Effects of a Music-Based Multitask Exercises Program on Gait, Balance and Fall Risk in the Elderly

This study has been completed.
Sponsor:
Collaborators:
University Hospital, Basel, Switzerland
Jaques-Dalcroze Institute, Geneva, Switzerland
Information provided by (Responsible Party):
Andrea Trombetti, University Hospital, Geneva
ClinicalTrials.gov Identifier:
NCT01107288
First received: April 19, 2010
Last updated: February 21, 2014
Last verified: February 2014
  Purpose

The aim of this study is to investigate the effectiveness of a 6-month music-based multitask exercises program (Jaques-Dalcroze eurhythmics) in improving gait and balance, and reducing fall risk in community-dwelling older adults with an increased risk of falling.


Condition Intervention
Gait
Balance
Falls
Other: Music-based multitask exercises program

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Crossover Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: A Randomized Controlled Trial of Music-Based Multitask Exercises (Jaques-Dalcroze Eurhythmics) on Gait, Balance and Fall Risk in the Elderly

Resource links provided by NLM:


Further study details as provided by University Hospital, Geneva:

Primary Outcome Measures:
  • Change in gait variability [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Change in other spatio-temporal gait parameters [ Time Frame: 6 months, 12 months ] [ Designated as safety issue: No ]
  • Change in balance measures (Trunk sway parameters) [ Time Frame: 6 months, 12 months ] [ Designated as safety issue: No ]
  • Change in functional tests performances (Timed Up & Go test and simplified Tinetti test) [ Time Frame: 6 months, 12 months ] [ Designated as safety issue: No ]
  • Number of falls, fallers and multiple fallers (Daily recording of falls using falls calendars, to be returned monthly) [ Time Frame: 6 months, 12 months ] [ Designated as safety issue: No ]
  • Change in quality of life (SF-12 Health Survey questionnaire), anxiety/depression (HAD scale), cognitive function (Mini-Mental State Examination, Frontal Assessment Battery, clock drawing test), nutritional status (Mini Nutritional Assessment tool) [ Time Frame: 6 months, 12 months ] [ Designated as safety issue: No ]
  • Change in gait variability [ Time Frame: 12 months ] [ Designated as safety issue: No ]
  • Change in all outcome measures [ Time Frame: 4 years ] [ Designated as safety issue: No ]
    Long-term extension study


Enrollment: 134
Study Start Date: February 2008
Study Completion Date: December 2012
Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intervention group
Randomized to receive the intervention first
Other: Music-based multitask exercises program
Subjects are entered into a 6-month Jaques-Dalcroze eurhythmics program and are followed for an additional 6 months after the intervention period. They complete assessments at baseline, 6 and 12 months. The program consists of structured 1-hour group exercises classes, conducted weekly by an experimented instructor, that include varied multitask exercises performed to the rhythm of improvised piano music, sometimes with the manipulation of objects (e.g., instruments of percussion, balls), with gradually increasing difficulty over time. Basic exercises consist of walking following the music, responding directly to changes in music's rhythmic patterns.
Other Name: Jaques-Dalcroze Eurhythmics
Delayed intervention control group
Randomized to wait-list control first
Other: Music-based multitask exercises program
Subjects are wait-listed to receive, 6 months after randomization, the same 6-month Jaques-Dalcroze eurhythmics program as the Intervention group. They complete assessments at baseline, 6 and 12 months.
Other Name: Jaques-Dalcroze Eurhythmics

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Aged 65 years or older
  • Living in the community
  • Without previous Jaques-Dalcroze eurhythmics experience (except during childhood)
  • Identified as being at high risk of fall (i.e., one or more self-reported falls after the age of 65 years or balance impairment as assessed by a simplified Tinetti test higher than 2 over 7 or the presence of one or two indicators of physical frailty based on Fried's criteria)

Exclusion Criteria:

  • Neurological or orthopaedic disease (e.g., stroke with residual motor deficit, Parkinson's disease, osteoarthritis) with a significant impact on gait and balance performances
  • Progressive or unstable medical conditions that could limit participation (e.g., terminal illness)
  • Fully dependent on an assistive device such as canes and walkers
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01107288

Locations
Switzerland
Department of Rehabilitation and Geriatrics, Geneva University Hospitals
Geneva, Switzerland, CH-1211
Sponsors and Collaborators
University Hospital, Geneva
University Hospital, Basel, Switzerland
Jaques-Dalcroze Institute, Geneva, Switzerland
Investigators
Principal Investigator: Andrea Trombetti, MD Bone Diseases Service, Department of Rehabilitation and Geriatrics, University Hospitals and Faculty of Medicine of Geneva
  More Information

No publications provided by University Hospital, Geneva

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Andrea Trombetti, Principal investigator, University Hospital, Geneva
ClinicalTrials.gov Identifier: NCT01107288     History of Changes
Other Study ID Numbers: 07-156
Study First Received: April 19, 2010
Last Updated: February 21, 2014
Health Authority: Switzerland: Ethikkommission

Keywords provided by University Hospital, Geneva:
Aged
Balance
Dual-task
Exercise
Falls
Gait
Music

ClinicalTrials.gov processed this record on August 26, 2014