Physical Exercise and Jaques-Dalcroze Eurhythmics: Effects on Physical and Cognitive Functions, and Falls in Seniors
- Conditions
- Physical FunctionCognitive FunctionFalls
- Interventions
- Behavioral: Jaques-Dalcroze eurhythmics trainingBehavioral: Multicomponent exercise training
- Registration Number
- NCT01811745
- Lead Sponsor
- University Hospital, Geneva
- Brief Summary
The purpose of this study is to evaluate the efficacy and the possible mechanisms underlying music-based multitask training (i.e., Jaques-Dalcroze eurhythmics) in older people, compared to multicomponent exercise training.
This study is designed as a 12-month, prospective, single-centre, single-blind, 2-arm, parallel group, randomized controlled trial in which 140 community-dwelling older adults at high risk of falls are randomly assigned to receive either a music-based multitask training intervention (i.e., Jaques-Dalcroze eurhythmics) or a multicomponent exercise training intervention, for 12 months. A 12-month follow-up is planned with outcome measures assessed at three time points: baseline (before intervention initiation), 6-month (intervention mid-point), and 12-month (intervention termination). Outcomes of interest include physical and cognitive performances, and falls. In addition, the investigators specifically address brain circuits in an exploratory sub-study. Volunteer trial participants from both study arms are invited to undergo functional magnetic resonance imaging (fMRI) at baseline and 12-month.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 142
- aged ≥ 65 years (no upper age limit)
- living in the community, even in protected housing
- identified as being at high risk of falls (i.e., one or more self-reported falls after the age of 65 years or balance impairment as assessed by a simplified Tinetti test or presence of one or two indicators of physical frailty based on Fried's criteria)
- willing to comply with all study requirements
- neurological or orthopaedic disease (e.g., stroke with residual motor deficit, Parkinson's disease) with a significant impact on gait and balance performances
- fully dependent on a technical aid for walking such as canes or walker
- diagnosis of dementia based on a comprehensive neuropsychological assessment
- participation in a Jaques-Dalcroze Eurhythmics program or a supervised multicomponent exercise program in the past 12 months
- serious medical conditions or other factors that may limit adherence to interventions or affect conduct of the trial (e.g., terminal illness)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Jaques-Dalcroze eurhythmics training Jaques-Dalcroze eurhythmics training Once-weekly 60-min Jaques-Dalcroze eurhythmics class, for 12 months. Multicomponent exercise training Multicomponent exercise training Once-weekly 60-min multicomponent exercise class supplemented by one 30-min home-based exercise session, for 12 months.
- Primary Outcome Measures
Name Time Method Change in gait variability under dual-task condition 6 months, 12 months
- Secondary Outcome Measures
Name Time Method Change in balance performances (quantitative balance analysis) 6 months, 12 months Change in functional tests performances (Timed Up & Go test and Short Physical Performance Battery) 6 months, 12 months Change in cognitive performances (comprehensive neuropsychological battery assessing different aspects of executive functioning) 6 months, 12 months Change in anxiety/depression (Hospital Anxiety and Depression scale) 6 months, 12 months Incidence of falls and fractures (prospective daily recording using calendars, to be returned monthly) 6 months, 12 months Change in gait performances (quantitative gait analysis under single and dual-task conditions) 6 months, 12 months Change in fear of falling (Short-FESI) 6 months, 12 months
Trial Locations
- Locations (1)
Bone Diseases Service, Geneva University Hospitals
🇨🇭Geneva, Switzerland