Live Long Walk Strong (LLWS) Rehabilitation Program: What Features Improve Mobility Skills
- Conditions
- Mobility Limitation
- Interventions
- Other: Live Long Walk Strong rehabilitation program
- Registration Number
- NCT04026503
- Lead Sponsor
- VA Office of Research and Development
- Brief Summary
This study is being performed to evaluate the efficacy of the Live Long Walk Strong rehabilitation program in Veterans 50 years and older. This study will also examine the features of the program that contribute to improved gait speed.
- Detailed Description
Due to COVID-19, currently completed a virtual version of the LLWS intervention study.
The investigators are currently recruiting for the original study design in-person.
This study is a 4 year phase II randomized clinical trial study design. This study will provide important information about the mechanisms that contribute to meaningful improvement in mobility, the benefits of a novel mode of physical therapy care, and the duration of treatment effect.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 198
- Veteran
- Aged 50 and older
- Community dwelling
- Ability to speak and understand English
- Usual gait speed 0.5 m/s- 1.0 m/s Activity modifications and access to telehealth rehabilitation
-
Presence of a terminal disease
-
A major medical problem, unstable chronic condition, or psychiatric disorder that interferes with safe and successful testing and training
-
Myocardial infarction or major surgery in previous 3 months
-
Planned major surgery
-
Baseline short physical performance battery score less than 4
-
Use of a walker
-
Modified mini mental status examination score less than or equal to 77
-
Presence of a significant disease specific impairment such as:
- peripheral neurologic impairment
- orthopedic impairment
- visual impairment
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 8 week wait list control Live Long Walk Strong rehabilitation program 8 week wait list then followed by 8 weeks of the Live Long Walk Strong rehabilitation program Live Long Walk Strong Live Long Walk Strong rehabilitation program 8 week rehabilitation program
- Primary Outcome Measures
Name Time Method Gait Speed within 2 weeks, 8 weeks, 16 weeks follow up Gait speed change will be assessed within 2 weeks post intervention and then in 8 and 16 weeks of subsequent follow-up.
Virtual only pilot assessing the feasibility of the LLWS program in a virtual format.
- Secondary Outcome Measures
Name Time Method Lower Extremity Power within 2 weeks, 8 weeks, 16 weeks follow up Lower extremity power measure will be assessed at 3 time points post intervention. Power will be assessed via a keiser machine (force) and stair climb test (seconds).
Gait Variability within 2 weeks, 8 weeks, 16 weeks follow up Gait variability will be measured at 3 time points post intervention. Gait variability will be assessed via zeno gait mat measurement of step length, step width and other measures of gait quality captured via the pkmas software within the zeno gait mat.
Trunk Muscle Endurance within 2 weeks, 8 weeks, 16 weeks follow up Trunk muscle endurance will be measured at 3 time points post intervention. Trunk endurance will be assessed via saunders table through time (seconds) held in a fixed position.
Trial Locations
- Locations (1)
VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
🇺🇸Boston, Massachusetts, United States