Home Balance Pilot for Fall Reduction in COPD

Not Applicable

Completed

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

Inclusion Criteria

Exclusion Criteria

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.

Arm && Interventions

Group	Intervention	Description
Home balance exercise program	Home balance exercise program	The home-based exercise program will be tailored to address the underlying balance deficits in COPD and individualized according to each participant's ability. Physiotherapists will teach the program in four home visits over the first 6 weeks of the study; in the event of an exacerbation, a fifth visit will be provided to modify the program. Participants will be given an exercise DVD (with portable player), and will be instructed to perform the program 3 times/week for 6 months. Therapists will provide bi-monthly telephone support.

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
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
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

Locations (2): Firestone Institute for Respiratory Health, St. Joseph's Healthcare Hamilton
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Hamilton, Ontario, Canada
West Park Healthcare Centre
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Toronto, Ontario, Canada