A Transfer Training Program to Reduce Falls in Cognitively Impaired Older Adults with Higher Level Gait Disorders: A Pilot Study

Withdrawn

• Conditions: falls; cognitive impairment; gait disorders; Neurological - Dementias; Injuries and Accidents - Other injuries and accidents

• Registration Number: ACTRN12615001313527
• Lead Sponsor: St Vincent's Hospital, Sydney

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2015-12-01
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Withdrawn
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

* age 65 years or over admitted under geriatric medicine at SVH with a variety of medical conditions or community dwelling adults aged 65 years and over who are managed by the SVH Geriatric team
* history of falls within the last 12 months
* higher-level gait disorders: wide-based, short-step, shuffling gait and able to mobilise with or without walking aid independently
* timed Up & Go: equal or less than 30 seconds
* Cognitive screening:
- All participants will be screened with RUDAS, a score of 15-26 out of 30 is for inclusion.
- If RUDAS score is equal to or greater than 27 out of 30 (normal range), a more sensitive tool MoCA will be used and a score of less than 26 out of 30 is for inclusion.
- Participant will need to pass spaced retrieval screen.
* Informed consent obtained from patient or primary carer/person responsible. A person responsible is required if RUDAS is equal or less than 20 out of 30.

Exclusion Criteria

* Unstable medical conditions
* Impaired ability to engage in intervention: inability to comprehend or follow simple task instructions, acute confusional state (e.g. delirium), active depression or other psychiatric disorders, severe behavioural disturbances
* Gait disorders with known neurological causes, e.g. Parkinson's Disease, cerebellar ataxia, hemiparetic gait, etc.
* Residents at Aged Care facilities who receive high level care
* Cognitively intact patients, that is, MoCA equal or greater than 26 out of 30

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The feasibility and acceptability of the transfer training program. This is a composit outcome assessed by a questionnaire designed specifically for this study. [The questionnaire is to be completed at the end of the intervention period. At the end of each session, two brief questions are asked to get participant's feedback. ]

Secondary Outcome Measures

Name	Time	Method
The potential effectiveness of the program on risk of falls. This is assessed by a Falls Calendar (self-report of number of falls, location and feature of falls), comparison of 3 quantitative measures: timed Up&Go, 360 degree turn test and Icon-FES.[baseline, end of intervention and 3 months after the intervention completion]