Effects of an Adapted Physical Activity on the Postural Control of Residents in Nursing Home.

Study Overview
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Brief Summary
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This study measures the effects of an Adapted Physical Activity on postural control of residents in nursing home. Half of participants will follow a program training 3 times a week during 8 weeks, while the other half will receive the usual accompaniment.

Official Title
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Effects of Adapted Physical Activity on the Static and Dynamic Postural Control of Residents in Nursing Home: an Exploratory Study of 8 Weeks in the Réseau Santé de la Glâne (Canton of Fribourg, Switzerland).

Conditions
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Postural Control

Intervention / Treatment
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* Other: Adapted Physical Activity


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Able to walk 20 meters with or without auxiliary help Able to stand 1 minute without help Health status considered stable Life expectancy greater than 6 months No major cognitive impairment preventing them from understanding a simple instruction No severe visual impairment No severe deafness Understanding french Able to discern Exclusion Criteria: Unable to walk 20 meters with or without auxiliary help Unable to stand 1 minute without help Health status considered unstable Estimated life expectancy at less than 6 months Major cognitive impairment preventing them from understanding a simple instruction Severe visual impairment Severe deafness Not understanding french Inability to discern

Ages Eligible for Study
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Minimum Age: 70 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: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: pre- posttest with control group
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Adapted Physical Activity group<br>This group will receive 3 sessions per week of specific physical activity. | Other: Adapted Physical Activity<br>* The sessions of Adapted Physical Activity will be focus around the theme of balance, with a small part of resistance training.<br>|
| No Intervention: Usual accompaniment group<br>This group will continue to follow the usual accompaniment of the nursing home. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postural control | Measures of the center of pressure under different conditions. | 15 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Habitual gait speed in meter per seconde | Gait parameter | 5 minutes | 
| Gait variability in percentage | Gait parameter | 5 minutes | 
| Gait asymmetry in percentage | Gait parameter | 5 minutes | 
| Short Physical Performance Battery test | This unique test is composed of a standing balance exercise, a gait speed exercise and chair stand exercise. It gives a score of 0 to 12. 0 is the worst performance and 12 the best one. | 10 minutes | 
| General quality of life | Euro Quality of life 5 dimensions (EQ-5D) | 5 minutes | 
| Depression | Geriatric Depression Scale 4 items. 0 (the best) to 4 (the worst) points. | 5 minutes | 
| Fear of falling | Falls Efficacy Scale International. 7 (no concern about falling) to 28 (severe concern about falling) | 5 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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adapted physical activity, nursing home, elderly, postural control