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| Name | Class |
|---|---|
| Fondation Leenaards, Switzerland | UNKNOWN |
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This study compares the effects of three home-based exercise programmes in "at-risk to falling" older adults living in their own home on the incidence of falls (number and severity), risk factors, and quality of life as well as on the adherence to exercise. The subjects will be randomized and allocated in three groups. The group A will receive the "Test-and-Exercise" home-based programme (T&E), the group B will receive the "Otago" home-based exercise programme and the group C (activ-control group) will receive the "Helsana" booklet
Home-based exercise programmes appear to reduce rate of falls, number of fallers, risk of falling and risk of death and to improve balance, leg strength, function, physical activity and balance confidence in older adults living in the community.
The Test-and-Exercise home-based programme (T&E) contains 50 tests and 50 exercises to improve balance, strength and ability in older adults. It is especially built for older adults and is based on the concept of self-efficacy and empowerment. The originality of this programme is the evaluation of the difficulty perceived of the balance-exercises. It is delivered on a booklet which investigators had good experience with in our pilot study, with pictures and descriptions of each test and each exercise. Investigators also developed a mobile application. This application will be transmitted on a tablet-computer. In addition, the participants will receive cards with pictures of the exercises, to put into a plastic sheet to have an overview of their own exercise programme. This programme will be implemented from especially trained physiotherapists.
The Otago home-based exercise programme was developed in New-Zeeland in the 2000's to prevent falls in older adults. It proposes 22 exercises and walk training. The physiotherapists give an exercise prescription at each home visit. It shows good results for decrease falls in older adults, but the exercise adherence decrease also with the time.
The Otago home-based exercise programme was developed in New-Zeeland in the 2000's to prevent falls in older adults. It proposes 22 exercises and walk training. The physiotherapists give an exercise prescription at each home visit. It shows good results for decrease falls in older adults, but the exercise adherence decrease also with the time.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| T&E Home-based exercise programme | Experimental | Individually tailored home-based test and exercise programme |
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| Otago | Experimental | Individually tailored exercise programme |
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| Helsana booklet | Active Comparator | Helsana recommendations and exercises |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| T&E Home-based exercise programme | Behavioral | "T&E" exercises programme consists of home-based individually tailored balance and functional strength tests and exercises performed 3x a week over 12 months, accompanied by eight in-home visits of physiotherapists during the first six months. |
| Measure | Description | Time Frame |
|---|---|---|
| number of falls | one year |
| Measure | Description | Time Frame |
|---|---|---|
| Fear of falling | FES-I | one year |
| Severity of falls | Scale of Schwenk 2012 | one year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anne-Gabrielle Mittaz Hager, MS | Contact | +41 79 609 90 63 | gaby.mittaz@hevs.ch | |
| Roger Hilfiker, MS | Contact | +41 79 688 34 90 | roger.hilfiker@hevs.ch |
| Name | Affiliation | Role |
|---|---|---|
| Anne-Gabrielle Mittaz Hager, MS | HES-SO Valais-Wallis | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CUTR Sylvana | Recruiting | Épalinges | Canton of Vaud | 1066 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38570773 | Derived | Hager AM, Mathieu N, Carrard S, Bridel A, Wapp C, Hilfiker R. Partially supervised exercise programmes for fall prevention improve physical performance of older people at risk of falling: a three-armed multi-centre randomised controlled trial. BMC Geriatr. 2024 Apr 3;24(1):311. doi: 10.1186/s12877-024-04927-0. | |
| 30642252 | Derived |
| Label | URL |
|---|---|
| Trial homepage | View source |
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| Otago | Behavioral | Otago exercises programme consists of home-based individually tailored balance, strength and walking exercises performed 3x a week over 12 months, accompanied by eight in-home visits of physiotherapists during the first six months. |
|
| Helsana booklet | Behavioral | Helsana programme consists of a booklet with recommendations and 10 exercises performed 3x a week over 12 months. |
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| Risk of fall | Algorithm STEADI | one year |
| Quality of life | OPQOL-35 | one year |
| Exercise adherence | Monthly calender | one year |
| Physiotherapie Nevzati | Recruiting | Zurich | Canton of Zurich | 8032 | Switzerland |
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| HES-SO Valais-Wallis | Recruiting | Leukerbad | Valais | 3954 | Switzerland |
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| Mittaz Hager AG, Mathieu N, Lenoble-Hoskovec C, Swanenburg J, de Bie R, Hilfiker R. Effects of three home-based exercise programmes regarding falls, quality of life and exercise-adherence in older adults at risk of falling: protocol for a randomized controlled trial. BMC Geriatr. 2019 Jan 14;19(1):13. doi: 10.1186/s12877-018-1021-y. |