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Completed

NCT Number: NCT01740505

HealthySteps: Exercise for Older Adults With Mobility Limitation

This study will compare three different exercise programs in older adults who report difficulty walking and will determine if the programs improve walking.

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Key information

Conditions

Mobility Limitation Behavior Motor Activity Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute

Vancouver, British Columbia, V5Z 1M9, Canada

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Men and women who live in the lower mainland (greater Vancouver) area of British Columbia
  • Aged 65 years or older
  • Living independently in their own home
  • Report mobility limitation, defined as any difficulty walking one-quarter mile (about 2-3 blocks) outside on level ground or climbing one flight of stairs (about 10 steps) without resting because of a health or physical problem

Exclusion criteria

  • Have a current medical condition for which exercise is contraindicated
  • Have participated in an exercise intervention study in the past 6 months
  • Do not have adequate cognitive function to provide informed consent and participate fully in the study
  • Do not speak and understand English fluently

Treatment and study plan

Timing and Coordination

Behavioral

This intervention is based on progressively difficult stepping and walking patterns that promote the timing and coordination of stepping within the gait cycle. Small-group 60-minute classes twice weekly for 12 weeks.

Aerobic Walking

Behavioral

Outdoor walking with progressive increases in exercise intensity. Small-group 60-minute classes twice weekly for 12 weeks.

Stretching and Relaxation

Behavioral

Full-body stretching, range-of-motion exercises, and relaxation techniques. No specific gait training. Small-group 60-minute classes twice weekly for 12 weeks.

Primary outcomes

  1. energy cost of walking

    Time frame: 12 weeks

    assessed by oxygen consumption during treadmill and overground walking

  2. fatigue and fatigability

    Time frame: 12 weeks

    assessed by questionnaire, rated perceived exertion during walking, and decrements in walking performance over time.

  3. daily activity

    Time frame: 12 weeks

    assessed by accelerometry and the Physical Activity Scale for the Elderly

  4. life-space mobility

    Time frame: 12 weeks

    assessed by life-space mobility questionnaire

  5. endurance

    Time frame: 12 weeks

    assessed by the long-distance corridor walk

  6. physical function

    Time frame: 12 weeks

    assessed by standing balance, gait speed, and chair stands

Secondary outcomes

  1. energy cost of walking

    Time frame: 24 weeks

    assessed by oxygen consumption during treadmill and overground walking

  2. fatigue and fatigability

    Time frame: 24 weeks

    assessed by questionnaire, rated perceived exertion during walking, and decrements in walking performance over time

  3. daily activity

    Time frame: 24 weeks

    assessed by accelerometry and the Physical Activity Scale for the Elderly

  4. life-space mobility

    Time frame: 24 weeks

    assessed by the life-space mobility questionnaire

  5. endurance

    Time frame: 24 weeks

    assessed by the long-distance corridor walk

  6. physical function

    Time frame: 24 weeks

    assessed by standing balance, gait speed, and chair stands

Sponsors and collaborators

Lead sponsor

Simon Fraser University

Other

Collaborators

  • Drummond Foundation

Registry information

Official study title

HealthySteps: A Pilot Randomized Controlled Trial of Exercise to Improve Walking Energetics, Fatigue, and Activity in Older Adults With Mobility Limitation

Acronym: HealthySteps

Important dates

Study start
2013
Primary completion
2013
Study completion
2013
First posted
Dec 4, 2012
Registry last updated
Jan 21, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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