the screen (e.g., digital painting).,
Sponsors
McMaster Institute for Research on Aging
Physiotherapy Foundation of Canada
McMaster University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
pre-post pilot feasibility
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* able to stand and walk independently with or without an assistive aid (e.g., walker, cane) * may have a diagnosis of dementia or cognitive impairment (MoCA \< 25, MMSE \<24, Mini-Cog \<3) if they have caregiver willing to assist with exercises and consent
Exclusion criteria
* have a diagnosis of dementia or cognitive impairment (MoCA \< 25, MMSE \<24, Mini-Cog \<3) and have no family member to assist with exercises and consent * documented absolute contraindications to exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recruitment | One year | The number of participants recruited over one year. |
| Retention | Three months | The number of participants who complete visit 4. |
| Adherence | Three months | The number of days per week that participants complete the home exercise program. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported falls as reported in daily diary | Three months | A slip or a trip where the person loses their balance and part or all of their body lands on the ground, floor, or lower level |
| Short Physical Performance Battery (SPPB) | Three months | The SPPB is a measure of lower extremity function through measures of balance (timed static stance in feet together, semi-tandem and tandem with eyes open), gait speed, and the time to rise from a chair |
| Participant feedback | Three months | Participants and their caregivers (if they assisted with the intervention) will provide their feedback on the technology and participation in the pilot study via one-on-one qualitative interviews completed during the last study visit. |
| Balance Outcome Measure for Elder Rehabilitation (BOOMER) | Three months | The BOOMER is a measure of static and dynamic balance |
| International Physical Activity Questionnaire (IPAQ) | Three months | The IPAQ is a self-report measure of time spent (e.g., duration per session, and number of session in the past 7 days) in strength training, yoga/Tai Chi/other balance activities, vigorous physical activity, moderate physical activity, walking, and sitting/lying down while awake |
Contacts
Primary ContactCaitlin M McArthur, PhD, MScPT
Backup ContactJessica Belgrave Sookhoo, BSc
Outcome results
None listed