Pilates: fitness fad or next frontier in falls prevention and bone health? A pilot randomised controlled trial.

Not Applicable

Recruiting

• Conditions: Accidental falls; Osteopenia; Osteoporosis; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation; Injuries and Accidents - Other injuries and accidents; Musculoskeletal - Other muscular and skeletal disorders

• Registration Number: ACTRN12612000224820
• Lead Sponsor: Faculty of Medicine, Nursing and Health Sciences Strategic Grant Scheme Monash University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2012-02-22
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

Arms 1, 2, 3 and 4:
Community-dwelling men and women (i) identified as being at high risk of suffering a fall related injury on screening assessment; (ii) aged 60 years or over; and (iii) able to negotiate a set of 10 stairs independently without a gait aid. Medical clearance will be required from each participant's Medical practitioner to certify him/her as able to participate in moderate intensity physiotherapist supervised exercise before being accepted into the trial.

And:

Arm 2 and 4:
Community-dwelling men and women that have low bone mineral density (t-score > 1SD below age related normal score) as diagnosed from a DXA scan within the last 6 months at a selected imaging centre.

Exclusion Criteria

Arm 1, 2, 3 and 4:
Participants will be excluded if they: (i) have a telephone Mini-Mental State Examination score of <17; (ii) are already attending Pilates or other formal exercise class (60 minutes or more per week) for 4 or more weeks in the previous 12 weeks; (iii) currently or recently have or have had an acute medical condition; (iv) have had cancer within the past 5 years and/or currently undergoing active treatment for cancer or (v) suffering from uncontrolled chronic conditions that would interfere with the safety and conduct of the assessments or Pilates exercise intervention.

Arm 2 and 4: As stated above with the additional exclusion criteria of: (i) have received hormone therapy in the last 2 years; or (ii) have commenced taking medication(s) known to affect bone metabolism in the previous 90 days

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Arm 1, 2, 3 and 4:<br>Number of falls assessed by the rate of falls (per-person-per-year). Falls will be recorded on the participants falls diary and verified by the monthly telephone follow-up.[At baseline, and 12 and 24 weeks after intervention commencement];Arm 1, 2, 3 and 4:<br>Change to standing balance as measured by seven physical performance tests proven to be valid and reliable measures of balance: 1. The Step Test 2. Functional Reach test 3. Timed Up & Go 4. Lateral Reach test 5. Clinical test of Sensory Interaction on Balance 6. Dynamic Gait Index 7. Four Square Step test[At baseline, and 12 and 24 weeks after intervention commencement];Arm 2 and 4:<br>Change in lumbar spine (L2-L4) and femoral neck bone mineral density as assessed via Dual-emission X-ray absorptiometry (DXA).[At baseline and at 24-28 weeks after the baseline assessment after the intervention commencement.]