Frailty, Muscle Weakness
Conditions
Brief summary
To investigate the efficacy of a 12-week Functional Power Training (FPT) program in pre-frail and frail community-dwelling older adults in Singapore for the management of physical frailty. The proposed study will provide information on the benefits of FPT on physical performances of older adults and help to shape future exercise recommendations to slow or reverse the onset and severity of physical frailty.
Interventions
The exercise intervention encompassed high-velocity movement, balance, and mobility exercises with the use of body weight and resistance bands as resistance. Participants were instructed to move rapidly during the concentric phase and slowly during the eccentric phase when performing the dynamic exercises.
OTHERUsual care
Participants either continued the usual exercise program provided by their respective community senior activity centers or their personal exercise routine.
Sponsors
Geriatric Education and Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
55 Years to 99 Years
Healthy volunteers
Yes
Inclusion criteria
* aged 55 years and above * low muscle strength - handgrip strength less than 26kg for men and 18kg for women * ambulate without human assistance * able to understand basic instructions
Exclusion criteria
* currently enrolled in another study * acute musculoskeletal injury * unable to participate in the full duration of the study * unwilling to participate if not assigned to the intervention group * deemed not suitable to participate in exercise by a medical doctor
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of knee extensor strength at 12 and 24 weeks | baseline, 12 weeks, 24 weeks | Knee extensor strength (kg) |
| Change of Timed up and go (TUG) at 12 and 24 weeks | baseline, 12 weeks, 24 weeks | Timed up and go (TUG) (seconds) |
| Change of SPPB at 12 and 24 weeks | baseline, 12 weeks, 24 weeks | Short Physical Performance Battery (SPPB) consist of: 1. Balance test 2. Gait speed 3. Chair stand test |
| Change of Frail status at 12 and 24 weeks | baseline, 12 weeks, 24 weeks | Cardiovascular Health Study (CHS) Frailty status which characterizes frailty based on five components: unintentional weight loss, weakness, slowness, exhaustion and low physical activity. 1 point for each category. Robust: 0 point, Pre-Frail: 1-2 points , Frail: 3-5 points. |
| Change of hand grip strength at 12 and 24 weeks | baseline, 12 weeks, 24 weeks | Hand grip strength (kg) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Exercise adherence | baseline, 12 weeks, 24 weeks | Exercise journals |
Countries
Singapore
Outcome results
None listed