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| Name | Class |
|---|---|
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
The objective of this project is to determine the effect of aquatic exercise and aquatic exercise combined with an education program on decreasing fall risk in older adults with hip osteoarthritis. The hypothesis is that aquatic exercise will improve function, strength and balance and the addition of the education session will enhance confidence in movement.
Older adults with hip osteoarthritis (OA) often experience pain and loss of mobility that significantly impairs their ability to walk, climb stairs, shop or participate in exercise programs. This can result in social isolation, depression and loss of confidence in their ability to manage independently in the community. A decline in physical and psycho-social function leads to increased risk of falling. It is crucial to identify high-risk fallers as well as the best interventions to decrease that risk; hip fractures from falls are devastating, resulting in death or admission to long-term care for the majority who sustain them.
Exercise programs designed to improve balance, strength and mobility can help to improve function and decrease risk of falling. However, individuals with hip OA may have difficulty participating in these programs due to pain. Aquatic exercise offers an activity alternative to improve mobility, strength and decrease fall risk. As well, the addition of a group program designed to enhance confidence in movement may further reduce the risk of falls by improving independence to be more active at home and in the community.
This project will evaluate the effect of aquatic exercise and aquatic exercise combined with a group educational program on decreasing fall risk in older adults with hip OA. Determining optimal fall prevention programs may avert death and loss of quality of life for older adults, clearly an important contribution to preventative health care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Aquatic Education | Experimental | Exercise combined with education |
|
| Aquatic | Experimental |
| |
| Control | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| exercise | Behavioral | A community aquatic exercise program designed for older adults to improve balance, strength and mobility to decrease the risk of falls. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Balance | Berg Balance Scale range 0 - 36 (36 is excellent balance, 0 is poor or no ability for standing balance) | baseline and 11 weeks |
| Change in Chair Stands | change in number of repetitions (the number of times moving from full sitting to full standing in 30 seconds) | baseline and 11 weeks |
| Change in Walking | change in 6 minute walk (distance in meters covered in 6 minutes)over 11 weeks | baseline and 11 weeks |
| Change in Falls-Efficacy | change in Activities Balance Confidence Scale (0 - 100, 100 represents high confidence, 0 represents low confidence) | baseline and 11 weeks |
| Change in Dual Task Function | change in Timed Up and Go Cognitive Test (time in sec., lower number means better performance) | baseline and 11 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Physical Activity | change in Physical Activity Scale for the Elderly (0 - up to 300, higher score more active) | baseline and 11 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Cathy M Arnold, MSc | University of Saskatchewan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| College of Kinesiology | Saskatoon | Saskatchewan | S7N 5B2 | Canada |
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Recruitment Sept 2005 to 2006, posters in physician offices, senior housing, recreational facilities and advertisements in local newspaper
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| ID | Title | Description |
|---|---|---|
| FG000 | Control Group | Continued with usual activity and care, no intervention |
| FG001 | Aquatic Exercise | Attended twice per week community aquatic exercise class focussed on improving strength, balance and mobility |
| FG002 | Aquatic Exercise Plus Education | Attended twice per week community aquatic exercise class designed to improve strength, balance, and mobility plus an additional educational class once per week to learn about fall risk, and improve confidence in ability to prevent falls. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Control Group | Continued with usual activity and care, no intervention |
| BG001 | Aquatic Exercise | Attended twice per week community aquatic exercise class focussed on improving strength, balance and mobility |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in Balance | Berg Balance Scale range 0 - 36 (36 is excellent balance, 0 is poor or no ability for standing balance) | ITT and LOCF | Posted | Mean | Standard Deviation | units on a scale | baseline and 11 weeks |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Control Group | Continued with usual activity and care, no intervention |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Cathy M. Arnold | University of Saskatchewan | 306 966 6588 | cathy.arnold@usask.ca |
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| ID | Term |
|---|---|
| D001168 | Arthritis |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| 2 | Behavioral | Same as 1 with the addition of a 1/week educational group program to improve confidence in movement, learn about fall risk and fall prevention and the rationale for the exercises to decrease fall risk. |
|
| Control | Behavioral | no exercise |
|
| Withdrawal by Subject |
|
| BG002 | Aquatic Exercise Plus Education | Attended twice per week community aquatic exercise class designed to improve strength, balance, and mobility plus an additional educational class once per week to learn about fall risk, and improve confidence in ability to prevent falls. |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Age Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
Attended twice per week community aquatic exercise class designed to improve strength, balance, and mobility plus an additional educational class once per week to learn about fall risk, and improve confidence in ability to prevent falls. |
|
|
| Primary | Change in Chair Stands | change in number of repetitions (the number of times moving from full sitting to full standing in 30 seconds) | ITT and LOCF | Posted | Mean | Standard Deviation | number of stands per 30 seconds | baseline and 11 weeks |
|
|
|
| Primary | Change in Walking | change in 6 minute walk (distance in meters covered in 6 minutes)over 11 weeks | ITT and LOCF | Posted | Mean | Standard Deviation | unit of scale (meters per 6 minutes) | baseline and 11 weeks |
|
|
|
| Primary | Change in Falls-Efficacy | change in Activities Balance Confidence Scale (0 - 100, 100 represents high confidence, 0 represents low confidence) | ITT and LOCF | Posted | Mean | Standard Deviation | unit of scale | baseline and 11 weeks |
|
|
|
| Secondary | Change in Physical Activity | change in Physical Activity Scale for the Elderly (0 - up to 300, higher score more active) | Posted | Mean | Standard Deviation | unit of scale | baseline and 11 weeks |
|
|
|
| Primary | Change in Dual Task Function | change in Timed Up and Go Cognitive Test (time in sec., lower number means better performance) | Posted | Mean | Standard Deviation | unit of scale (seconds) | baseline and 11 weeks |
|
|
|
| 0 |
| 79 |
| 0 |
| 79 |
| EG001 | Aquatic Exercise | Attended twice per week community aquatic exercise class focussed on improving strength, balance and mobility | 0 | 79 | 0 | 79 |
| EG002 | Aquatic Exercise Plus Education | Attended twice per week community aquatic exercise class designed to improve strength, balance, and mobility plus an additional educational class once per week to learn about fall risk, and improve confidence in ability to prevent falls. | 0 | 79 | 0 | 79 |
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