Targeting the Hip Abductors to Reduce Falls in Older Veterans Through A Virtual Multimodal Balance Intervention

ConditionFalls
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorVA Office of Research and Development

About this trial

Falls are a major health concern and a leading cause of injurious death and non-fatal injuries in older Veterans who are at greater risk for falls than non-Veterans. This in-person exercise intervention targeting changes in the hip muscles, known to play a major role in balance, has been effective at reducing falls in older Veterans. Gerofit is a VA best practice health promotion program that demonstrates good success in engaging Veterans in exercise. However, the role of Gerofit in fall prevention is unknown. Some Veterans may require additional training prior to participation in Gerofit to maximize the benefits of Gerofit. The proposed intervention will use novel home-based methods of exercise to improve hip muscles prior to participating in Gerofit. The goal of this study is to evaluate if a live virtual home-based multimodal balance intervention done prior to Gerofit compared to Gerofit alone will have a greater benefit on fall risk reduction and improved muscle and mobility function.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Veteran Status

VA Primary Care Provider

Enrolled in the VA Maryland Health Care System for health care

At risk for falls

Disqualifiers

Poorly controlled hypertension

Home oxygen use

Contraindications to exercise or resistance exercise

Significant cognitive impairment

Trial design

Design model

Parallel

Treatments tested in this trial

  • Mulit-modality Balance Intervention

    Other intervention

    Participants will attend a virtual group balance class that focuses on movement and obstacle negotiation 3 times per week for 3-months

  • Gerofit

    Other intervention

    Participation in a virtual wellness program that consists of a warm up, aerobic training, and general strength training 3-times per week for up to 12 months

Treatment groups

110 Participants
are divided into 2 treatment groups
Group A: MMBI + GerofitExperimental treatment 2 interventions
Group B: GerofitActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Balance

The four-square step test will be used as a measure of balance. The change in the amount of time it takes to complete the four-square step test comparing pre and post-intervention.

Time frame
3-months
2

Isometric Hip Abductor Strength

A measure of the maximal isometric muscle strength produced in hip abductor muscles will be assessed with a handheld dynamometer device. Pre-test levels will be compared to post-intervention levels.

Time frame
3-months

Secondary outcomes

1

Mobility

The Timed up and Go will be used as a measure of mobility. The change in the amount of time it takes to complete the timed up and go test is comparing pre to post-intervention levels.

Time frame
3-months

Other outcomes

Sponsors and contacts

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