Clinical trial NCT05914012: Telerehabilitation Based on Otago Exercises for Older Adults
Official title: The Effects of Telerehabilitation Program Based on Otago Exercises on Balance, Frailty and Quality of Life in tOlder Adults: A Randomized-Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Older Adults
Lead sponsor: Pamukkale University
Sponsor class: OTHER
First posted: 2023-06-22
Enrollment: 250
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: This study is a single-blind, randomized controlled, prospective clinical trial. At least 62 older adults aged 65 and over were included in the study. Evaluations were made twice, before starting the study and after completion. Otago Exercise Program based on telerehabilitation was applied to the intervention group for a total of 21 sessions, 7 days a week for 3 weeks. The control group did not participate in any exercise program during the study period; however, it was reported that they could be included in the Otago Exercise Program at the end of the study.

Detailed description: Sociodemographic data and information about falling were recorded. Edmonton Frail Scale, Modified Fall Efficiency Scale, Five-Dimensional European Quality of Life Scale-5D-3L, Timed Up and Go Test, Four-Step Balance Test and 30 sec Sit to StandTest were applied to all older adults. Evaluations were applied at the beginning and end of the study. A total of 21 sessions of Otago Exercise Program were applied to the intervention group, 30 minutes/session, 7 days/week for 3 weeks. A printed physical activity recommendation brochure prepared for the older adults by the Ministry of Health of the Republic of Turkey was distributed to both groups. The older adults in the control group did not participate in any exercise program during the study period.

Eligibility criteria: Inclusion Criteria for Intervention Group:

* Sedentary and sedentary older adults who do not have any neurological, cognitive, or communication problems that may affect assessments, and who volunteer to participate in the study.

Inclusion Criteria for Control Group:

* Not participating in any exercise program during the study, not having any neurological, cognitive and communication problems that may prevent completing the assessments.

Exclusion Criteria for Intervention Group:

* Participants who have communication problems, are younger than 65 years old, have any neurological diagnosis and have orthopedic, mental and communication problems that prevent evaluations, and do not consent to participate in the study.

Exclusion Criteria for Control Group:

* Those who do not meet the specified age criteria for the study, fail to complete the assessments, and continue the rehabilitation program.

Primary outcomes:
measure: The Edmonton Frail Scale
timeFrame: 8 months
measure: The Modified Falls Efficacy Scale
timeFrame: 8 months
measure: The Five-Dimensional European Quality of Life Scale (EQ-5D-3L)
timeFrame: 8 months
measure: The Timed Up and Go Test
timeFrame: 8 months
measure: The Four Step Balance Test
timeFrame: 8 months
measure: The 30 sec Sit to Stand Test
timeFrame: 8 months
Secondary outcomes:
Other outcomes:
Locations:
city: Denizli
country: Turkey
facility: Pamukkale University
state: Kınıklı
Study officials:
References:
citation: Chen X, Zhao L, Liu Y, Zhou Z, Zhang H, Wei D, Chen J, Li Y, Ou J, Huang J, Yang X, Ma C. Otago exercise programme for physical function and mental health among older adults with cognitive frailty during COVID-19: A randomised controlled trial. J Clin Nurs. 2021 Jul 21:10.1111/jocn.15964. doi: 10.1111/jocn.15964. Online ahead of print.
citation: Binns E, Taylor D. The effect of the Otago Exercise Programme on strength and balance in community dwelling older women. New Zealand Journal of Physiotherapy. 2011;39(2).
citation: Agostini M, Moja L, Banzi R, Pistotti V, Tonin P, Venneri A, Turolla A. Telerehabilitation and recovery of motor function: a systematic review and meta-analysis. J Telemed Telecare. 2015 Jun;21(4):202-13. doi: 10.1177/1357633X15572201. Epub 2015 Feb 22.