No registrations found.
ID
Source
Brief title
Health condition
balance, aging, gait stability, reactive response
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcome is dynamic gait stability in daily life, based on inertial sensor data.
Secondary outcome
Secondary outcomes are the amount of physical activity in daily life, clinical balance and gait assessment scores and treadmill parameters (force plate data).
Background summary
The training program involves use of unpredictable, randomized perturbation in anterior-posterior direction while walking under cognitive dual-task conditions. Perturbation intensity and base walking speed will increase over a 4-week training program. The program was developed with regards to well-established principles of motor learning, such as specificity, challenging, adaption-progression and variability. Specific goals are the fall risk reduction by improving daily life gait stability and by improving reactive response to perturbation in means of faster recovery of balance to be able to resist a balance loss with resulting fall and to continue walking.
A randomized controlled trial will be performed to evaluate the efficacy of this gait training program. A total of 70 community-dwelling older adults with either a history of falls and/or difficulties with mobility and balance will be assigned to either the experimental group with gait perturbations or a control group. Before and after the intervention daily life gait stability will be tested with one week of accelerometry as well as performance on clinically often used balance and gait tests.
Study objective
Perturbation-based gait training improves dynamic stability and reactive responses in daily life in older adults. Therefore, the risk of falling can be reduce by training.
Study design
The measurements are done at baseline and post-intervention. Data will be recorded continuously over the training period.
Intervention
The perturbation-based gait training programme is a 4-week reactive gait training on a treadmill, with simulated slips and trips, in combination with cognitive dual tasks. The control intervention is a conventional 4-week training treadmill under cognitive dual task conditions.
Inclusion criteria
older adults aged 65 years and older at risk of falling
Exclusion criteria
-MoCa < 24 points
-Body weight over 135 kg
-Body height over 2.0 m
-Open skin lesion or bandage in the area of the harness contact
-Neurological comorbidities, e.g. Parkinson’s disease, multiple sclerosis, diabetic neuropathy, stroke, polyneuropathy
-Lower extremity fractures or torn ligaments in the past 6 months
-Not able to walk without walking aid at self-preferred speed
-Hip or knee joint replacement in the past 6 months
-Uncontrolled comorbid conditions, e.g. heart or lung/breathing diseases where physical activity at medium intensity is forbidden
Design
Recruitment
Followed up by the following (possibly more current) registration
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL7461 |
| NTR-old | NTR7703 |
| CCMO | NL66322.028.18 |
| OMON | NL-OMON45859 |
Summary results
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2. Effects of a 4-week perturbation-based treadmill training on the amount of physical activity in daily life compared with conventional treadmill training.
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3. Effects of a 4-week perturbation-based treadmill training on performance on clinical balance tests compared with conventional treadmill training.
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4. Validity of the quantified recovery performance (QRP) as a measure of gait stability.