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Trials
Published in: Trials 1/2013

Open Access 01-12-2013 | Study protocol

Falls prevention advice and visual feedback to those at risk of falling: study protocol for a pilot randomized controlled trial

Authors: Stephen Uzor, Lynne Baillie, Dawn A Skelton, Phillip J Rowe

Published in: Trials | Issue 1/2013

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Abstract

Background

Studies have shown that functional strength and balance exercises can reduce the risk of falling in older people if they are done on a regular basis. However, the repetitive nature of these exercises; combined with the inherent lack of feedback of progress may discourage seniors from exercising in the home, thereby rendering such an intervention ineffective. This study hypothesizes that the use of visual feedback and multimodal games will be more effective in encouraging adherence to home rehabilitation than standard care; thereby promoting independence and improving the quality of life in older adults at risk of falling.

Methods

A pllel-group pilot randomized controlled trial with 3 groups of participants will be conducted in the home for 12 weeks. Participants will include older adults who have been identified as at risk of falling (n = 48), over the age of 65, living in the community, and suitable for a home exercise intervention. The primary outcome is adherence to exercise. Secondary outcomes include: variability in stride length, stride time and double support time (DST); walking speed; Timed up and go test (TUG); Falls Efficacy Scale International (FES-I); CONFbal scale; Romberg’s test; and quality of life measures (SF-12 and EuroQol EQ-5D). Qualitative assessments on personal experiences with rehabilitation tools will be done before and after the trial.

Discussion

This study will investigate the use of visual feedback and engaging multimodal activities to address the problem of non-compliance to home exercises for falls rehabilitation. One of the unique qualities of this study is the adaptation of special participatory design methods through which the end users (fallers) will be involved in the design of the proposed rehabilitation tools at various stages of the design process.

Trial registration

ISRCTN79967470
Appendix
Available only for authorised users
Literature
1.
2.
Oliver D: Development of services for older patients with falls and fractures in England: successes, failures, lessons and controversies. Arch Gerontol Geriatr. 2009, 49 (Suppl 2): S7-S12.CrossRefPubMed
3.
Rubenstein LZ: Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing. 2006, 35 (suppl 2): ii37-ii41.PubMed
4.
Skelton DA, Dinan SM: Exercise for falls management: rationale for an exercise programme aimed at reducing postural instability. Physiother Theory Pract. 1999, 15: 105-120. 10.1080/095939899307801.CrossRef
5.
Sherrington C, Tiedemann A, Fairhall N, Close JCT, Lord SR: Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. NSW Public Health Bull. 2011, 23: 78-83.CrossRef
6.
Nyman SR, Victor CR: Older people’s recruitment, sustained participation, and adherence to falls prevention interventions in institutional settings: a supplement to the Cochrane systematic review. Age Ageing. 2011, 40: 430-436. 10.1093/ageing/afr016.CrossRefPubMed
7.
Uzor S, Baillie L, Skelton DA, Fairlie F: Identifying Barriers to Effective User Interaction with Rehabilitation Tools in the Home. Human-Computer Interaction (INTERACT). Edited by: Campos P, Graham N, Jorge J, Nunes N, Palanque P, Winckler M. 2011, Springer Berlin Heidelberg, 36-43.
8.
Uzor S, Baillie L, Skelton DA: Senior designers: empowering seniors to design enjoyable falls rehabilitation tools. Proceedings of the thirty-first ACM SIGCHI conference on computer human interaction (CHI). 2012, ACM Press, 1179-1188.
9.
10.
Yavuzer G, Eser F, Karakus D, Karaoglan B, Stam HJ: The effects of balance training on gait late after stroke: a randomized controlled trial. Clin Rehabil. 2006, 20: 960-969. 10.1177/0269215506070315.CrossRefPubMed
11.
Alankus G, Lazar A, May M, Kelleher C: Towards customizable games for stroke rehabilitation. Proceedings of the twenty-eighth ACM SIGCHI conference on computer human interaction (CHI). 2010, ACM Press, 2113-2122.
12.
Sveistrup H: Motor rehabilitation using virtual reality. NeuroEng Rehab. 2004, 1: 10-10.1186/1743-0003-1-10.CrossRef
13.
Sugarman H, Weisel-Eichler A, Burstin A, Brown R: Use of the Wii Fit system for the treatment of balance problems in the elderly: a feasibility study. 2009, IEEE: In Proceedings of the virtual rehabilitation conference, 111-116.
14.
Deutsch JE, Robbins D, Morrison J, Bowlby PG: Wii-based compared to standard of care balance and mobility rehabilitation for two individuals post-stroke. Proceedings of the international conference on virtual rehabilitation (ICVR). 2009, : IEEE, 117-120.
15.
16.
Burke JW, McNeill MDJ, Charles DK, Morrow PJ, Crosbie JH, McDonough SM: Optimising engagement for stroke rehabilitation using serious games. Proceedings of the First International IEEE Conference on Serious Games and Virtual Worlds (VS Games). 2009, : The Visual Computer, Springer, 1085-1099. 12
17.
Khodadadeh S, McClelland MR, Nene AV, Patrick JH: The use of double support time for monitoring the gait of muscular dystrophy patients. Clin Biomech. 1987, 2: 68-70. 10.1016/0268-0033(87)90129-X.CrossRef
18.
Hausdorff J: Gait dynamics, fractals and falls: finding meaning in the stride-to-stride fluctuations of human walking. Hum Mov Sci. 2007, 26: 555-589. 10.1016/j.humov.2007.05.003.CrossRefPubMedPubMedCentral
19.
Van Uden CJT, Besser MP: Test-retest reliability of temporal and spatial gait characteristics measured with an instrumented walkway system (GAITRite®). BMC Musculoskelet Disord. 2004, 5: 13-10.1186/1471-2474-5-13.CrossRefPubMedPubMedCentral
20.
Viccaro LJ, Perera S, Studenski SA: Is timed up and go better than gait speed in predicting health, function, and falls in older adults?. Am Geriatrics Soc. 2011, 59: 887-892. 10.1111/j.1532-5415.2011.03336.x.CrossRef
21.
Quach L, Galica AM, Jones RN, Procter-Gray E, Manor B, Hannan MT, Lipsitz LA: The nonlinear relationship between gait speed and falls: the maintenance of balance, independent living, intellect, and zest in the elderly of Boston study. J Am Geriatr Soc. 2011, 59: 1069-1073. 10.1111/j.1532-5415.2011.03408.x.CrossRefPubMedPubMedCentral
22.
Judge JO, Underwood M, Gennosa T: Exercise to improve gait velocity in older persons. Arch Phys Med Rehabil. 1993, 74: 400-406.PubMed
23.
Shumway-Cook A, Brauer S, Woollacott M: Predicting the probability for falls in community-dwelling older adults using the timed up & go test. Phys Ther. 2000, 80: 896-903.PubMed
24.
Khasnis A, Gokula RM: Romberg’s test. J Postgrad Med. 2003, 49: 169-172.PubMed
25.
Simpson JM, Worsfold C, Hawke J: Balance confidence in elderly people: the CONFbal scale. [abstract]. Age Ageing. 1998, 27 (Suppl 2): 57-CrossRef
26.
Simpson JM, Worsfold C, Fisher KD, Valentine JD: The CONFBAL scale: a measure of balance confidence – a key outcome of rehabilitation. Physiotherapy. 2009, 95: 103-109. 10.1016/j.physio.2008.12.004.CrossRefPubMed
27.
Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C: Development and initial validation of the falls efficacy scale-international (FES-I). Age Ageing. 2005, 34: 614-619. 10.1093/ageing/afi196.CrossRefPubMed
28.
Hauer K, Yardley L, Beyer N, Kempen G, Dias N, Campbell M, Becker C, Todd C: Validation of the falls efficacy scale and falls efficacy scale international in geriatric patients with and without cognitive impairment: results of self-report and interview-based questionnaires. Gerontology. 2010, 56: 190-199. 10.1159/000236027.CrossRefPubMed
29.
Kempen GIJ, Yardley L, van Haastregt JCM, Zijlstra GA, Beyer N, Hauer K, Todd C: The short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling. Age Ageing. 2008, 37: 45-50.CrossRefPubMed
30.
König HH, Ulshöfer A, Gregor M, von Tirpitz C, Reinshagen M, Adler G, Leidl R: Validation of the EuroQol questionnaire in patients with inflammatory bowel disease. Eur J Gastroenterol Hepatol. 2002, 14: 1205-1215. 10.1097/00042737-200211000-00008.CrossRefPubMed
31.
Ellis JJ, Eagle KA, Kline-Rogers EM, Erickson SR: Validation of the EQ-5D in patients with a history of acute coronary syndrome. Curr Med Res Opin. 2005, 21: 1209-1216. 10.1185/030079905X56349.CrossRefPubMed
32.
Gandek B, Ware JE, Aaronson NK, Apolone G, Bjorner JB, Brazier JE, Bullinger M, Kaasa S, Leplege A, Prieto L, Sullivan M: Cross-validation of item selection and scoring for the SF-12 health survey in nine countries: results from the IQOLA project. International quality of life assessment. J Clin Epidemiol. 1998, 51: 1171-1178. 10.1016/S0895-4356(98)00109-7.CrossRefPubMed
33.
Resnick B, Nahm ES: Reliability and validity testing of the revised 12-item short-form health survey in older adults. J Nurs Meas. 2001, 9: 151-161.PubMed
34.
Ozcan A, Donat H, Gelecek N, Ozdirenc M, Karadibak D: The relationship between risk factors for falling and the quality of life in older adults. BMC Publ Health. 2005, 5: 90-10.1186/1471-2458-5-90.CrossRef
35.
Metadata
Title
Falls prevention advice and visual feedback to those at risk of falling: study protocol for a pilot randomized controlled trial
Authors
Stephen Uzor
Lynne Baillie
Dawn A Skelton
Phillip J Rowe
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Trials / Issue 1/2013
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/1745-6215-14-79

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