Falls prevention advice and visual feedback to those at risk of falling: study protocol for a pilot randomized controlled trial

Trials

Phillip J Rowe²  Dawn A Skelton¹  Lynne Baillie¹  Stephen Uzor¹ 

[1] Glasgow Caledonian University, Glasgow, United Kingdom;University of Strathclyde, Glasgow, United Kingdom

关键词: RCT;    Inertial sensors;    Visualization;    Games;    Rehabilitation;    Falls;   

Others  :  1094504
DOI  :  10.1186/1745-6215-14-79

 received in 2012-10-02, accepted in 2013-03-01,  发布年份 2013

【 摘 要 】

Background

Studies have shown that functional strength and balance exercises can reduce the risk of falling in older people if they are done on a regular basis. However, the repetitive nature of these exercises; combined with the inherent lack of feedback of progress may discourage seniors from exercising in the home, thereby rendering such an intervention ineffective. This study hypothesizes that the use of visual feedback and multimodal games will be more effective in encouraging adherence to home rehabilitation than standard care; thereby promoting independence and improving the quality of life in older adults at risk of falling.

Methods

A pllel-group pilot randomized controlled trial with 3 groups of participants will be conducted in the home for 12 weeks. Participants will include older adults who have been identified as at risk of falling (n = 48), over the age of 65, living in the community, and suitable for a home exercise intervention. The primary outcome is adherence to exercise. Secondary outcomes include: variability in stride length, stride time and double support time (DST); walking speed; Timed up and go test (TUG); Falls Efficacy Scale International (FES-I); CONFbal scale; Romberg’s test; and quality of life measures (SF-12 and EuroQol EQ-5D). Qualitative assessments on personal experiences with rehabilitation tools will be done before and after the trial.

Discussion

This study will investigate the use of visual feedback and engaging multimodal activities to address the problem of non-compliance to home exercises for falls rehabilitation. One of the unique qualities of this study is the adaptation of special participatory design methods through which the end users (fallers) will be involved in the design of the proposed rehabilitation tools at various stages of the design process.

Trial registration

ISRCTN79967470

【 授权许可】

   
2013 Uzor et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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