The aims of this project is three-fold: 1) to assess the difference in functional ability and postural control between former polio patients with and without a history of recurrent falls; 2) to determine which risk assessment tool is the most…
ID
Source
Brief title
Condition
- Muscle disorders
- Neuromuscular disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Fall risk assessment tools: the performance oriented mobility assessment (POMA)
from Tinetti and the Berg Balance Test
Fear of falling (FOF) will be assessed with the falls efficacy scale from
Tinetti and the Activities-specific Balance Confidence (ABC) scale.
Secondary outcome
Functional tests: static balance (timed tandem stance), functional reach, timed
1-leg stance, timed-up-and-go test and the stop-walking-when-talking test will
be performed.
Muscle strength of the knee flexors and extensors and ankle dorsal flexors and
plantar flexors will be assessed using the Biodex 3 dynanometer.
Dynamic postural control will be assessed using the Biodex Balance system,
which is a system to measure dynamic balance. This system evaluated
neuromuscular control by quantifying the ability to maintain dynamic posture.
Background summary
Persons previously affected by poliomyelitis (polio subjects) commonly have
long-standing muscle weakness and have an increased risk of falling. A fall can
lead to injuries and to fear of falling and activity restriction, which can
further lead to muscle weakness, decreased endurance and reduced physical
functioning. These changes may inhibit social interaction and leisure
activities, and therefore affect health related quality of life. The existing
literature about risk factors of falls is mainly focussed on frail and older
subjects, however little is known about identifying at-risk individuals with
specific disabilities who may neither be *frail* nor *older*, such as former
polio patients. Considering the serious consequences of a fall, it is important
to evaluate risk factors of falls in patient specific populations in order to
screen more effectively and to be able to optimize treatment options. The
purpose of this study is to investigate which of the know risk factors and
existing screening tests are appropriate and can be used in former polio
patients.
Study objective
The aims of this project is three-fold: 1) to assess the difference in
functional ability and postural control between former polio patients with and
without a history of recurrent falls; 2) to determine which risk assessment
tool is the most appropriate screening tool for risk of falls in former polio
patients and 3) to assess fear of falling and balance confidence in former
polio patients with and without a history of falls.
Study design
a cross-sectinal observational study
Study burden and risks
Patients will attend the department of rehabilitation of the AMC once. During
this visit a short clinical examination will take place, a static and dynamic
balance tests, a walking test and muscle strength testing will take place.
Patients will also be asked to complete two questionnaires.
The workload of the different tests is possible if enough resting breaks are
taken betwen the different tests.
Meibergdreef 9, Postbus 22660
1100 DD Amsterdam
Nederland
Meibergdreef 9, Postbus 22660
1100 DD Amsterdam
Nederland
Listed location countries
Age
Inclusion criteria
diagnosis of poliomyelitis, ambulating
Exclusion criteria
impaired vision; hearing loss
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL21750.018.08 |