Effect Of Tailored Multicomponent Exercise For Improving Functional Capacity In Old Age Home Residents: A Randomized Controlled Trial
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Short Physical Performance Battery (SPPB)
研究概览
简要总结
Background: The global demographic transition of recent decades has resulted in a significant increase in life expectancy, leading to a higher proportion of older adults worldwide. The aging population globally faces challenges associated with physical inactivity, leading to a decline in muscle function, ultimately contributing to frailty. Despite advances in medicine, frailty syndrome remains prevalent among older adults, characterized by loss of muscle mass and strength, leading to poor functional ability, fatigue, and falls. Maintaining independence and functional ability is paramount for the elderly to lead fulfilling lives. This emphasizes the importance of exercise programs to maintain independence. Multicomponent exercise programs have emerged as promising interventions to address these issues by preserving muscle mass, strength, and overall physical capacity. The VIVIFRAIL multicomponent exercise program aims to prevent frailty and falls by tailoring exercises to individual needs. While multicomponent training has shown promise, there’s a need to assess its effectiveness in older populations in countries with an accelerated aging process. This study evaluates the impact of VIVIFRAIL-based exercises on functional capacity in old age home residents, focusing on fall risk reduction and confidence in daily activities compared to WHO exercise guidelines for the older population.
Method: In this parallel group RCT study, 50 participants aged 60-74 years from old age homes in Bangalore will be enrolled in a 4-week exercise program. Participants will be allocated randomly into two groups. Group A will receive the exercises based on VIVIFRAIL protocol and Group B will receive an exercise program based on WHO guidelines for the older population for a total of 4 weeks.
Outcome Measures: The outcome measures used will be Short Physical Performance Battery (SPPB), Timed up and go (TUG) test and the Modified falls efficacy scale which will be recorded at baseline and the 4th week.
Data Analysis: The results will be analyzed using descriptive statistics and independent t test.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 60.00 Year(s) 至 74.00 Year(s)（—）
- 性别
- All
入选标准
- •Age group between 60 to 74 years.
- •Both males and females.
- •Physically active individuals.
- •(IPAQ- low and moderate) Able to perform their own ADL (ADLQ- 0 to 66%) Moderate aerobic capacity (walking speed test).
排除标准
- •Myocardial infarction in the past 3 months.
- •Unstable angina pectoris Terminal illness Uncontrolled arrhythmias Unstable cardiovascular disease or other unstable medical condition.
- •Uncontrolled arterial hypertension Recent pulmonary thromboembolism Upper or lower extremity fracture in the past 3 months Institutionalized or pending entry into institution Unwillingness to either complete the study requirements or to be randomized into the control or the intervention group.
结局指标
主要结局
Short Physical Performance Battery (SPPB)
时间窗: 0 week and 4th week
次要结局
- Timed Up and Go test (TUG)(0 week and 4th week)
- Modified falls efficacy scale (MFES)(0 week and 4th week)
研究者
Janhavi Prakash
The Oxford College of Physiotherapy