Fall Prevention in Cognitively Impaired Older Veterans Through Neurophysiological Rehabilitation
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 28
- 试验地点
- 1
- 主要终点
- Program Adherence
研究概览
简要总结
Falls represent the leading cause of hospitalization, nursing home admissions, disability and mortality for older adults with annual healthcare costs over $50 billion. Older Veterans with cognitive impairment are at an increased risk of falls and injurious fall. The purpose of this study is to test the effects of 6 weeks of a virtual tele-neurorehabilitation intervention on fall prevention, functional mobility, strength, cognition and performance of activities of daily living. Participants will be one of 28 participants in the VA Maryland Health Care System. Participation in the study is voluntary and the research will be conducted at the VA Maryland Health Care System. The entire study will take approximately 2 years to complete. Subject's participation in the study will last 3 months.
详细描述
Falls represent the leading cause of hospitalization, nursing home admissions, disability and mortality for older adults with annual healthcare costs over $50 billion. Older Veterans with cognitive impairment are at an increased risk of falls and injurious fall. This pilot aims to determine the feasibility and effectiveness of a virtual neurorehabilitation intervention to improve functional mobility, strength, cognition and performance of activities of daily living in a cohort of 28 older Veterans with cognitive impairment. The overall goals are to improve fall risk in a population for which traditional rehabilitation programs may not be feasible. The investigators envision a neurorehabilitation model that can be readily exportable and widely implemented at other VA facilities with minimal resources as an enhancement to clinical care for fall prevention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •community dwelling
- •at risk for falls as indicated by answering yes to one of the following: 1) have you fallen in the last year? 2) four square step test time > 15 seconds 3) are you worried about falling?
- •cognitive impairment as indicated by either 1) clinical diagnosis 2) MOCA score of 10-25
- •able to provide written consent
排除标准
- •MOCA <10 or clinically diagnosed dementia
- •inability to participate in a virtual intervention
- •serious visual or hearing problems
- •stroke with hemiparesis or severe neurological disease
- •current use of medications affecting mental state
- •current active participation in programs related to balance or mobility
研究组 & 干预措施
Group
There will be no group assignments in this pilot study and all participants will receive the intervention.
干预措施: Virtual Neurophysiological Rehabilitation (Behavioral)
结局指标
主要结局
Program Adherence
时间窗: 6 weeks
Number of sessions attended
次要结局
- Change in Four Square Step Test time(6 weeks)
- Change in 30 second chair stand test(6 weeks)