MedPath

Fall Prevention Program for Older Adults

Phase 1
Completed
Conditions
Accidental Falls
Interventions
Behavioral: Attention Control
Behavioral: fall prevention training
Registration Number
NCT00714051
Lead Sponsor
US Department of Veterans Affairs
Brief Summary

The purpose of this study is to test the effectiveness of a fall prevention program for older adults. Participants assigned to the intervention group will train weekly on a special treadmill that will simulate tripping. Patients not assigned to the tripping program will walk on a standard treadmill.

Detailed Description

The purpose of this study is to test the effectiveness of a fall prevention program for older adults. Participants assigned to the intervention group will train weekly on a special treadmill that will simulate tripping. Patients not assigned to the tripping program will walk on a standard treadmill. The training program will last for 4 weeks. Upon completion, participants will complete a test where a trip is simulated. Those assigned to the intervention group will test one additional time as well.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
55
Inclusion Criteria
  • 65-80 yr old,
  • normal reflexes and muscle tone
Exclusion Criteria
  • lower extremity fracture or surgery last 5 yrs
  • back surgery or disc herniation last 5 yrs
  • noticeable gait impairment,
  • low back pain,
  • decreased disease-related vision,
  • dizziness,
  • history of heart problems,
  • bone mineral density <.65,
  • mini-mental score <24

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Attention ControlAttention ControlThe attention control group participated in four weekly treadmill walking sessions at a self-selected speed.
Fall Prevention Trainingfall prevention trainingThe falls prevention training group participated in four weekly training sessions on a custom-built treadmill that produced trip-simulating perturbations (movements). While harnessed overhead to prevent actual falls, the treadmill stopped or moved suddenly. The goal for the participant was to try and prevent a fall. Each week, the level of difficulty of the task was increased.
Primary Outcome Measures
NameTimeMethod
Number of Participants Who Fell on a Tripping Test4 weeks

Participants completed a tripping test upon completion of the 4 weeks training period. Participants walked along a platform while harnessed to an overhead rail. Participants walked at a self-selected pace knowing that they will be tripped but do not know how or when the trip will be induced. The trip is induced by an obstruction that deploys from the floor. A decoy rope was laid across the pathway about 3 meters before the trip to intentionally mislead the participant to expect the trip at that point. This expectation affects gait and response to a trip. The participant was tripped on the 3rd set of 10 walking trials.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Edward Hines, Jr. VA Hospital

🇺🇸

Hines, Illinois, United States

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