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Clinical Trials/NCT06378164
NCT06378164UnknownNot Applicable

The Immediate and Sustained Effect of 4-week Combined Volitional and Reactive Step Training in Reducing Falls Risk in Community-Dwelling Older Fallers: a Randomised Controlled Trial

The Hong Kong Polytechnic University1 site in 1 country98 target enrollmentStarted: December 1, 2023Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Enrollment
98
Locations
1
Primary Endpoint
Choice Stepping Reaction Times

Study Overview

Brief Summary

To examine the immediate and sustained effect of a 4-week combined volitional and reactive step training on fall risks in community-dwelling older fallers.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Prevention
Masking
Single (Outcomes Assessor)

Eligibility Criteria

Ages
65 Years to — (Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • •Community-dwelling
  • •Able to walk for 1 minute under supervision without walking aids
  • •Have a history of falling in the past year

Exclusion Criteria

  • •Cognitive impairment (i.e., scores below the age and education-specific cut-off of 7th percentile in the 5-minute Montreal cognitive assessment)
  • •Blindness
  • •Neurological conditions (e.g., stroke, Parkinson's disease)
  • •Other serious illnesses that preclude participation in exercise training

Arms & Interventions

Non-specific exercise group

Placebo Comparator

Intervention: Active Control (Behavioral)

Combined volitional and reactive step training

Experimental

Intervention: Exercise (Behavioral)

Outcomes

Primary Outcomes

Choice Stepping Reaction Times

Time Frame: (i) baseline, (ii) immediately post-intervention, (iii) 3-months post-intervention and (iv) 6-months post-intervention

To assess volitional stepping performance

Spring Scale Test

Time Frame: (i) baseline, (ii) immediately post-intervention, (iii) 3-months post-intervention and (iv) 6-months post-intervention

To assess reactive stepping performance

Secondary Outcomes

  • Falls Efficacy Scale - International((i) baseline, (ii) immediately post-intervention, (iii) 3-months post-intervention and (iv) 6-months post-intervention)
  • Trail-Making Test((i) baseline, (ii) immediately post-intervention, (iii) 3-months post-intervention and (iv) 6-months post-intervention)
  • Prospective Falls(From start to 12 months after the intervention ends)
  • Mini Balance Evaluation System Test((i) baseline, (ii) immediately post-intervention, (iii) 3-months post-intervention and (iv) 6-months post-intervention)
  • Motor Control Test((i) baseline, (ii) immediately post-intervention, (iii) 3-months post-intervention and (iv) 6-months post-intervention)
  • Programme Adherence(From start to six months after the end of training)
  • Adverse Events(From start to six months after the end of training)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Freddy Man Hin LAM

Assistant Professor

The Hong Kong Polytechnic University

Study Sites (1)

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