MedPath

Workplace Fall Prevention Through Slip Recovery Training

Not Applicable
Recruiting
Conditions
Accidental Fall
Interventions
Behavioral: slip recovery training
Behavioral: alternative balance training
Registration Number
NCT05740124
Lead Sponsor
Virginia Polytechnic Institute and State University
Brief Summary

The goal of this clinical trial is to evaluate the feasibility of applying slip recovery training, a novel balance training exercise intervention, to workers who are at increased risk of slip-induced falls. This will be done via field studies with industrial partners. Note that the slip recovery training is not a device or drug. It is a detailed exercise regimen that aims to improve the the ability to recover balance after slipping.

The main specific aims are are:

* To investigate the feasibility of on-site slip recovery training

* To validate field assessments for evaluating slip recovery training efficacy in subsequent research

Participants will complete 3-6 once-weekly sessions of slip recovery training, answer daily text messages indicating any falls they experience while working over the 12 weeks after completing slip recovery training, and a subset of workers will be asked to participate in focus group discussions after the 12 weeks to provide information on the long-term feasibility of slip recovery training. A group of workers at Virginia Tech will also be asked to complete a laboratory session of testing during which they will be exposed to a laboratory-induced slip so that gold-standard measures of slip-induced fall recovery can be used to validate field assessments.

Workers who complete slip recovery training will be compared to another group of workers who complete an alternative balance training that should improve balance but not improve slip recovery that is targeted by slip recovery training.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Virginia Tech workers in Dining Services, Facilities and Housekeeping, and construction.
  • Veolia field workers in water distribution and water main construction
  • age 18-65 years old
  • willing to complete 3 or 6 training sessions, lab testing session, and daily falls tracking for 12 weeks
Read More
Exclusion Criteria
  • weigh over 250 pounds
  • answer 'no' to all questions of the Physical Activity Readiness Questionnaire
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Slip recovery trainingslip recovery trainingOnce weekly sessions of slip recovery training for 3 or 6 weeks. Each session will be 20 minutes of training. Training will involve volitional and reactive stepping movements that mimic the movements necessary to recover balance after slipping while walking.
Alternative balance trainingalternative balance trainingOnce weekly sessions of balance training for 3 or 6 weeks. Each session will be 20 minutes of training. Training will involve standing balance under varied sensory conditions, and tandem walking forward and backward under varied sensory conditions.
Primary Outcome Measures
NameTimeMethod
lab-induced slip peak slip speedduring the laboratory testing session that will take place within one week of completing training intervention

the peak speed of the slipping foot during slip when exposed to a laboratory-induced slip

efficacy of field assessments of balanceduring the field session one week after completing the training intervention

Pearson product correlation coefficient between field assessment of slip distance and lab-induced slip distance

evaluation of recruitment methods2 years

number of prospective participants who contact the investigators with interest in participating

evaluation of screening methods2 years

percentage of prospective participants who are deemed a poor fit for the study based upon not passing the Physical Activity Readiness Questionnaire.

worker retention during 12 weeks of falls trackingduring the12 weeks after completing the training intervention

average number of weeks participants responded to text messages from investigators regarding slips and falls

lab-induced slip outcome (fall or recovery)during the laboratory testing session that will take place within one week of completing training intervention

a binary measure determined based on the force applied to the safety harness worn by all participants when exposed to a laboratory-induced slip

lab-induced slip distanceduring the laboratory testing session that will take place within one week of completing training intervention

the distance the slipping foot slides when exposed to a laboratory-induced slip

worker adherence to slip recovery trainingduring 3 or 6 weeks of balance training

average number of slip recovery training sessions completed across all participants assigned to slip recovery training

worker adherence to alternative balance trainingduring 3 or 6 weeks of balance training

average number of alternative balance training sessions completed across all participants assigned to alternative balance training

Secondary Outcome Measures
NameTimeMethod
postural sway during quiet standing12 weeks after intervention

mean center of pressure speed

field assessment of slip distance12 weeks after intervention

the distance the slipping foot slides when exposed to a slip induced in the field

field assessment of peak slip speed12 weeks after intervention

the maximum slipping speed of the foot during recovery from an induced slip

dynamic balance performance12 weeks after intervention

maximum number of consecutive backward toe-to-heel steps completed while walking three times along a 3cm-wide, 3m-long beam on the floor without touching the ground

number of falls while working during 12-week follow upduring the 12 week follow up after intervention

determined using a daily text message questionnaire

number of near-falls while working during 12-week follow upduring the 12 week follow up after intervention

determined using a daily text message questionnaire

Trial Locations

Locations (1)

Virginia Tech

🇺🇸

Blacksburg, Virginia, United States

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