Visual Feedback to Improve Balance During Walking
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Purpose
The goal of this research is to determine if real time visual feedback of body movements improves balance control more than walking on a treadmill alone. Individuals participating in this research study will be tested using a battery of clinical strength and balance assessments twice before a 4 week training period and once after the training period. The 4 week training period will consist of 12 sessions walking on a treadmill. The experimental group will see real time visual feedback regarding their body movements, and the control group will not receive this visual feedback. Following the 4 week training each participant will again be tested using the battery of clinical strength and balance assessments.
| Condition | Intervention |
|---|---|
|
Other Fall Patient Falls |
Procedure: Treadmill Walking Other: Visual Feedback |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Sensory Treadmill to Improve of Balance During Walking |
- Change from Baseline in BESTest Score, A clinical assessment of balance [ Time Frame: Tested at 0, 4, and 8 weeks ] [ Designated as safety issue: Yes ]
- Change from Baseline in Berg Balance Test Score [ Time Frame: Test will be given at 0, 4, and 8 weeks ] [ Designated as safety issue: Yes ]
- Change from Baseline in Activity Specific Balance Confidence Score [ Time Frame: Tested at 0, 4, and 8 weeks ] [ Designated as safety issue: No ]Questionnaire rating balance confidence
- Change from Baseline in 6 Minute Walk Test [ Time Frame: Tested at 0, 4, and 8 weeks ] [ Designated as safety issue: No ]
- Change from Baseline in Comfortable Walking Speed [ Time Frame: Measured daily, up to 12 days ] [ Designated as safety issue: No ]This value is determined for each training session
- Change from Baseline in Muscle Strength [ Time Frame: Tested at 0, 4, and 8 weeks ] [ Designated as safety issue: No ]Strength of major muscles in the legs and trunk will be measured
- Change from Baseline in Overground Walking Speed [ Time Frame: Tested at 0, 4, and 8 weeks ] [ Designated as safety issue: No ]
- Change from Baseline in COM variability [ Time Frame: Tested daily, up to 12 days ] [ Designated as safety issue: No ]This measure is derived from recorded body position during each training repetition for each of up to 12 days of training.
- Change from Baseline in Power spectral density [ Time Frame: Tested daily, up to 12 days ] [ Designated as safety issue: No ]This measure is derived from recorded body position during each training repetition for each of up to 12 days of training.
- Change from Baseline in Single/Dual Tasking ability [ Time Frame: Tested at 0, 4, and 8 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 76 |
| Study Start Date: | June 2011 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Walking & Visual Feedback
Individuals in this arm will walk on a treadmill while viewing real time visual feedback regarding their body motions and use the visual feedback to correct their body motions.
|
Procedure: Treadmill Walking
Individuals will walk at a "comfortable speed" on a treadmill without holding on to the hand rails.
Other: Visual Feedback
Real time feedback regarding body motion while walking.
|
|
Active Comparator: Walking & No Visual Feedback
Individuals in this arm will walk on a treadmill without viewing real time visual feedback regarding their body motion.
|
Procedure: Treadmill Walking
Individuals will walk at a "comfortable speed" on a treadmill without holding on to the hand rails.
|
Eligibility| Ages Eligible for Study: | 65 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Fall Prone Older Adults (history of falls or loss of balance)
- ability to walk on the treadmill hands-free without assistance
- Mini-Mental Status Exam > 25
Exclusion Criteria:
- Current enrollment in physical rehabilitation of any kind
- Medically unstable
Contacts and Locations| United States, Maryland | |
| Collington - A Kendal Affiliate | |
| Mitchellville, Maryland, United States, 20721 | |
| Principal Investigator: | John Jeka, PhD | University of Maryland College Park |
More Information
No publications provided
| Responsible Party: | John Jeka, Professor, University of Maryland |
| ClinicalTrials.gov Identifier: | NCT01690611 History of Changes |
| Other Study ID Numbers: | 366151-1 |
| Study First Received: | September 12, 2012 |
| Last Updated: | October 12, 2012 |
| Health Authority: | United States: Data and Safety Monitoring Board United States: Institutional Review Board |
Keywords provided by University of Maryland:
|
Balance Training Walking Falls |
ClinicalTrials.gov processed this record on June 18, 2013