Backward Chaining Method for Teaching the Getting Up From the Floor Among Long-Term Care Facility Residents
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 26
- 试验地点
- 1
- 主要终点
- Timed Up and Go test
研究概览
简要总结
The aim of this study is to determine the effect of teaching the getting up from the floor using the Backward Chaining Method on functional mobility, muscle strength, fear of falling, and life-space mobility among among long-term care facility residents.
Methods: Randomized controlled trial of a teaching the getting up from the floor using the Backward Chaining Method for older people living in long-term care facility. The assessment of primary and secondary outcomes takes place in all subjects upon entry to the study (pre-test) by blinded assessors and after the 20-session intervention (post-test). After baseline assessments is completed, participants will be randomly allocated to intervention or control groups using stratified randomization based on the use of walking aids and baseline values of FES-I.
The BCM sessions will be provided in a community room situated in the nursing home and will be led by a physiotherapist with extensive experience in geriatric physiotherapy with assistance of 2 physiotherapist student.
Only stable chairs provided for supporting and safety, wedge pillows, and training mats are required during practicing.
Expected results Improvement in functional mobility of the IG Improvement in lower and upper limb muscle strength Improvement in fall efficacy Improvement in life-space mobility
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •• aged 65 years or older,
- •living in the nursing home for at least 2 months,
- •being able to walk at least 6 meters with or without walking aids
排除标准
- •• being physically unable to be taught how to get up from the floor.
- •lower limb endoprosthesis implanted within 6 months
- •severe pain (VAS> 7/10)
- •cognitively unable to co-operate (based on psychiatrist's judgement)
- •planned moving away from the nursing home during the study period.
结局指标
主要结局
Timed Up and Go test
时间窗: Baseline and at the end of the 7-week intervention period
A test to measure the time (in seconds) it takes for the participant to stand up from a standard armchair (approximate seat height 46 cm; arm height 65 cm), walk to a cone 3 m from the chair, turn around, walk back to the chair and sit down again. Instruction for the participants is given as follows "walk at a comfortable and safe pace". Wearing their usual footwear, using their usual walking aids, and supporting themselves on the arm of a chair to stand up are allowed/permitted, but physically assistance is not given for them. After a trial to familiarise the test, two successive performances are measured and the average of these is used the analyses. If necessary, a 30-second rest is provided between tests.
次要结局
- 30-second Sit to Stand Test(Baseline and at the end of the 7-week intervention period)
- grip-strength(Baseline and at the end of the 7-week intervention period)
- Fall Efficacy Scale-International (FES-I)(Baseline and at the end of the 7-week intervention period)
- Nursing Home Life-Space Diameter (NHLSD)(Baseline and at the end of the 7-week intervention period)
- independence of mobility(Baseline and at the end of the 7-week intervention period)
- Number of falling(During the 7-week intervention period)
研究者
Dr. Kovács Éva
college professor
Semmelweis University