Home Balance Pilot for Fall Reduction in COPD
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Registration Number
- NCT02695342
- Lead Sponsor
- McMaster University
- Brief Summary
There is a growing body of evidence demonstrating that older adults with COPD have important problems with their balance and a high incidence of falls compared to those of a similar age. This research will explore the feasibility and preliminary effects of a tailored 6-month home balance exercise program for reducing falls in older adults with COPD.
- Detailed Description
Chronic obstructive pulmonary disease (COPD) is highly prevalent among older adults and is a leading cause of death, disability and hospitalization in Canada. There is a growing body of evidence demonstrating that older adults with COPD have important problems with their balance and a high incidence of falls compared to those of a similar age. This research will explore the feasibility and preliminary efficacy of a tailored 6-month home balance exercise program for reducing falls in older adults with COPD.
The primary objective of this pilot study is to determine the feasibility of a tailored home balance intervention for older adults with COPD in terms of recruitment, retention and adherence. The secondary objective is to examine the within-subject effects of the home-balance intervention on intermediate outcomes linked to falls including balance, functional strength and self-reported disability.
Thirty-five older adults with COPD will be recruited from respirology clinics at West Park Healthcare Centre (Toronto) and the Firestone Institute for Respiratory Health (Hamilton) to participate in a single-group, non-randomized clinical trial. Eligible participants will be enrolled in a 6-month balance home exercise intervention. The home program will be supervised by a physiotherapist and outcome measures will be collected at home at baseline, 3- and 6-months by a research assistant not involved in the intervention.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 36
- a clinical diagnosis of COPD;
- age ≥ 60 yrs;
- a history of 1 or more falls in the previous year;
- ability to provide written informed consent.
- inability to communicate in English;
- history of significant cardiovascular disease;
- marked decrease in arterial oxygen saturation at rest or during previous assessments of exercise capacity;
- severe cognitive impairment;
- evidence of a condition that severely limits mobility and may jeopardize safety;
- completion of a course of rehabilitation in the last 6 months or on a wait list for admission to rehabilitation.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Retention rate 6 months Percentage of the sample that complete all 3 outcome assessments
Compliance 6 months Mean number of prescribed exercise sessions completed
Recruitment rate Baseline Percentage of eligible patients that consent to enroll in the study
- Secondary Outcome Measures
Name Time Method 30-second Sit-to-Stand Test baseline 3 months, 6 months Measure of functional lower body strength
Activity-Specific Balance Confidence questionnaire baseline, 3 months, 6 months Measure of balance confidence
Balance Evaluation Systems Test (BESTest) baseline, 3 months, 6 months Measure of balance
Berg Balance Scale baseline, 3 months, 6 months Measure of balance
Self-reported function (PF-10) baseline, 3 months, 6 months Physical function sub-scale of the Medical Outcomes Study 36-item Short-form Health Survey
Trial Locations
- Locations (2)
Firestone Institute for Respiratory Health, St. Joseph's Healthcare Hamilton
🇨🇦Hamilton, Ontario, Canada
West Park Healthcare Centre
🇨🇦Toronto, Ontario, Canada
Firestone Institute for Respiratory Health, St. Joseph's Healthcare Hamilton🇨🇦Hamilton, Ontario, Canada