Effects of Supervised Versus Unsupervised Home Exercises on Fall-related Variables for Community-dwelling Older Adults
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Community-dwelling Older Adults
- Sponsor
- Bozyaka Training and Research Hospital
- Enrollment
- 75
- Primary Endpoint
- Falls efficacy
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The aim was to measure and compare the effects of supervised and unsupervised home exercises on the fall related variables.
Detailed Description
There are several studies investigating the beneficial effects of exercise on physical function among elderly. However the trials that reporting beneficial effects of an exercise programme on psychosocial functions such as depression and falls efficacy are scarcend. And also these trials are designed to compare fully supervised experimental group with a control group receiving usual care. In only one, out of these studies, supervision was minimal and delivered via home visit. However no psychosocial function related outcome measure was evaluated. In the present study the investigators have intended to assess the effects of minimally supervised home exercise programme on physical and psychosocial fall related variables by comparing with unsupervised home exercise programme in community-dwelling older adults.
Investigators
Taciser Kaya
Professor, MD
Bozyaka Training and Research Hospital
Eligibility Criteria
Inclusion Criteria
- •Ability to perform timed up and go (TUG) test
- •not having regular exercise habit
- •a score above 20 on the Mini Mental State Examination (MMSE)
Exclusion Criteria
- •medical conditions impeding to perform exercises such as severe musculoskeletal and neurological disease, severe visual impairment, cardiovascular, pulmonary or malignant disease
Outcomes
Primary Outcomes
Falls efficacy
Time Frame: baseline, eighth week, sixth month
It was assessed using the Falls Efficacy Scale International (FES-I). FES-I is a self-rating questionnaire designed for measuring concerns about the possibility of falling during several activities of daily living. In total, sixteen practices and activities, which are carried out at home such as cooking, dressing, taking a bath; and out of home such as visiting someone, walking on an uneven surface or shopping are scored between 1 and 4 (1 = not at all concerned, 4 = very concerned). The range of total score varies between 16 to 64 and the higher the score the lower the falls efficacy. The investigators have aimed to measure the change in falls efficacy between three time points (baseline, eighth week, sixth month)in order to explore whether there is an improvement in this outcome measure. The change in falls efficacy was calculated by using suitable nonparametric statistical analysis methods.
Secondary Outcomes
- Fear of Falling (FOF)(baseline, eighth week, sixth month)
- Functional Mobility(baseline, eighth week, sixth month)
- Balance Performance(baseline, eighth week, sixth month)
- Fall risk(baseline, eighth week, sixth month)
- Geriatric Depression Scale Short Form (GDS-SF)(baseline, eighth week, sixth month)