Reactive Balance Training Targeting Both Slip- and Trip-Induced Falls Among Older Adults: a Pilot Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 2
- 主要终点
- Trunk Angle at Touchdown After Tripping
研究概览
简要总结
The goal of this study was to evaluate the effects of reactive balance training (RBT) targeting slipping and tripping on laboratory-induced slips and trips. In an effort to build upon prior work, the present study included: 1) a control group receiving an alternative balance training intervention; 2) separate training and assessment sessions; 3) alternative RBT methods that may be more amenable to work outside the lab compared to prior methods, and 4) older adult participants receiving individualized training to reduce drop-out. The investigators hypothesized that slips after RBT would result in improved reactive balance kinematics, and a lower incidence of falls, compared to either initial slips before any intervention or after a control intervention. The investigators also hypothesized that trips after RBT would result in improved reactive balance kinematics, and a lower incidence of falls, compared to either initial trips before any intervention or after a control intervention. Results were intended to contribute to knowledge regarding the efficacy of alternative methods for RBT, and provide additional evidence regarding its efficacy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •pass a medical history and screening administered by a physician that excluded participants with osteoporosis of the lumbar spine or proximal femur as assessed by Dual Energy X-ray Absorptiometry (Lunar iDXA, GE Healthcare, Chicago, IL), or any unstable or progressive medical conditions that could contribute to imbalance or falls
排除标准
- •were in physical therapy
- •had a self-reported fragility fracture within the last 10 years
- •had an acute lower extremity injury within the last 3 months
- •had lower extremity surgery within the last six months
- •had an ankle arthroplasty
- •had a knee or hip arthroplasty within the last 12 months
结局指标
主要结局
Trunk Angle at Touchdown After Tripping
时间窗: during week 4, after the intervention that spanned weeks 2 and 3
anterior-posterior trunk angle relative to vertical at instant of touchdown of initial recovery step over tripping obstacle
Peak Slip Speed
时间窗: during week 4, after the intervention that spanned weeks 2 and 3
highest instantaneous speed of slipping foot during actual slip
次要结局
- Fall Incidence After a Laboratory-induced Slip(during week 4, after the intervention that spanned weeks 2 and 3)
- Recovery Step Length After Tripping(during week 4, after the intervention that spanned weeks 2 and 3)
- Slip Distance(during week 4, after the intervention that spanned weeks 2 and 3)
- Fall Incidence After a Laboratory-induced Trip(during week 4, after the intervention that spanned weeks 2 and 3)
研究者
Michael Madigan
Professor
Virginia Polytechnic Institute and State University