NCT Number: NCT01778972
Fall-related injuries are a major health problem in the growing older population. Most older people are not aware of that physical training can decrease the risk of falling. The aim of tha study is to investigate the effect of the Otago home exercise programme with and without motivational interviewing in community-dwelling people 75 years or older on frequence of falls, fall-related injuries, physical capacity, fall-related self-efficacy, quality of life, mortality and health-related costs.
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Notify Me75 year and older
All sexes
Interventional
Not applicable
Homes, Uppsala, Sweden
Participants in the two intervention groups will exercise at home with supervision from physiotherapist week one, two, four and eight. They will then be contacted for telephone follow-up month five, seven and twelve after the start of training. The control group is encouraged to live as usual.
All participants are assessed at baseline, after three, 12 and 24 months from inclusion in the study.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
75 years or older, community-dwelling, in need of homecare or rollator
Exclusion criteria
Cognitive impairment (below 25 on Mini Mental test) Not able to transfer independently indoors -
Otago home exercise program was designed specifically to prevent falls. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan.
The exercise are individually prescribed and increase in difficulty during a series of five home visits by a physiotherapist.
This group is not only exercising at home but also getting motivational interviewing from the physiotherapist at he five home visits. The physiotherapists doing motivational interviewing are specially trained in motivational interviewing.
Time frame: Two year
A fall-calender with registration of falls on a monthly bases will be used to record falls. The fall-calender should be sent in each month. Falls will be followed-up with telephone interviews.
Time frame: Two years
Time frame: Two years
SPPB measures balance, functional leg strength and walking speed.
Time frame: Two years
Mini-BESTest assess dynamic balance impairments in 14 items. The items covers a broad spectrum of performance tasks, including transitions and anticipatory postural adjustments, postural responses to to perturbation, sensory orientation and dynamic stability in gait.
Time frame: Two years
Time frame: Two years
Time frame: Two years
Time frame: Two years
Uppsala University
Other
Fall Prevention for Old Community-dwelling People in Uppsala, Västerås and Sörmland
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