Improving Balance in Frail Elderly: A Randomized Clinical Trial of Two Methods to Enhance Strength (Stretch and Strength Versus Core Strength)
Trial Snapshot
- Phase
- Phase 1
- Status
- Completed
- Sponsor
- McGill University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Berg balance scale
Study Overview
Brief Summary
The objective of this pilot study is to estimate, for a frail elderly population, the extent to which balance improves following a Core-Strength training program in comparison to a Stretch & Strength program. A secondary objective is to explore the impact of core strength training on urinary incontinence.
Detailed Description
Participants will be randomized to one of the two exercise groups, Core-Strength training group or the Stretch & Strength group. The exercises will consist of 15-20 minute session for every day they attend the GDH. Measures will be made at admission, after 6 weeks of the program and at discharge if more than past 6 weeks.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •elderly persons attending the geriatric day hospital at the royal victoria hospital
Exclusion Criteria
- •persons who are not medically fit to participate in the Geriatric day hospital physiotherapy component.
- •the individuals at high risk for falls
Arms & Interventions
core
strength training of the core muscles.
Intervention: Core (Other)
stretch and strength
This program consists of general stretching exercises and peripheral muscle strengthening exercises with a special emphasis on strengthening the upper extremity muscles because of their importance for ADL but not necessarily balance.
Outcomes
Primary Outcomes
Berg balance scale
Time Frame: baseline, 6 weeks, discharge
Secondary Outcomes
- Bridge Test(Baseline, 6 weeks, discharge)
- Functional walking capacity 6 minute walk test(baseline, 6 weeks, discharge)
- Gait speed(baseline, 6 weeks, discharge)
- Activities-Specific Balance Confidence Scale (ABC Scale)(Baseline, 6 weeks, Discharge)
- International Consultation on Urinary Incontinence Questionnaire- Urinary Incontinence Short Form (ICIQ-UI)(Baseline, 6 weeks, discharge)
Investigators
Nancy Mayo
BSc(PT), MSc, PhD
McGill University
