Fracture and Fall Prevention in Elderly With Osteoporosis
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Purpose
Osteoporosis is a prevalent health concern among older adults and is associated with an increased risk of falls that can cause fracture, injury or mortality. Identifying the factors related to falls occurring within this population is essential for the development of effective regimes for fall prevention. Studies have shown that muscle quality and good posture alignments are critical for balance control in older adults. People are diagnosed with osteoporosis often combining with muscles weakness, and increased spine kyphosis leading vertebral, fractures and poor balance control, even falls. Therefore, improving muscle quality, strengthening weak muscles and correcting postural alignment are essential elements for fracture and fall prevention in older adults with osteoporosis. The long-term objectives of this work are to prevent fracture and fall in older adults with osteoporosis by improving the function of degenerative muscles using exercise training.
| Condition | Intervention |
|---|---|
|
Osteoporosis |
Behavioral: personalized core muscle training program |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Fracture and Fall Prevention in Elderly With Osteoporosis |
- Changes of torque demand to capacity ratio 6 months [ Time Frame: Change from Baseline intorque demand to capacity ratio at 6 months ] [ Designated as safety issue: No ]
- Changes of torque demand to capacity ratio at 3 months [ Time Frame: Change from Baseline in torque demand to capacity ratio at 3 months ] [ Designated as safety issue: No ]
- Change of torque demand to capacity ratio at 12months [ Time Frame: Change from Baseline in torque demand to capacity ratio at 12 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 80 |
| Study Start Date: | January 2010 |
| Estimated Study Completion Date: | December 2015 |
| Estimated Primary Completion Date: | December 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Exercise
Participants are allocated to the exercise group will commence the personalized core training exercise with EMG biofeedback based on their testing results in muscle quality.
|
Behavioral: personalized core muscle training program
Participants are allocated to the exercise group will commence the personalized core training exercise with EMG biofeedback based on their testing results in muscle quality. The program will run for 3 months with patients attending for one hour three times a week. The age-matched control group will maintain their usual daily life activities without any specific instruction. The exercise training will be run by an experienced physiotherapist, who will encourage patients individually to progress at their own pace.
|
Eligibility| Ages Eligible for Study: | 50 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
The inclusion criteria for osteopenia or osteoporosis group:
- able to stand and walk for 5 minutes independently;
- having normal or corrected to normal vision;
- having age between > 50 years
- with osteopenia (-2.5 < t-score < -1.0) or osteoporosis (t-score <-2.5).
The exclusion criteria for osteopenia or osteoporosis group:
- being pregnant;
- sensory-motor deficits;
- inability of communication
- lack of access to a telephone.
The inclusion criteria for control age-matched group:
- able to stand and walk for 5 minutes independently;
- having normal or corrected to normal vision;
- having age between > 50 years
- without osteopenia or osteoporosis (t-score > -1.0).
The exclusion criteria for control age-matched group:
- being pregnant;
- sensory-motor deficits;
- inability of communication
- lack of access to a telephone.
Contacts and Locations| Contact: Weili Hsu, PhD | 886-2-3366-8127 | wlhsu@ntu.edu.tw |
| Taiwan | |
| Physical Therapy Center or the Orthopedic Center in the National Taiwan University Hospital | Recruiting |
| Taipei, Taiwan, 10055 | |
| Contact: Weili Hsu, PhD 886-2-3366-8127 wlhsu@ntu.edu.tw | |
| Principal Investigator: | Weili Hsu, PhD | National Taiwan University Hospital |
More Information
No publications provided
| Responsible Party: | National Taiwan University Hospital |
| ClinicalTrials.gov Identifier: | NCT01733303 History of Changes |
| Other Study ID Numbers: | 201003065R |
| Study First Received: | October 5, 2012 |
| Last Updated: | November 20, 2012 |
| Health Authority: | Taiwan: Department of Health |
Additional relevant MeSH terms:
|
Osteoporosis Bone Diseases, Metabolic Bone Diseases Musculoskeletal Diseases |
ClinicalTrials.gov processed this record on May 19, 2013