Clinical trial NCT05290571: Modified Otago Exercise Program on Balance Performance
Official title: The Effectiveness of Modified Otago Exercise Program on Balance Performance of Elderlies in Hong Kong
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Healthy Aging
Fall
Keywords: Modified Otago Exercise Program
Modified Otago Exercise Program with music
Lead sponsor: Tung Wah College
Sponsor class: OTHER
First posted: 2022-03-22
Enrollment: 33
Sex: ALL
Minimum age (years): 55
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Fall is a common problem encountered by elderlies. In Hong Kong, the prevalence rate of falls among elderlies aged above 65 years old ranged from 18%-29%, standing at approximately one-fifths of the total elderly population. Falls pose huge threats to the physical and psychosocial health of the elderlies as they are often accompanied by serious injuries such as bone fracture and post-fall syndrome, decreased confidence in walking, and social exclusion.

Otago Exercise Program (OEP) was a tailor-made home-based fall prevention program of community-dwelling elderlies. It comprises of 3 main components: 5 lower limb strengthening, 12 balance retraining and walking exercises. Regarding on its effectiveness, multiple studies revealed that OEP and modified version of OEP (mOEP) brought significant improvements on perceived, static and dynamic balance, lower limb strength, quality of life and functional capacity of healthy elderlies and those with various health conditions such as chronic illnesses, osteoarthritis, stroke and hemiplegia.

The delivery method of OEP and mOEP has been limited to have elderlies following the instructions and illustrations of a printed booklet. Currently, there are only two proposed effective forms of mOEP: video-instructed and Exergames. Our study attempts to establish a new home-based exercise option incorporating mOEP with video, music and lyrics. It helps to increase the exercise motivation of elderlies, hence their physical performance.


Eligibility criteria: Inclusion Criteria:

* Elderlies in community dwellings aged 55 or above
* Communicable \& able to follow command
* Self-reported sufficient visual \& auditory ability to follow the actions in video
* HK-MoCA 5-Min Protocol: No cognitive impairment
* Able to access electronic devices, such as smartphones, computers, televisions with network, Digital Video Disc/Compact Disc player

Exclusion Criteria:

* History of severe medical conditions that hinders physical ability, such as heart diseases and neurological disorders
* History of lower limb fracture in recent 1 year
* History of joint replacement and any cardio-thoracic surgeries
* Self-reported visual \& auditory impairment
* Users of walking aids other than sticks, tripods or quadripods

Primary outcomes:
measure: Falls Efficacy Scale International (FES-I)
timeFrame: 1 week before the Intervention
measure: Falls Efficacy Scale International (FES-I)
timeFrame: 4 weeks after the start of the Intervention
measure: Falls Efficacy Scale International (FES-I)
timeFrame: 1 week after the completion of the Intervention
measure: Change from Falls Efficacy Scale International (FES-I) at 4 weeks
timeFrame: 1 week before the Intervention, 4 weeks after the start of the Intervention
measure: Change from Falls Efficacy Scale International (FES-I) at 8 weeks
timeFrame: 1 week before the Intervention, 1 week after the completion of the Intervention
measure: Change of Falls Efficacy Scale International (FES-I) between 4 weeks and 8 weeks
timeFrame: 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention
measure: Functional Reach Test (FRT)
timeFrame: 1 week before the Intervention
measure: Functional Reach Test (FRT)
timeFrame: 4 weeks after the start of the Intervention
measure: Functional Reach Test (FRT)
timeFrame: 1 week after the completion of the Intervention
measure: Change from Functional Reach Test (FRT) at 4 weeks
timeFrame: 1 week before the Intervention, 4 weeks after the start of the Intervention
measure: Change from Functional Reach Test (FRT) at 8 weeks
timeFrame: 1 week before the Intervention, 1 week after the completion of the Intervention
measure: Change of Functional Reach Test (FRT) between 4 weeks and 8 weeks
timeFrame: 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention
measure: Mini Balance Evaluation Systems Test (Mini-BESTest)
timeFrame: 1 week before the Intervention
measure: Mini Balance Evaluation Systems Test (Mini-BESTest)
timeFrame: 4 weeks after the start of the Intervention
measure: Mini Balance Evaluation Systems Test (Mini-BESTest)
timeFrame: 1 week after the completion of the Intervention
measure: Changes from Mini Balance Evaluation Systems Test (Mini-BESTest) at 4 weeks
timeFrame: 1 week before the Intervention, 4 weeks after the start of the Intervention
measure: Changes from Mini Balance Evaluation Systems Test (Mini-BESTest) at 8 weeks
timeFrame: 1 week before the Intervention, 1 week after the completion of the Intervention
measure: Changes of Mini Balance Evaluation Systems Test (Mini-BESTest) between 4 weeks and 8 weeks
timeFrame: 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention
Secondary outcomes:
measure: Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol)
timeFrame: 1 week before the Intervention
measure: Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol)
timeFrame: 4 weeks after the start of the Intervention
measure: Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol)
timeFrame: 1 week after the completion of the Intervention
measure: Changes from Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol) at 4 weeks
timeFrame: 1 week before the Intervention, 4 weeks after the start of the Intervention
measure: Changes from Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol) at 8 weeks
timeFrame: 1 week before the Intervention, 1 week after the completion of the Intervention
measure: Changes of Montreal Cognitive Assessment 5-minute protocol (Hong Kong version (HK-MoCA 5-min protocol) between 4 weeks and 8 weeks
timeFrame: 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention
measure: Physical Activity Scale for the Elderly - Chinese version (PASE-C)
timeFrame: 1 week before the Intervention
measure: Physical Activity Scale for the Elderly - Chinese version (PASE-C)
timeFrame: 4 weeks after the start of the Intervention
measure: Physical Activity Scale for the Elderly - Chinese version (PASE-C)
timeFrame: 1 week after the completion of the Intervention
measure: Changes from Physical Activity Scale for the Elderly - Chinese version (PASE-C) at 4 weeks
timeFrame: 1 week before the Intervention, 4 weeks after the start of the Intervention
measure: Changes from Physical Activity Scale for the Elderly - Chinese version (PASE-C) at 8 weeks
timeFrame: 1 week before the Intervention, 1 week after the completion of the Intervention
measure: Changes of Physical Activity Scale for the Elderly - Chinese version (PASE-C) between 4 weeks and 8 weeks
timeFrame: 4 weeks after the start of the Intervention, 1 week after the completion of the Intervention
Other outcomes:
Locations:
city: Hong Kong
country: Hong Kong
facility: Tung Wah College
Study officials:
References:
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