Visual Feedback to Improve Balance During Walking

Not Applicable

Completed

• Conditions: Other Fall; Patient Falls
• Interventions: Procedure: Treadmill Walking; Other: Visual Feedback

• Registration Number: NCT01690611
• Lead Sponsor: Temple University

Brief Summary

The goal of this research is to determine if real time visual feedback of body movements improves balance control more than walking on a treadmill alone. Individuals participating in this research study will be tested using a battery of clinical strength and balance assessments twice before a 4 week training period and once after the training period. The 4 week training period will consist of 12 sessions walking on a treadmill. The experimental group will see real time visual feedback regarding their body movements, and the control group will not receive this visual feedback. Following the 4 week training each participant will again be tested using the battery of clinical strength and balance assessments.

Detailed Description

Not available

Study Timeline

• Study Start: 2011-06
• Study First Submitted: 2012-09-12
• Study First Submitted QC: 2012-09-18
• Study First Posted: 2012-09-24
• Primary Completion: 2015-10
• Study Completion: 2015-10
• Status Verified: 2016-04
• Last Update Submitted: 2016-04-19
• Last Update Posted: 2016-04-21

Recruitment & Eligibility

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

Inclusion Criteria

• Fall Prone Older Adults (history of falls or loss of balance)
• ability to walk on the treadmill hands-free without assistance
• Mini-Mental Status Exam > 23

Exclusion Criteria

• Current enrollment in physical rehabilitation of any kind
• Medically unstable

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Walking & No Visual Feedback	Treadmill Walking	Individuals in this arm will walk on a treadmill without viewing real time visual feedback regarding their body motion.
Walking & Visual Feedback	Visual Feedback	Individuals in this arm will walk on a treadmill while viewing real time visual feedback regarding their body motions and use the visual feedback to correct their body motions.
Walking & Visual Feedback	Treadmill Walking	Individuals in this arm will walk on a treadmill while viewing real time visual feedback regarding their body motions and use the visual feedback to correct their body motions.

Primary Outcome Measures

Name	Time	Method
Change from Baseline in 6 Minute Walk Test	Tested at 0, 4, and 8 weeks
Change from Baseline in Berg Balance Test Score	Test will be given at 0, 4, and 8 weeks
Change from Baseline in BESTest Score, A clinical assessment of balance	Tested at 0, 4, and 8 weeks	Balance Evaluation System Test (BESTest)
Change from Baseline in Activity Specific Balance Confidence Score	Tested at 0, 4, and 8 weeks	Questionnaire rating balance confidence
Change from Baseline in Comfortable Walking Speed	Measured daily, up to 12 days	This value is determined for each training session

Secondary Outcome Measures

Name	Time	Method
Change from Baseline in Center of Mass variability	Tested daily, up to 12 days	This measure is derived from recorded body position during each training repetition for each of up to 12 days of training.
Change from Baseline in Overground Walking Speed	Tested at 0, 4, and 8 weeks
Change from Baseline in Single/Dual Tasking ability	Tested at 0, 4, and 8 weeks
Change from Baseline in Muscle Strength	Tested at 0, 4, and 8 weeks	Strength of major muscles in the legs and trunk will be measured
Change from Baseline in Power spectral density	Tested daily, up to 12 days	This measure is derived from recorded body position during each training repetition for each of up to 12 days of training.

Trial Locations

Locations (2)

Pearson Hall, Temple University; 🇺🇸 Philadelphia, Pennsylvania, United States

Collington Episcopal Life Care Community; 🇺🇸 Mitchellville, Maryland, United States