Modified Otago Exercise Program on Balance Performance
- Conditions
- Healthy AgingFall
- Interventions
- Other: Modified Otago Exercise Program with musicOther: Modified Otago Exercise Program
- Registration Number
- NCT05290571
- Lead Sponsor
- Tung Wah College
- Brief Summary
Fall is a common problem encountered by elderlies. In Hong Kong, the prevalence rate of falls among elderlies aged above 65 years old ranged from 18%-29%, standing at approximately one-fifths of the total elderly population. Falls pose huge threats to the physical and psychosocial health of the elderlies as they are often accompanied by serious injuries such as bone fracture and post-fall syndrome, decreased confidence in walking, and social exclusion.
Otago Exercise Program (OEP) was a tailor-made home-based fall prevention program of community-dwelling elderlies. It comprises of 3 main components: 5 lower limb strengthening, 12 balance retraining and walking exercises. Regarding on its effectiveness, multiple studies revealed that OEP and modified version of OEP (mOEP) brought significant improvements on perceived, static and dynamic balance, lower limb strength, quality of life and functional capacity of healthy elderlies and those with various health conditions such as chronic illnesses, osteoarthritis, stroke and hemiplegia.
The delivery method of OEP and mOEP has been limited to have elderlies following the instructions and illustrations of a printed booklet. Currently, there are only two proposed effective forms of mOEP: video-instructed and Exergames. Our study attempts to establish a new home-based exercise option incorporating mOEP with video, music and lyrics. It helps to increase the exercise motivation of elderlies, hence their physical performance.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 33
- Elderlies in community dwellings aged 55 or above
- Communicable & able to follow command
- Self-reported sufficient visual & auditory ability to follow the actions in video
- HK-MoCA 5-Min Protocol: No cognitive impairment
- Able to access electronic devices, such as smartphones, computers, televisions with network, Digital Video Disc/Compact Disc player
- History of severe medical conditions that hinders physical ability, such as heart diseases and neurological disorders
- History of lower limb fracture in recent 1 year
- History of joint replacement and any cardio-thoracic surgeries
- Self-reported visual & auditory impairment
- Users of walking aids other than sticks, tripods or quadripods
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention Group Modified Otago Exercise Program with music Intervention Group will be asked to follow the actions in the provided video. It lasts for approximately 30 minutes, with 5-minute warm-up and cool-down exercises respectively, a 4-minute song repeating for 4 times and a 1-minute rest in between each repetition. Videos, in the form of a YouTube link, will be distributed for the Intervention Group, as well as the leaflets. Control Group Modified Otago Exercise Program Control Group will receive a leaflet on 10 actions extracted from mOEP, 2 actions from conventional OEP and 1 action from Mini-BESTest. The participants will perform 8-16 repetitions for each action, with 3-5 seconds of rest between actions.
- Primary Outcome Measures
Name Time Method Changes from Mini Balance Evaluation Systems Test (Mini-BESTest) at 8 weeks 1 week before the Intervention, 1 week after the completion of the Intervention Change from Falls Efficacy Scale International (FES-I) at 4 weeks 1 week before the Intervention, 4 weeks after the start of the Intervention Change of Functional Reach Test (FRT) between 4 weeks and 8 weeks 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention Mini Balance Evaluation Systems Test (Mini-BESTest) 1 week after the completion of the Intervention Changes from Mini Balance Evaluation Systems Test (Mini-BESTest) at 4 weeks 1 week before the Intervention, 4 weeks after the start of the Intervention Changes of Mini Balance Evaluation Systems Test (Mini-BESTest) between 4 weeks and 8 weeks 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention Change from Falls Efficacy Scale International (FES-I) at 8 weeks 1 week before the Intervention, 1 week after the completion of the Intervention Functional Reach Test (FRT) 1 week after the completion of the Intervention Falls Efficacy Scale International (FES-I) 1 week after the completion of the Intervention Change of Falls Efficacy Scale International (FES-I) between 4 weeks and 8 weeks 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention Change from Functional Reach Test (FRT) at 4 weeks 1 week before the Intervention, 4 weeks after the start of the Intervention Change from Functional Reach Test (FRT) at 8 weeks 1 week before the Intervention, 1 week after the completion of the Intervention
- Secondary Outcome Measures
Name Time Method Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol) 1 week after the completion of the Intervention Physical Activity Scale for the Elderly - Chinese version (PASE-C) 1 week after the completion of the Intervention Changes of Physical Activity Scale for the Elderly - Chinese version (PASE-C) between 4 weeks and 8 weeks 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention Changes from Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol) at 4 weeks 1 week before the Intervention, 4 weeks after the start of the Intervention Changes from Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol) at 8 weeks 1 week before the Intervention, 1 week after the completion of the Intervention Changes of Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol) between 4 weeks and 8 weeks 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention Changes from Physical Activity Scale for the Elderly - Chinese version (PASE-C) at 8 weeks 1 week before the Intervention, 1 week after the completion of the Intervention Changes from Physical Activity Scale for the Elderly - Chinese version (PASE-C) at 4 weeks 1 week before the Intervention, 4 weeks after the start of the Intervention
Trial Locations
- Locations (1)
Tung Wah College
🇭🇰Hong Kong, Hong Kong