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The objective of this pilot study is to estimate, for a frail elderly population, the extent to which balance improves following a Core-Strength training program in comparison to a Stretch & Strength program. A secondary objective is to explore the impact of core strength training on urinary incontinence.
Participants will be randomized to one of the two exercise groups, Core-Strength training group or the Stretch & Strength group. The exercises will consist of 15-20 minute session for every day they attend the GDH. Measures will be made at admission, after 6 weeks of the program and at discharge if more than past 6 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| core | Experimental | strength training of the core muscles. |
|
| stretch and strength | No Intervention | This program consists of general stretching exercises and peripheral muscle strengthening exercises with a special emphasis on strengthening the upper extremity muscles because of their importance for ADL but not necessarily balance. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Core | Other | We have devised a series of core strength training exercises that can be easily and safely performed under the supervision of trained staff. The exercises will be individualized depending on the participants' ability and health conditions. The majority, but not all, of exercises will be performed on or with exercise balls of different sizes and shapes, round for more advanced persons and oval for more frail persons. |
| Measure | Description | Time Frame |
|---|---|---|
| Berg balance scale | baseline, 6 weeks, discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Functional walking capacity 6 minute walk test | baseline, 6 weeks, discharge | |
| Gait speed | baseline, 6 weeks, discharge | |
| Bridge Test |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nancy E Mayo, PhD | McGill University, Division of Clinical Epidemiology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McGill University-Royal Victoria Hospital Site | Montreal | Quebec | H3A-1A1 | Canada |
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| Baseline, 6 weeks, discharge |
| Activities-Specific Balance Confidence Scale (ABC Scale) | Baseline, 6 weeks, Discharge |
| International Consultation on Urinary Incontinence Questionnaire- Urinary Incontinence Short Form (ICIQ-UI) | Baseline, 6 weeks, discharge |