The Effects of Functional Power Training on Frail and Pre-frail Community - Dwelling Older Adults in Singapore

Study Overview
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Brief Summary
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To investigate the efficacy of a 12-week Functional Power Training (FPT) program in pre-frail and frail community-dwelling older adults in Singapore for the management of physical frailty. The proposed study will provide information on the benefits of FPT on physical performances of older adults and help to shape future exercise recommendations to slow or reverse the onset and severity of physical frailty.

Official Title
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The Effects of Functional Power Training on Frail and Pre-frail Community - Dwelling Older Adults in Singapore: A Randomised Controlled Trial

Conditions
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Frailty, Muscle Weakness

Intervention / Treatment
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* Other: Functional Power Training
* Other: Usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged 55 years and above low muscle strength - handgrip strength less than 26kg for men and 18kg for women ambulate without human assistance able to understand basic instructions Exclusion Criteria: currently enrolled in another study acute musculoskeletal injury unable to participate in the full duration of the study unwilling to participate if not assigned to the intervention group deemed not suitable to participate in exercise by a medical doctor

Ages Eligible for Study
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Minimum Age: 55 Years
Maximum Age: 99 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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Function power training<br>12-week structured FPT program, conducted by a certified trainer from a community service provider. Sessions were held twice weekly at the respective community senior activity centers, each lasting 60 minutes in duration. | Other: Functional Power Training<br>* The exercise intervention encompassed high-velocity movement, balance, and mobility exercises with the use of body weight and resistance bands as resistance. Participants were instructed to move rapidly during the concentric phase and slowly during the eccentric phase when performing the dynamic exercises.<br>|
| Active Comparator: Usual care<br>Participants either continued the usual exercise program provided by their respective community senior activity centers or their personal exercise routine. | Other: Usual care<br>* Participants either continued the usual exercise program provided by their respective community senior activity centers or their personal exercise routine.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of Frail status at 12 and 24 weeks | Cardiovascular Health Study (CHS) Frailty status which characterizes frailty based on five components: unintentional weight loss, weakness, slowness, exhaustion and low physical activity. 1 point for each category. Robust: 0 point, Pre-Frail: 1-2 points , Frail: 3-5 points. | baseline, 12 weeks, 24 weeks | 
| Change of hand grip strength at 12 and 24 weeks | Hand grip strength (kg) | baseline, 12 weeks, 24 weeks | 
| Change of knee extensor strength at 12 and 24 weeks | Knee extensor strength (kg) | baseline, 12 weeks, 24 weeks | 
| Change of Timed up and go (TUG) at 12 and 24 weeks | Timed up and go (TUG) (seconds) | baseline, 12 weeks, 24 weeks | 
| Change of SPPB at 12 and 24 weeks | Short Physical Performance Battery (SPPB) consist of: Balance test Gait speed Chair stand test | baseline, 12 weeks, 24 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Exercise adherence | Exercise journals | baseline, 12 weeks, 24 weeks |