The Effectiveness of Modified Otago Exercise Program on Balance Performance of Elderlies in Hong Kong
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 33
- 试验地点
- 1
- 主要终点
- Changes from Mini Balance Evaluation Systems Test (Mini-BESTest) at 8 weeks
研究概览
简要总结
Fall is a common problem encountered by elderlies. In Hong Kong, the prevalence rate of falls among elderlies aged above 65 years old ranged from 18%-29%, standing at approximately one-fifths of the total elderly population. Falls pose huge threats to the physical and psychosocial health of the elderlies as they are often accompanied by serious injuries such as bone fracture and post-fall syndrome, decreased confidence in walking, and social exclusion.
Otago Exercise Program (OEP) was a tailor-made home-based fall prevention program of community-dwelling elderlies. It comprises of 3 main components: 5 lower limb strengthening, 12 balance retraining and walking exercises. Regarding on its effectiveness, multiple studies revealed that OEP and modified version of OEP (mOEP) brought significant improvements on perceived, static and dynamic balance, lower limb strength, quality of life and functional capacity of healthy elderlies and those with various health conditions such as chronic illnesses, osteoarthritis, stroke and hemiplegia.
The delivery method of OEP and mOEP has been limited to have elderlies following the instructions and illustrations of a printed booklet. Currently, there are only two proposed effective forms of mOEP: video-instructed and Exergames. Our study attempts to establish a new home-based exercise option incorporating mOEP with video, music and lyrics. It helps to increase the exercise motivation of elderlies, hence their physical performance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Elderlies in community dwellings aged 55 or above
- •Communicable & able to follow command
- •Self-reported sufficient visual & auditory ability to follow the actions in video
- •HK-MoCA 5-Min Protocol: No cognitive impairment
- •Able to access electronic devices, such as smartphones, computers, televisions with network, Digital Video Disc/Compact Disc player
排除标准
- •History of severe medical conditions that hinders physical ability, such as heart diseases and neurological disorders
- •History of lower limb fracture in recent 1 year
- •History of joint replacement and any cardio-thoracic surgeries
- •Self-reported visual & auditory impairment
- •Users of walking aids other than sticks, tripods or quadripods
结局指标
主要结局
Changes from Mini Balance Evaluation Systems Test (Mini-BESTest) at 8 weeks
时间窗: 1 week before the Intervention, 1 week after the completion of the Intervention
Change from Falls Efficacy Scale International (FES-I) at 4 weeks
时间窗: 1 week before the Intervention, 4 weeks after the start of the Intervention
Change of Functional Reach Test (FRT) between 4 weeks and 8 weeks
时间窗: 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention
Mini Balance Evaluation Systems Test (Mini-BESTest)
时间窗: 1 week after the completion of the Intervention
Changes from Mini Balance Evaluation Systems Test (Mini-BESTest) at 4 weeks
时间窗: 1 week before the Intervention, 4 weeks after the start of the Intervention
Changes of Mini Balance Evaluation Systems Test (Mini-BESTest) between 4 weeks and 8 weeks
时间窗: 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention
Change from Falls Efficacy Scale International (FES-I) at 8 weeks
时间窗: 1 week before the Intervention, 1 week after the completion of the Intervention
Functional Reach Test (FRT)
时间窗: 1 week after the completion of the Intervention
Falls Efficacy Scale International (FES-I)
时间窗: 1 week after the completion of the Intervention
Change of Falls Efficacy Scale International (FES-I) between 4 weeks and 8 weeks
时间窗: 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention
Change from Functional Reach Test (FRT) at 4 weeks
时间窗: 1 week before the Intervention, 4 weeks after the start of the Intervention
Change from Functional Reach Test (FRT) at 8 weeks
时间窗: 1 week before the Intervention, 1 week after the completion of the Intervention
次要结局
- Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol)(1 week after the completion of the Intervention)
- Physical Activity Scale for the Elderly - Chinese version (PASE-C)(1 week after the completion of the Intervention)
- Changes of Physical Activity Scale for the Elderly - Chinese version (PASE-C) between 4 weeks and 8 weeks(4 weeks after the start of the Intervention, 1 week after the completion of the Intervention)
- Changes from Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol) at 4 weeks(1 week before the Intervention, 4 weeks after the start of the Intervention)
- Changes from Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol) at 8 weeks(1 week before the Intervention, 1 week after the completion of the Intervention)
- Changes of Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol) between 4 weeks and 8 weeks(4 weeks after the start of the Intervention, 1 week after the completion of the Intervention)
- Changes from Physical Activity Scale for the Elderly - Chinese version (PASE-C) at 8 weeks(1 week before the Intervention, 1 week after the completion of the Intervention)
- Changes from Physical Activity Scale for the Elderly - Chinese version (PASE-C) at 4 weeks(1 week before the Intervention, 4 weeks after the start of the Intervention)
研究者
Ho Yuk Ki Yorke
Student physiotherapist
Tung Wah College