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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Mulit-modality Balance Intervention
Other interventionParticipants will attend a virtual group balance class that focuses on movement and obstacle negotiation 3 times per week for 3-months
Gerofit
Other interventionParticipation 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
Trial outcomes
Primary outcomes
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.
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.
Secondary outcomes
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.
Sponsors and contacts
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