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Procedure

OTAGO Exercises for Preventing Falls (ReabFalls Trial)

N/A

Recruiting

Led By Rubens da Silva

Research Sponsored by Université du Québec à Chicoutimi

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Age 65 and over

Admitted to La Baie Hospital rehabilitation services

Must not have

Congenital spinal deformity (spondylolysis, intervertebral fusions)

Palliative care

Timeline

Screening 3 weeks

Treatment Varies

Follow Up change from baseline at 8 to 12 weeks

Awards & highlights

No Placebo-Only Group

Summary

This trial will test a new program to prevent falls in older adults with neuro-musculoskeletal disorders. It aims to reduce hospitalization & deaths due to falls, and lower public health costs.

Who is the study for?

This trial is for older adults with neuro-musculoskeletal disorders and a risk of falling, such as those with Parkinson's disease or chronic lower back pain. Participants should be experiencing issues that increase their chances of falls and may already be under geriatric care.

What is being tested?

The study tests a new exercise program called OTAGO against conventional therapy to manage fall risks in the elderly. It involves creating patient profiles, diagnosing functional deficits using high-tech tools, evaluating the effectiveness of OTAGO exercises, and assessing satisfaction.

What are the potential side effects?

Since this trial involves physical exercises designed for older adults at risk of falling, potential side effects might include muscle soreness or strain. However, these are typically mild and manageable within a rehabilitation setting.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

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I am 65 years old or older.

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I am admitted to La Baie Hospital for rehabilitation.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

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I was born with a spine deformity.

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I am receiving care to manage cancer symptoms.

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I have cancer.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ change from baseline at 8 to 12 weeks

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~change from baseline at 8 to 12 weeks

This trial's timeline: 3 weeks for screening, Varies for treatment, and change from baseline at 8 to 12 weeks for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Machine learning-driven neuromusculoskeletal (NMS) assessment

Postural control

Trunk postural control on wobble chair

+1 more

Secondary study objectives

30 Second Sit to Stand Test

5 times Sit-To-Stand (FTSTS)

Functional mobility test: TUG

+3 more

Other study objectives

Cognitive status

Falls Efficacy Scale-International (FES-I)

Fatigue perception

+3 more

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Active Control

Group I: Otago exercisesExperimental Treatment1 Intervention

OTAGO program - based on very specific exercises for balance, force, and muscular endurance as well as on education about the risk of falling. The program is considered as "home care" (exercises to be done at home) but will be done as a group and with supervision, at CIUSSS or from outdoor and nature intervention (recreactional parks). OTAGO session lasts for 30-40 minutes and will be done twice a week at sites with progression. The program is comprised of 5 muscle strengthening exercises and 12 postural balance exercises. Participants will also be invited to walk 2 times per week for 30 minutes (can be divided into shorter periods, for example 3 blocs of 10 minutes) from outdoor sites or recrative parks. According to each person's strength and mobility, exercises will be increased with the use of free weights (for example during squats) and/or by increasing the number of repetitions. Total duration of the program will be 3 months (i.e., a duration adapted to the site).

Group II: Conventional physiotherapy at HospitalActive Control1 Intervention

This group will be for the conventional type of intervention already in place in geriatric services from La Baie Hospital. This therapy used for physiotherapists at site, including mobility exercices.

0 / 5Eligibility criteria met