Falls | Action Seniors! Exercise to Prevent Falls
Falls research study
What is the primary objective of this study?
This study will be a randomized controlled trial to determine the efficacy of the Otago Exercise Program (OEP) on falls among seniors with a history of falls.
Who is eligible to participate?
Inclusion Criteria: 1. Adults older than or 70 years attending a Falls Prevention Clinic Service; 2. Understands, speaks, and reads English proficiently; 3. MMSE 8 score > 24/30; 4. Had one documented non-syncopal fall in the last 12 months and one of the following: a) A Physiological Profile Assessment (PPA) score of at least 1 SD above normal; OR 2) Timed Up and Go Test (TUG) performance of greater than 15 seconds; OR 3) One additional documented non-syncopal fall in the previous 12 months; 5. Expected to live greater than 12 months; 6. Community-dwelling (i.e., not residing in a nursing home, extended care unit, or assisted-care facility); 7. Able to walk 3 meters with or without an assistive device; and 8. Able to provide written informed consent. Exclusion Criteria: 1. Diagnosed with a neurodegenerative disease (e.g., Parkinson's disease); 2. Diagnosed with dementia (of any type); 3. Had a stroke; 4. Have clinically significant peripheral neuropathy or severe musculoskeletal or joint disease; or 5. Have a history indicative of carotid sinus sensitivity (i.e., syncopal falls).
Which medical condition, disease, disorder, syndrome, illness, or injury is researched?
Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.
Behavioral:Home-based balance and strength retraining exercise program.A 12-month home-based balance and strength restraining program delivered by a physical therapist
Behavioral:control; usual careUsual care as prescribed by geriatrician.
Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.
1OEP (Otago Exercise Program; home-based balance and strength retraining program)
2CON (control; usual care)
Start Date: November 2009
Completed Date: July 2018
Primary Outcome: Falls over a 12 month period.
Secondary Outcome: Secondary outcomes of interest include: 1) physiological falls risk; 2) mobility; 3) cognitive function; and 4) economic evaluation.
Study sponsors, principal investigator, and references
Principal Investigator: Teresa Liu-Ambrose
Lead Sponsor: University of British Columbia
Collaborator: Canadian Institutes of Health Research (CIHR)