Teaching the Getting Up From the Floor Among Long-Term Care Facility Residents

Not Applicable

Active, not recruiting

• Conditions: Mobility Difficulty; Exercise; ELDERLY PEOPLE

• Registration Number: NCT06908317
• Lead Sponsor: Semmelweis University

Brief Summary

The aim of this study is to determine the effect of teaching the getting up from the floor using the Backward Chaining Method on functional mobility, muscle strength, fear of falling, and life-space mobility among among long-term care facility residents.

Methods: Randomized controlled trial of a teaching the getting up from the floor using the Backward Chaining Method for older people living in long-term care facility. The assessment of primary and secondary outcomes takes place in all subjects upon entry to the study (pre-test) by blinded assessors and after the 20-session intervention (post-test). After baseline assessments is completed, participants will be randomly allocated to intervention or control groups using stratified randomization based on the use of walking aids and baseline values of FES-I.

The BCM sessions will be provided in a community room situated in the nursing home and will be led by a physiotherapist with extensive experience in geriatric physiotherapy with assistance of 2 physiotherapist student.

Only stable chairs provided for supporting and safety, wedge pillows, and training mats are required during practicing.

Expected results Improvement in functional mobility of the IG Improvement in lower and upper limb muscle strength Improvement in fall efficacy Improvement in life-space mobility

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2025-03-27
• Study First Submitted QC: 2025-03-27
• Status Verified: 2025-04
• Study First Posted: 2025-04-03
• Study Start: 2025-04-14
• Last Update Submitted: 2025-04-20
• Last Update Posted: 2025-04-24
• Primary Completion: 2025-05
• Study Completion: 2025-05

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• • aged 65 years or older,

  • living in the nursing home for at least 2 months,
  • being able to walk at least 6 meters with or without walking aids

Exclusion Criteria

• • being physically unable to be taught how to get up from the floor.

  • lower limb endoprosthesis implanted within 6 months
  • severe pain (VAS> 7/10)
  • cognitively unable to co-operate (based on psychiatrist's judgement)
  • planned moving away from the nursing home during the study period.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Timed Up and Go test	Baseline and at the end of the 7-week intervention period	A test to measure the time (in seconds) it takes for the participant to stand up from a standard armchair (approximate seat height 46 cm; arm height 65 cm), walk to a cone 3 m from the chair, turn around, walk back to the chair and sit down again. Instruction for the participants is given as follows "walk at a comfortable and safe pace". Wearing their usual footwear, using their usual walking aids, and supporting themselves on the arm of a chair to stand up are allowed/permitted, but physically assistance is not given for them.; After a trial to familiarise the test, two successive performances are measured and the average of these is used the analyses. If necessary, a 30-second rest is provided between tests.

Secondary Outcome Measures

Name	Time	Method
Five-Times-Sit-to-Stand Test (FTST)	Baseline and at the end of the 7-week intervention period	A test to assess the functional lower limb muscle strength. This test measure the time (in seconds) it takes for the participant to rise from a chair (approximate seat height of 46 cm) and sit down for five repetitions, with arms folded across the chest. The instruction to the participants is to " stand-up completely and sit down 5 times as quickly as possible". The digital stop-watch is started when begin on the command "go" and stopped when he/she sit after the fifth stand-up. Before timing, the participants is asked to perform one sit-to-stand. If the participant can not perform a single sit-to-stand in a standard way, the measurement is terminated. During testing participant wears their regular footwear.
grip-strength	Baseline and at the end of the 7-week intervention period	A test to assess overall muscle strength because this test strongly correlates with the overall muscle strength. The grip-strength will be measured by Kern MAP 40K1 dynamometer and measured in kilogram. This test will be administered in a sitting position and by taking the average of two consecutive measures in the dominant hand
Fall Efficacy Scale-International (FES-I)	Baseline and at the end of the 7-week intervention period	A test to assess fear of falling. With its seven items, this scale asks how concerned the elderly person is about a possible fall during frequent activities of daily living. The answer is marked on a scale of four: 1=not at all concerned; 2=somewhat concerned; 3=fairly concerned; 4=very concerned. The total score can vary from 7 to 28 points with higher score indicating higher level of concern for falling
Nursing Home Life-Space Diameter (NHLSD)	Baseline and at the end of the 7-week intervention period	A test to assess life-space mobility. It will be completed with the assistance of the nursing home staff based on the resident's movement during the previous 2 weeks. This measurement evaluates the extent of the resident's movement (diameter): (1) within resident's room, (2) within unit, (3) outside unit, and (4) outside the facility; and frequency of movement: (0) never, (1) less than weekly, (2) at least weekly, (3) \> 2 times/week, (4) 1-3 times/day, and (5) \> 3 times/ day. Total NHLSD scores were calculated as 1(diameter 1 × frequency 1) + 2(diameter 2 × frequency 2) + 3(diameter 3 × frequency 3) + 4(diameter 4 × frequency 4). The score ranges from 0 to 50, 0 indicating being bedbound and 50 indicating leaving the facility daily. The total scores marks the area in which the person moves around. The total score ranges from 0 to 50, 0 indicating being bedbound and 50 indicating leaving the facility daily
independence of mobility	Baseline and at the end of the 7-week intervention period	During using the Nursing Home Life-Space Diameter (NHLSD), besides distance and frequency, the human assistance for mobility is scored on a two-point scale (0 = dependent, 1 = independent). If movement is performed without human assistance, score of each item is multiplyed by 2. This another total score incorporates mobility independence into the total score and thus reflects not only distance and frequency but also dependence on human assistance for mobility. In this case the maximum score, NHLSD-dependence, is 100 points
Number of falling	During the 7-week intervention period	Falls will be recorded to measure adverse events. It will be by nursing home staff throughout the intervention period. They will be provided with a pre-designed diary and asked to record each day if any participants will have fallen. The diaries will be collected weekly by the assessor physiotherapists.

Trial Locations

Locations (1)

Semmelweis University; 🇭🇺 Budapest, Hungary