Feasibility Aquatic Physical Exercise to Reduce Falls in Institutionalized Elderly

Not Applicable

Completed

• Conditions: Strength; Age Problems; Postural Balance; Cognitive Impairment; Elderly
• Interventions: Other: Exercise

• Registration Number: NCT03019211
• Lead Sponsor: University Ramon Llull

Brief Summary

This is a pilot randomized control trial with single blinding of the assessor that will be conducted in two nursing homes residence to evaluate the applicability of a physical exercise program performed in an aquatic environment compared with the same realization but land-based to reduce falls in the institutionalized old people. The secondary objectives are to study the applicability of the intervention in improving balance, function, gait mobility, muscle strength of the lower limbs and the perception of the intervention.

Detailed Description

The participants will be randomized and divided into the hydrotherapy group or the control group. Each participant will attend a total of 24 physical exercise sessions of 50 minutes of duration. The study outcomes will be measured before the intervention and in 3 posterior phases to evaluate its effects in the short, medium and long terms.

Study Timeline

• Study Start: 2016-04
• Status Verified: 2016-09
• Study First Submitted: 2017-01-08
• Study First Submitted QC: 2017-01-11
• Study First Posted: 2017-01-12
• Primary Completion: 2017-03
• Study Completion: 2017-03
• Last Update Submitted: 2017-05-02
• Last Update Posted: 2017-05-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 18

Inclusion Criteria

• Be institutionalized in a care center
• Participate voluntarily and sign the informed consent
• Have a punctuation of 2 or more in The Downton Fall Risk Index

Exclusion Criteria

• Suffer from a condition that can be affected or hinder exercise
• Acute disease unresolved in 10 days
• Not controlled hypertension
• Contagious skin disorder
• Urinary or faecal incontinence

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Hydrotherapy	Exercise	Exercise performed in an aquatic environment. The participants will perform static/dynamic exercises (balance and resistance training) in an aquatic environment. Training volume and intensity we will increase systematically over 12 weeks.
Control	Exercise	The participants will perform exercises (balance and resistance training) like hydrotherapy group but out of the aquatic environment, during a 12 weeks training period (3sessions/week). Training volume and intensity we will increase systematically over 12 weeks.

Primary Outcome Measures

Name	Time	Method
Change from baseline Number of Falls at 3 months, 6 months and 9 months	3 months, 6 months, 9 months	Falls follow up

Secondary Outcome Measures

Name	Time	Method
Pain measured with Visual Analogue Scale	3 months, 6 months, 9 months	Measured with Visual Analogue Scale
Muscle strength measured with Five Sit to Stand test and Handgrip Test	3 months, 6 months, 9 months	Measured with Five Sit to Stand test and Handgrip Test
Mobility measured with Timed Up & Go Test	3 months, 6 months, 9 months	Measured with Timed Up \& Go Test
Balance measured with Performance Oriented Mobility Assessment	3 months, 6 months, 9 months	Measured with Performance Oriented Mobility Assessment
Daily living activities measured with Barthel Test	3 months, 6 months, 9 months	Measured with Barthel Test
Intervention Perception measured with Qualitative interview	3 months	Qualitative interview

Trial Locations

Locations (1)

Universitat Ramon Llull; 🇪🇸 Barcelona, Spain