FallSensing Clinical Tool for Fall Risk Prevention in Community-dwelling Adults Aged 50 Years or Over

Study Overview
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Brief Summary
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Fall prevention programs should include strength and balance training, home hazard assessment and intervention, vision assessment and referral and also medication review with modification/withdrawal. Evidence exists that a tailored exercise program can reduce falls by as much as 54%. Several studies recognize the benefits of the Otago Exercise Program (OEP) on physical functioning and falls reduction in older people. The program includes strength and balance exercises with a difficulty level progression by increasing weights and number of repetitions, in association with a walking plan. FallSensing clinical tool includes a software, a pressure platform and two inertial sensors. The software includes a range of exercises based on Otago Exercise Program, including warming, balance and strength exercises. The software allows that healthcare professional prescribes a tailored exercise program according to the individual needs. During exercise performance, pressure distribution can be analysed by the healthcare professional, providing real time feedback to the individual.

Official Title
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FallSensing Clinical Tool for Fall Risk Prevention in Community-dwelling Adults Aged 50 Years or Over

Conditions
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Accidental Falls

Intervention / Treatment
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* Other: FallSensing Clinical Tool


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: adults aged 50 years or over; Community-dweller independent to be standing and walking, with or without walking aids, interest to participate in the study. Exclusion Criteria: individuals with severe sensorial impairments (deafness or blindness) individuals with cognitive impairments which precludes the ability to comprehend the questionnaire, functional tests and exercises included in the protocol.

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Exercise group<br>Exercise group, including community-dwelling adults aged 50 years or over, will perform an initial evaluation, 24 intervention sessions with FallSensing clinical tool (2 or 3 sessions per week) and a final evaluation. | Other: FallSensing Clinical Tool<br>* FallSensing clinical tool will be applied to a group of community-dwelling adults aged 50 years or over, including a initial evaluation, 24 intervention sessions (2 or 3 sessions per week) and a final evaluation. Inicial and final evaluation consists in six functional tests (Grip Strength, Timed Up and Go, 30 seconds Sit-to-Stand, Step test, 4 Stage Balance test modified and 10 meters Walking Speed) and a questionnaire concerning self-efficacy for exercise.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Timed Up and Go | seconds | Change from baseline time to perform TUG up to 12 weeks | 
| Self-efficacy for Exercise | Score 5 to 20 points | Change from baseline Self-efficacy for exercise score up to 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Grip Strength | Kilogram-force | Outset and up to 12 weeks | 
| 30 seconds Sit-to-Stand | number of stands | Outset and up to 12 weeks | 
| Step Test | number of steps | Outset and up to 12 weeks | 
| 4 Stage Balance Test Modified | last position accomplished | Outset and up to 12 weeks | 
| 10 meters Walking Speed | meters per second | Outset and up to 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Accidental Falls, Primary prevention, Pressure platform, Inertial Sensor