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OsteoarthritisNCT02648646

Falls Prevention Program for Adults With Osteoarthritis

A study testing Otago Exercise Programme and Walk with Ease in people with Osteoarthritis and Falls, Accidental, run by University of North Carolina, Chapel Hill.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Purpose: To report the feasibility and to obtain preliminary data on the effects of using an enhanced Otago Exercise Programme to reduce fall risk in individuals with osteoarthritis (OA). Read more about this study

Who is it for?
Ages 65 years and older
Conditions the study is for
Osteoarthritis, Falls, Accidental
What is being tested?
Otago Exercise Programme and Walk with Ease
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
No sites listed yet
Study dates
2 Nov 2015to 31 Oct 2016
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • history of falls
  • knee or hip radiographic OA
  • 65+ years of age
  • normal cognitive function (based on the Mini-Mental State Examination)
  • current knee/hip symptoms

Who cannot join

  • hospitalized for stroke, myocardial infarction, or coronary artery revascularization in past 3 months
  • diagnosis of metastatic cancer in the past 3 months
  • terminal illness
  • progressive neurological disorders
  • rheumatoid arthritis
  • severe fibromyalgia
  • other systemic rheumatic disease

About this study

Purpose: To report the feasibility and to obtain preliminary data on the effects of using an enhanced Otago Exercise Programme to reduce fall risk in individuals with osteoarthritis (OA).

Participants: Ten participants from the Johnston County Osteoarthritis Project who have OA, are at risk for falls, and are 65+ years old.

Procedures (methods): All participants will receive the 6-month enhanced Otago program. The investigators will assemble data: quantifying participant adherence to and safety of the intervention, ascertaining retention of participants for 6 months, determining acceptability of the program, and other validated measures (e.g., number of falls and fall severity, balance measures).

Being tested
Otago Exercise Programme and Walk with Ease
Medical subject headings
Osteoarthritis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Otago Exercise Programme and Walk with EaseOther

    The Otago Exercise Programme is a falls prevention program that is successful at reducing falls in adults 65+ years of age. Briefly, this program includes flexibility, progressive lower extremity strengthening with ankle weights, and balance exercises. The investigators are replacing the Otago walking program with the evidence-based Arthritis Foundation's Walk With Ease program.

Study groups in NCT02648646
Study groupRoleWhat they receive
Single Arm - InterventionExperimentalReceives Otago Exercise Programme and Walk with Ease
Receives: Other: Otago Exercise Programme and Walk with Ease

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Participant Adherence to Intervention

    Number of participants who adhere to the intervention.

    Measured: 6 months

  2. Participant Safety With the Intervention

    Number and type of adverse events related to the intervention.

    Measured: 6 months

  3. Retention of Participants

    Number of participants who participate in the study for the full 6 month program.

    Measured: 6 months

  4. Acceptability of the Program

    Descriptive summary of participants' reports from closing interview of what they like and do not like about the program, any challenges they experienced with doing the program, and whether they plan to continue what they learned.

    Measured: 6 months

Secondary outcomes (41)
  1. Number of Falls

    Participant will record occurrence of falls on a monthly falls calendar. Number of falls over the 6 month program will be calculated.

    Measured: Baseline to Month 6

  2. Number of People With Severe of Falls

    Participant will record whether the fall resulted in an injury and the type of injury that occurred. A fall will be considered severe if an injury occurred.

    Measured: Baseline to Month 6

  3. Berg Balance Scale

    This is 14 item scale that measures balance among older adults. The participant attempts to complete 14 different balance tests (e.g., stand unsupported with eyes closed, pick up object from floor from standing position), closely supervised by a physical therapist to prevent fall or injury. The test takes no more than 15 minutes to complete and a total score is calculated of 0-56 (high fall risk to low fall risk).

    Measured: Baseline

  4. Four-tests Balance: Feet Together Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Baseline

  5. Hand Grip Dynamometry Right Hand

    Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.

    Measured: Baseline

  6. 30-second Chair Stand Test

    Participant rises from chair to full standing position and sits back down as quickly as possible for 30 seconds. Number of completed sit to stand to sit maneuvers is recorded.

    Measured: Baseline

  7. Timed Up and Go Test

    Participant stands up from chair, walks 3 meters, turns around, walks back to chair, and sits down. Time to complete task is recorded in seconds.

    Measured: Baseline

  8. Stair Climb Test

    Participant ascends and descends 3 stairs as quickly as possible in a safe manner, using handrail and walking aid if needed. Time to complete task is recorded in seconds.

    Measured: Baseline

  9. Western Ontario and McMaster Universities Osteoarthritis Index

    This questionnaire include 5 questions about knee or hip pain, 2 questions about knee or hip stiffness, and 17 questions about difficulty with performing daily activities that involve the lower body. Each item is scored from 0-4 (none, slight, moderate, severe, and extreme). A total score is calculated by summing the item scores and ranges from 0 (no problems) to 96 (extreme problems).

    Measured: Baseline

  10. Activities-specific Balance Confidence Scale

    Participant reports level of confidence in doing an activity without losing balance or becoming unsteady on a scale of 0-100%. The ratings are totaled and divided by 16 (the number of items) to calculate a total score.

    Measured: Baseline

  11. Rapid Assessment of Physical Activity: Aerobic Score

    Participants are asked to identify from a list of 7 items which one accurately describes their current level of aerobic physical activity. Participants who identify with items 6 or 7 are considered active. Those who identify with items 1-5 are considered to have suboptimal aerobic physical activity levels.

    Sedentary:

    1. I rarely or never do any physical activities. Under-active:
    2. I do some light or moderate physical activities, but not every week. Under-active regular - light activities:
    3. I do some light physical activity every week. Under-active regular:
    4. I do moderate physical activities every week, but less than 30 minutes a day or 5 days a week.
    5. I do vigorous physical activities every week, but less than 20 minutes a day or 3 days a week. Active:
    6. I do 30 minutes or more a day of moderate physical activities, 5 or more days a week.
    7. I do 20 minutes or more a day of vigorous physical activities, 3 or more days a week.

    Measured: Baseline

  12. Berg Balance Scale

    This is 14 item scale that measures balance among older adults. The participant attempts to complete 14 different balance tests (e.g., stand unsupported with eyes closed, pick up object from floor from standing position), closely supervised by a physical therapist to prevent fall or injury. The test takes no more than 15 minutes to complete and a total score is calculated of 0-56 (high fall risk to low fall risk).

    Measured: Week 8

  13. Berg Balance Scale

    This is 14 item scale that measures balance among older adults. The participant attempts to complete 14 different balance tests (e.g., stand unsupported with eyes closed, pick up object from floor from standing position), closely supervised by a physical therapist to prevent fall or injury. The test takes no more than 15 minutes to complete and a total score is calculated of 0-56 (high fall risk to low fall risk).

    Measured: Month 6

  14. Four-tests Balance: Feet Together Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Week 8

  15. Four-tests Balance: Feet Together Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Month 6

  16. Four-tests Balance: Semi-tandem Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Baseline

  17. Four-tests Balance: Semi-tandem Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Week 8

  18. Four-tests Balance: Semi-tandem Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Month 6

  19. Four-tests Balance: Tandem Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Baseline

  20. Four-tests Balance: Tandem Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Week 8

  21. Four-tests Balance: Tandem Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Month 6

  22. Four-tests Balance: One Leg Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Baseline

  23. Four-tests Balance: One Leg Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Week 8

  24. Four-tests Balance: One Leg Stand

    Four timed static balance tasks of increasing difficulty are completed without assistive devices: 1) feet together stand for up to 10 seconds; 2) semi-tandem stand (heel of one foot placed to the side of the big toe of the other foot) for up to 10 seconds; 3) tandem stand (one foot in front of the other, heel touching toe) for up to 10 seconds; and 4) one leg stand for up to 30 seconds. Time for each test is recorded in seconds. If the participant cannot achieve a task, this is recorded as 0 seconds.

    Measured: Month 6

  25. Hand Grip Dynamometry Right Hand

    Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.

    Measured: Week 8

  26. Hand Grip Dynamometry Right Hand

    Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.

    Measured: Month 6

  27. Hand Grip Dynamometry Left Hand

    Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.

    Measured: Baseline

  28. Hand Grip Dynamometry Left Hand

    Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.

    Measured: Week 8

  29. Hand Grip Dynamometry Left Hand

    Participant squeezes hand dynamometer with maximum strength, and force is recorded in kgs.

    Measured: Month 6

  30. 30-second Chair Stand Test

    Participant rises from chair to full standing position and sits back down as quickly as possible for 30 seconds. Number of completed sit to stand to sit maneuvers is recorded.

    Measured: Week 8

  31. 30-second Chair Stand Test

    Participant rises from chair to full standing position and sits back down as quickly as possible for 30 seconds. Number of completed sit to stand to sit maneuvers is recorded.

    Measured: Month 6

  32. Timed Up and Go Test

    Participant stands up from chair, walks 3 meters, turns around, walks back to chair, and sits down. Time to complete task is recorded in seconds.

    Measured: Week 8

  33. Timed Up and Go Test

    Participant stands up from chair, walks 3 meters, turns around, walks back to chair, and sits down. Time to complete task is recorded in seconds.

    Measured: Month 6

  34. Stair Climb Test

    Participant ascends and descends 3 stairs as quickly as possible in a safe manner, using handrail and walking aid if needed. Time to complete task is recorded in seconds.

    Measured: Week 8

  35. Stair Climb Test

    Participant ascends and descends 3 stairs as quickly as possible in a safe manner, using handrail and walking aid if needed. Time to complete task is recorded in seconds.

    Measured: Month 6

  36. Western Ontario and McMaster Universities Osteoarthritis Index

    This questionnaire include 5 questions about knee or hip pain, 2 questions about knee or hip stiffness, and 17 questions about difficulty with performing daily activities that involve the lower body. Each item is scored from 0-4 (none, slight, moderate, severe, and extreme). A total score is calculated by summing the item scores and ranges from 0 (no problems) to 96 (extreme problems).

    Measured: Week 8

  37. Western Ontario and McMaster Universities Osteoarthritis Index

    This questionnaire include 5 questions about knee or hip pain, 2 questions about knee or hip stiffness, and 17 questions about difficulty with performing daily activities that involve the lower body. Each item is scored from 0-4 (none, slight, moderate, severe, and extreme). A total score is calculated by summing the item scores and ranges from 0 (no problems) to 96 (extreme problems).

    Measured: Month 6

  38. Activities-specific Balance Confidence Scale

    Participant reports level of confidence in doing an activity without losing balance or becoming unsteady on a scale of 0-100%. The ratings are totaled and divided by 16 (the number of items) to calculate a total score.

    Measured: Week 8

  39. Activities-specific Balance Confidence Scale

    Participant reports level of confidence in doing an activity without losing balance or becoming unsteady on a scale of 0-100%. The ratings are totaled and divided by 16 (the number of items) to calculate a total score.

    Measured: Month 6

  40. Rapid Assessment of Physical Activity: Aerobic Score

    Participants are asked to identify from a list of 7 items which one accurately describes their current level of aerobic physical activity. Participants who identify with items 6 or 7 are considered active. Those who identify with items 1-5 are considered to have suboptimal aerobic physical activity levels.

    Sedentary:

    1. I rarely or never do any physical activities. Under-active:
    2. I do some light or moderate physical activities, but not every week. Under-active regular - light activities:
    3. I do some light physical activity every week. Under-active regular:
    4. I do moderate physical activities every week, but less than 30 minutes a day or 5 days a week.
    5. I do vigorous physical activities every week, but less than 20 minutes a day or 3 days a week. Active:
    6. I do 30 minutes or more a day of moderate physical activities, 5 or more days a week.
    7. I do 20 minutes or more a day of vigorous physical activities, 3 or more days a week.

    Measured: Week 8

  41. Rapid Assessment of Physical Activity: Aerobic Score

    Participants are asked to identify from a list of 7 items which one accurately describes their current level of aerobic physical activity. Participants who identify with items 6 or 7 are considered active. Those who identify with items 1-5 are considered to have suboptimal aerobic physical activity levels.

    Sedentary:

    1. I rarely or never do any physical activities. Under-active:
    2. I do some light or moderate physical activities, but not every week. Under-active regular - light activities:
    3. I do some light physical activity every week. Under-active regular:
    4. I do moderate physical activities every week, but less than 30 minutes a day or 5 days a week.
    5. I do vigorous physical activities every week, but less than 20 minutes a day or 3 days a week. Active:
    6. I do 30 minutes or more a day of moderate physical activities, 5 or more days a week.
    7. I do 20 minutes or more a day of vigorous physical activities, 3 or more days a week.

    Measured: Month 6

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jan 2016 (estimated)
  2. Study start2 Nov 2015
  3. Primary completion31 Oct 2016
  4. Study completion31 Oct 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02648646
Sponsor's protocol ID
15-1448
Status last verified
Jul 2017
First submitted
2 Nov 2015
Last updated
26 Oct 2018
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A study testing Otago Exercise Programme and Walk with Ease in people with Osteoarthritis and Falls, Accidental, run by University of North Carolina, Chapel Hill.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Oct 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Participant Adherence to Intervention (time frame: 6 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2018.

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