Falls Falls Individually-
Conditions
Interventions
Individually-
tailored home-
based exercise program used in this study employs the concept and protocol of the Otago Exercise Program (Campbell & Robertson,
2007). The program consists of a set of leg muscle strengthening* and balance retraining exercises**. The exercise is individually prescribed by physical therapists and progress in difficulty during a
s balance performance and strength of lower extremity muscles as well as ability of participants to independently perform the exercises safely. The exercises take approximately 30 minutes to complete
with rest days between.
*A set of leg muscle strengthening exercise is consisted of 1) front knee strengthen 2) back knee strengthen 3) side hip strengthen 4) calf raises and 5) toe raises. In follo
up visits,
the exercises may progress by adding additional ankle cuff weights or increasing the number of sets performed.
**A set of balance retraining exercise is consisted of 1) knee bends 2) backwards walkin
the exercises may progress from holding on to a stable structure to performing the exercise independent of support.
,There is none intervention for the control participants. They are advised to con
Experimental Procedure/Surgery,No Intervention No treatment
based exercise program,Control
Sponsors
Faculty of Physical Therapy, Mahidol University
The Thailand Research Fund
Eligibility
Sex/Gender
All
Age
60 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1) aged 60 years or older 2) at risk of falls (determined by history of fall(s) during 1 year previous with Timed Up and Go (TUG) Test > 10 seconds) 3) be able to walk within house without assistance 4) live in the accommodation in the community (not in the institutions, i.e. hospitals, nursing homes) 5) be able to contact via telephone 6) willingness to participate in a study
Exclusion criteria
Exclusion criteria: 1) blind or deaf 2) cerebrovascular or cardiovascular accidents reported within the past 6 months 3) acute liver problems or the active phase of chronic hepatitis 4) diabetic mellitus with a history of hypoglycemic attack, with fasting levels of plasma glucose concentrations > 200 mg/dL, or with complications such as retinopathy or nephropathy 5) fasting levels of plasma glucose concentration 180 mmHg or diastolic blood pressure > 110 mmHg at rest 7) diagnosis of heart disease or experienced chest pain during exercise 8) balance loss because of dizziness 9) pain at hip, knee, or ankle region measured by Numeric Rating Scale ≥ 5 which cause inability to move or weight bearing through joint(s) 10) Mini Mental State Examination (MMSE) Thai version ≤14 for non-educated ≤17 for those achieved primary school à¹à¸¥à¸° ≤22 for those achieved higher than primary school 11) currently receiving physical therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of falls over 12-month follow-up period Self-report falls schedule | — |
Secondary
| Measure | Time frame |
|---|---|
| Balance performance at baseline and after 3, 6, 9, 12 months The Mini-Balance Evaluation Systems Test (performance test),Gait and mobility at baseline and after 3, 6, 9, 12 months The timed up-and go-test (performance test),Lower limb muscle strength at baseline and after 3, 6, 9, 12 months Chair stand test (performance test),Fear of fallings at baseline and after 3, 6, 9, 12 months Thai version of Falls Efficacy Scale-International (self report) | — |
Countries
Thailand
Contacts
Public ContactBenjawan Apinonkul
Faculty of Physical Therapy, Mahidol University
Outcome results
None listed