Improving Balance in Frail Elderly
The objective of this pilot study is to estimate, for a frail elderly population, the extent to which balance improves following a Core-Strength training program in comparison to a Stretch & Strength program. A secondary objective is to explore the impact of core strength training on urinary incontinence.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
|Official Title:||Improving Balance in Frail Elderly: A Randomized Clinical Trial of Two Methods to Enhance Strength (Stretch and Strength Versus Core Strength)|
- Berg balance scale [ Time Frame: baseline, 6 weeks, discharge ] [ Designated as safety issue: No ]
- Functional walking capacity 6 minute walk test [ Time Frame: baseline, 6 weeks, discharge ] [ Designated as safety issue: No ]
- Gait speed [ Time Frame: baseline, 6 weeks, discharge ] [ Designated as safety issue: No ]
- Bridge Test [ Time Frame: Baseline, 6 weeks, discharge ] [ Designated as safety issue: No ]
- Activities-Specific Balance Confidence Scale (ABC Scale) [ Time Frame: Baseline, 6 weeks, Discharge ] [ Designated as safety issue: No ]
- International Consultation on Urinary Incontinence Questionnaire- Urinary Incontinence Short Form (ICIQ-UI) [ Time Frame: Baseline, 6 weeks, discharge ] [ Designated as safety issue: No ]
|Study Start Date:||August 2006|
|Study Completion Date:||December 2009|
|Primary Completion Date:||December 2009 (Final data collection date for primary outcome measure)|
strength training of the core muscles.
We have devised a series of core strength training exercises that can be easily and safely performed under the supervision of trained staff. The exercises will be individualized depending on the participants' ability and health conditions. The majority, but not all, of exercises will be performed on or with exercise balls of different sizes and shapes, round for more advanced persons and oval for more frail persons.
No Intervention: stretch and strength
This program consists of general stretching exercises and peripheral muscle strengthening exercises with a special emphasis on strengthening the upper extremity muscles because of their importance for ADL but not necessarily balance.
Participants will be randomized to one of the two exercise groups, Core-Strength training group or the Stretch & Strength group. The exercises will consist of 15-20 minute session for every day they attend the GDH. Measures will be made at admission, after 6 weeks of the program and at discharge if more than past 6 weeks.
|McGill University-Royal Victoria Hospital Site|
|Montreal, Quebec, Canada, H3A-1A1|
|Principal Investigator:||Nancy E Mayo, PhD||McGill University, Division of Clinical Epidemiology|