Falls Prevention Program for Adults With Osteoarthritis
- Conditions
- Falls, AccidentalOsteoarthritis
- Interventions
- Other: Otago Exercise Programme and Walk with Ease
- Registration Number
- NCT02648646
- Lead Sponsor
- University of North Carolina, Chapel Hill
- Brief Summary
Purpose: To report the feasibility and to obtain preliminary data on the effects of using an enhanced Otago Exercise Programme to reduce fall risk in individuals with osteoarthritis (OA).
Participants: Ten participants from the Johnston County Osteoarthritis Project who have OA, are at risk for falls, and are 65+ years old.
Procedures (methods): All participants will receive the 6-month enhanced Otago program. The investigators will assemble data: quantifying participant adherence to and safety of the intervention, ascertaining retention of participants for 6 months, determining acceptability of the program, and other validated measures (e.g., number of falls and fall severity, balance measures).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 10
- history of falls
- knee or hip radiographic OA
- 65+ years of age
- normal cognitive function (based on the Mini-Mental State Examination)
- current knee/hip symptoms
- hospitalized for stroke, myocardial infarction, or coronary artery revascularization in past 3 months
- diagnosis of metastatic cancer in the past 3 months
- terminal illness
- progressive neurological disorders
- rheumatoid arthritis
- severe fibromyalgia
- other systemic rheumatic disease
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Single Arm - Intervention Otago Exercise Programme and Walk with Ease Receives Otago Exercise Programme and Walk with Ease
- Primary Outcome Measures
Name Time Method Participant Adherence to Intervention 6 months Number of participants who adhere to the intervention.
Retention of Participants 6 months Number of participants who participate in the study for the full 6 month program.
Acceptability of the Program 6 months Descriptive summary of participants' reports from closing interview of what they like and do not like about the program, any challenges they experienced with doing the program, and whether they plan to continue what they learned.
Participant Safety With the Intervention 6 months Number and type of adverse events related to the intervention.
- Secondary Outcome Measures
Name Time Method Number of Falls Baseline to Month 6 Participant will record occurrence of falls on a monthly falls calendar. Number of falls over the 6 month program will be calculated.
Four-tests Balance: Feet Together Stand Month 6 Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.
Hand Grip Dynamometry Right Hand Month 6 Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.
Number of People With Severe of Falls Baseline to Month 6 Participant will record whether the fall resulted in an injury and the type of injury that occurred. A fall will be considered severe if an injury occurred.
Stair Climb Test Month 6 Participant ascends and descends 3 stairs as quickly as possible in a safe manner, using handrail and walking aid if needed. Time to complete task is recorded in seconds.
30-second Chair Stand Test Month 6 Participant rises from chair to full standing position and sits back down as quickly as possible for 30 seconds. Number of completed sit to stand to sit maneuvers is recorded.
Timed Up and Go Test Month 6 Participant stands up from chair, walks 3 meters, turns around, walks back to chair, and sits down. Time to complete task is recorded in seconds.
Western Ontario and McMaster Universities Osteoarthritis Index Month 6 This questionnaire include 5 questions about knee or hip pain, 2 questions about knee or hip stiffness, and 17 questions about difficulty with performing daily activities that involve the lower body. Each item is scored from 0-4 (none, slight, moderate, severe, and extreme). A total score is calculated by summing the item scores and ranges from 0 (no problems) to 96 (extreme problems).
Rapid Assessment of Physical Activity: Aerobic Score Month 6 Participants are asked to identify from a list of 7 items which one accurately describes their current level of aerobic physical activity. Participants who identify with items 6 or 7 are considered active. Those who identify with items 1-5 are considered to have suboptimal aerobic physical activity levels.
Sedentary:
1. I rarely or never do any physical activities.
Under-active:
2. I do some light or moderate physical activities, but not every week.
Under-active regular - light activities:
3. I do some light physical activity every week.
Under-active regular:
4. I do moderate physical activities every week, but less than 30 minutes a day or 5 days a week.
5. I do vigorous physical activities every week, but less than 20 minutes a day or 3 days a week.
Active:
6. I do 30 minutes or more a day of moderate physical activities, 5 or more days a week.
7. I do 20 minutes or more a day of vigorous physical activities, 3 or more days a week.Berg Balance Scale Month 6 This is 14 item scale that measures balance among older adults. The participant attempts to complete 14 different balance tests (e.g., stand unsupported with eyes closed, pick up object from floor from standing position), closely supervised by a physical therapist to prevent fall or injury. The test takes no more than 15 minutes to complete and a total score is calculated of 0-56 (high fall risk to low fall risk).
Four-tests Balance: One Leg Stand Month 6 Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.
Activities-specific Balance Confidence Scale Month 6 Participant reports level of confidence in doing an activity without losing balance or becoming unsteady on a scale of 0-100%. The ratings are totaled and divided by 16 (the number of items) to calculate a total score.
Four-tests Balance: Semi-tandem Stand Month 6 Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.
Four-tests Balance: Tandem Stand Month 6 Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.
Hand Grip Dynamometry Left Hand Month 6 Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.