Feasibility Study of Short-Term Effects of Chiropractic Manipulation on Older Adults With Impaired Balance
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 11
- 试验地点
- 4
- 主要终点
- Specific Aim 1: Recruitment Tracking
研究概览
简要总结
To study the effect of chiropractic care and a specific exercise program on balance in older adults.
详细描述
Fall prevention in older adults is a significant public health issue that all health care providers must address. At this time, chiropractors, the most commonly used complementary and alternative medicine (CAM) practitioners, have not been systematically involved in either interventions for or research related to fall prevention and risk factor reduction. However, it is possible that body-based CAM practitioners such as chiropractors might make important contributions to decreasing fall risk through affecting musculoskeletal function and managing chronic pain, factors which may affect balance, an important risk factor for falls.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Aged 65 or older
- •Able to stand steadily without assistance on one leg for no more than 5 seconds (determined by averaging the time for both legs)
- •Able to attend all scheduled sessions (by self-report.)
排除标准
- •Non-ambulatory (that is, wheelchair bound); this precludes required balance testing; however, potential patients requiring assistive devices such as canes and walkers are not excluded.
- •received chiropractic care, physical therapy or any other manual care procedure within the past three months (by self report)
- •began an exercise program targeting balance and/or lower body strength within past month (by self report)
- •contraindications to CMT or mild-exertion exercise, as determined by the clinician through physical exam and x-rays (if indicated). Contraindications included but are not limited to: unstable or severe medical condition; severe osteoporosis, fracture or other osseous abnormalities; "high cardiovascular risk", ie.e. persons with known cardiovascular, pulmonary or metabolic disease, or one or more major signs/symptoms suggestive of cardiovascular and pulmonary disease
- •absence of indications for CMT, as determined by the clinician through history, physical exam, orthopedic tests, and static and motion palpation. Indications for CMT include identification of decreased or increased joint mobility usually accompanied by tenderness and muscle tension and spasm.
- •unable to understand English or Spanish adequately to complete study forms and questionnaires, since for this study we do not have study personnel fluent in other languages.
结局指标
主要结局
Specific Aim 1: Recruitment Tracking
时间窗: through July 2007
Completeness of calendar collection, comparisons of baseline characteristics and assessments, qualitative assessment of utility of surveillance procedures.
时间窗: Through July 2007
Documentation of Clinic Personnel Skills
时间窗: Through July 2007
Statistical Analysis
时间窗: Through July 2007
次要结局
未报告次要终点