In this study we want to investigate how a perturbation-based treadmill training with cognitive dual-task improves daily life gait stability in older adults compared to conventional treadmill training with cognitive dual-task.The results of this…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
age-related functional decline and fall risk
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
daily life gait stability (accelerometer data)
Secondary outcome
- Physical activity in daily life (accelerometer data)
- clinical balance and gait assessment scores (FSST, SPPB, MiniBESTest)
- measurement for balance recovery derived from force plate data from treadmill
Background summary
Falls are the leading cause of injuries in older adults (65+) that affects
their quality of life and raises health care costs. There is an urgent need for
innovative solutions to reduce fall risk in older adults. Despite our knowledge
that balance and strength training can improve balance, the (long-term)
effectiveness of conventional training programs to decrease fall risk and
improve (daily life) gait function appear to be limited. Promising approaches
are the use of perturbation-based training tools to improve reactive balance
responses.
Study objective
In this study we want to investigate how a perturbation-based treadmill
training with cognitive dual-task improves daily life gait stability in older
adults compared to conventional treadmill training with cognitive dual-task.
The results of this study lead to further development of balance training that
is easy to apply and therefore accessible to a wider population. With the
development of this step we want to reduce annual fall incidents in older
adults.
Study design
randomized controlled trial
Intervention
4 weeks:
Intervention 1: Perturbation-based gait training on a treadmill
Intervention 2: Conventional treadmill walking
Study burden and risks
The risks of the perturbation-based gait training and conventional treadmill
training are estimated low. Participants of our RCT may benefit from the
intervention in terms of improving their functional performance, balance and
physical activity.
Van der Boechorststraat 7
Amsterdam 1081 BT
NL
Van der Boechorststraat 7
Amsterdam 1081 BT
NL
Listed location countries
Age
Inclusion criteria
- Age 65 years or older
- Potential fall risk, as assessed by a short questionnaire (G. Peeters (20 12), VeiligheidNL)
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
- Lower extremity fractures or torn ligaments in the past 6 months
- Hip or knee joint replacement in the past 6 months
- Not able to walk without a walking aid at self-preferred speed
- Neurological comorbidities, e.g. Parkinson*s disease, multiple sclerosis, diabetic neuropathy, stroke, polyneuropathy
- Cardiovascular or pulmonary comorbidities, e.g. heart or lung/breathing diseases where physical activity at medium intensity is discommended
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| CCMO | NL66322.028.18 |
| OMON | NL-OMON21354 |