Clinical trial NCT06908317: Teaching the Getting Up From the Floor Among Long-Term Care Facility Residents
Official title: Backward Chaining Method for Teaching the Getting Up From the Floor Among Long-Term Care Facility Residents
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Mobility Difficulty
Exercise
ELDERLY PEOPLE
Keywords: get up from the floor
backward chaining method
fall prevention
long-term care facility
Lead sponsor: Semmelweis University
Sponsor class: OTHER
First posted: 2025-04-03
Enrollment: 40
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: parallel assignment
Primary purpose: PREVENTION

Brief summary: The aim of this study is to determine the effect of teaching the getting up from the floor using the Backward Chaining Method on functional mobility, muscle strength, fear of falling, and life-space mobility among among long-term care facility residents.

Methods: Randomized controlled trial of a teaching the getting up from the floor using the Backward Chaining Method for older people living in long-term care facility. The assessment of primary and secondary outcomes takes place in all subjects upon entry to the study (pre-test) by blinded assessors and after the 20-session intervention (post-test). After baseline assessments is completed, participants will be randomly allocated to intervention or control groups using stratified randomization based on the use of walking aids and baseline values of FES-I.

The BCM sessions will be provided in a community room situated in the nursing home and will be led by a physiotherapist with extensive experience in geriatric physiotherapy with assistance of 2 physiotherapist student.

Only stable chairs provided for supporting and safety, wedge pillows, and training mats are required during practicing.

Expected results Improvement in functional mobility of the IG Improvement in lower and upper limb muscle strength Improvement in fall efficacy Improvement in life-space mobility


Eligibility criteria: Inclusion Criteria:

* • aged 65 years or older,

  * living in the nursing home for at least 2 months,
  * being able to walk at least 6 meters with or without walking aids

Exclusion Criteria:

* • being physically unable to be taught how to get up from the floor.

  * lower limb endoprosthesis implanted within 6 months
  * severe pain (VAS\> 7/10)
  * cognitively unable to co-operate (based on psychiatrist's judgement)
  * planned moving away from the nursing home during the study period.

Primary outcomes:
measure: Timed Up and Go test
timeFrame: Baseline and at the end of the 7-week intervention period
Secondary outcomes:
measure: 30-second Sit to Stand Test
timeFrame: Baseline and at the end of the 7-week intervention period
measure: grip-strength
timeFrame: Baseline and at the end of the 7-week intervention period
measure: Fall Efficacy Scale-International (FES-I)
timeFrame: Baseline and at the end of the 7-week intervention period
measure: Nursing Home Life-Space Diameter (NHLSD)
timeFrame: Baseline and at the end of the 7-week intervention period
measure: independence of mobility
timeFrame: Baseline and at the end of the 7-week intervention period
measure: Number of falling
timeFrame: During the 7-week intervention period
Other outcomes:
Locations:
city: Budapest
country: Hungary
facility: Semmelweis University
Study officials:
References: