Addressing fall risk by treating obstructive sleep apnea in older people

Not Applicable

Recruiting

Conditions: Obstructive sleep apnoea
Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation
Fall risk
Respiratory - Sleep apnoea
Injuries and Accidents - Other injuries and accidents

Registration Number: ACTRN12623000965606

Lead Sponsor: Flinders University

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 140

Inclusion Criteria

•Adults aged >= 60 years;
• Must be at high risk of a fall which is defined as: i) a fall within the last 6 months or ii) a
fear of falling or iii) >= 80 years of age
•able to walk 20 metres without rest;
•OSA50 questionnaire score >5
• Epworth Sleepiness Scale score =15 or >15 if not currently driving.
•Polysomnography (PSG) and physician confirmed OSA (apnoea hypopnoea index (AHI) >=15/h).
•All participants must not have used CPAP or mandibular advancement splint for at least the last 6 months and be able to perform physiological, fall risk and cognitive assessments.
•Insomnia Severity Index Score <15

Exclusion Criteria

•already treated for OSA,
•experience regular syncope/dizziness/vertigo,
•have suffered an injury that may affect falls risk (such as non-fall related lower limb fracture, lower limb muscular injury),
•Severe or unstable medical conditions (e.g., acute cardiac or respiratory failure, chronic obstructive pulmonary disease, history of traumatic brain injury, stroke with
neurological sequelae or neurodegenerative disorder [e.g., Parkinson’s, dementia])
•Cognitive impairment (Montreal Cognitive assessment score <=18)
•uncontrolled severe depression/anxiety.
•Not currently participating in a research study relating to sleep and falls.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Physiological Profile Assessment Fall Risk Score[ The primary outcome will be assessed at baseline, 3 months and 6 months after commencement of intervention. The primary time point will be 6 months post-commencement of intervention. ]

Secondary Outcome Measures