Osteoporosis and Fall Prevention High Risk Population Intervention and Follow up in the Metropolitan Area

BACKGROUND: The deterioration of musculoskeletal system imposes significant impact on physical activity in older adults.

METHODS: This was a randomized, parallel-group, prospective study. All participants received education program including home-based exercise. The IC group consisted of different modalities of exercise while the LEE group performed machine-based exercise. Body composition, muscle strength, and physical performance were measured at their baseline and 3 months follow-up.

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Key information

Conditions

Osteoporosis Bone Diseases Bone Diseases, Metabolic Fracture Fractures, Bone Metabolic Diseases Musculoskeletal Diseases Nutritional and Metabolic Diseases Wounds and Injuries

Age range

50 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

National Taiwan University Hospital

Taipei, 10002, Taiwan

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

older than 50 years of age
high risk as defined from one of the following criteria

score>=1 on one minute osteoporosis risk questionnaire
10 year predicted fracture risk >=20% for major osteoporosis fracture or >=3% for hip fracture from FRAX
fall>=2 times in pass 1 year
having a bone mineral density test within one year period
having the capability to understand the study and complete the study interventions
willing to participate for the intervention and study follow ups

Exclusion criteria

If patients were unable to meet at least the above inclusion criteria.

Treatment and study plan

Integrated care (IC)

Behavioral

Integraded care (IC) Weekly professional led exercise program for 90 mins with reinforcemen on osteoporosis related educations and caremangements from study educational booklet and CD rom for 3-month. The exercise program included 15 minutes warm up with 10 minute brisk walks followed by gentle stretching. Resistance training (20-30 minutes) was provided with rubber band and bottled water (0.6-1L) as weight for major muscles of upper and lower limbs. Balance training were also provided for 10 minutes with tandem gaits and one leg standing, step up and down stairs, toe walking and heel walking.

Lower extremity exercise (LEE)

Behavioral

Lower extremity exercise (LEE) group subjects were invited to BB site to receive 2 sessions of 45-mintute training using isotonic strength training machines on major muslce groups each week. The intensity is set at 60-80% of 1 repetition maximum (RM). Evaluation of the exercise protocol are repeated every 2 weeks for individualized adjustments by trained physical therapist.

Home care (HC)

Behavioral

Home care (HC) group subjects were invited to LK site. For examining whether the exercise video could help elderly people to maintain their exercise and improve their muscle strength or not, the investigators provided exercise video to subjects, and encouraged them to play this exercise at least 2 hours for one week.

Primary outcomes

Lower extremity extensor power measured by isokinetic resistance equipment

Time frame: 12 weeks

Lower extremity extensor power is measured by isokinetic resistance equipment by a trained research assistant with standardized protocol

Sponsors and collaborators

Lead sponsor

National Taiwan University Hospital

Other

Registry information

Important dates

Study start: 2014
Primary completion: 2014
Study completion: 2014
First posted: Nov 20, 2015
Registry last updated: Nov 23, 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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Completed