Accidental FallNCT05822466
Virtual Tai ji Quan Exercise to Prevent Falls in Older Adults
A study testing Virtual tai ji quan: moving for better balance intervention (V-TJQMBB) and Virtual multimodal exercise intervention (V-Multimodal) in people with Accidental Fall, run by Oregon Research Institute at 1 site in United States.
Trial summary
To examine two different exercise programs in reducing incidence of falls among community-dwelling older adults Read more about this study
- Who is it for?
- Ages 65 to 90 yearsHealthy volunteers can take part
- Conditions the study is for
- Accidental Fall
- What is being tested?
- Virtual tai ji quan: moving for better balance intervention (V-TJQMBB) and Virtual multimodal exercise intervention (V-Multimodal)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 620 participants
- Where
- 1 siteUnited States
- Study dates
- 29 Sep 2023to 31 Mar 2029
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 to 90 years
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- age between 65 and 90 years and
- having had 1 or more falls in the preceding 12 months or having a score ≥12 seconds on the Timed Up\&Go (TUG) test.
Who cannot join
- showing a diagnosis of dementia or significant cognitive impairment, as indicated by a score of <24 on the Mini Mental State Evaluation (MMSE, range: 0-30);
- being unable to ambulate independently for household distances; (c) having no medical clearance;
- having participated in any regular and structured tai ji quan-based or multicomponent exercise programs (≥2 times weekly) in the preceding 6 months;
- having any physical condition that would preclude participation in moderate-intensity exercise; and
- being unwilling to commit to the duration of the intervention or accept group assignment.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site, 1 recruiting
- Recruiting
Oregon Research Institute
Springfield, Oregon, 97477
Fuzhong Li, Ph.D., 541-484-2123 ext. 2137, fuzhongl@ori.org
Fuzhong Li, Ph.D.
About this study
Official title: A Remotely Delivered Tai Ji Quan Intervention to Reduce Incidence of Falls in High Risk Community-Dwelling Older Adults
To examine two different exercise programs in reducing incidence of falls among community-dwelling older adults
Read the detailed description
This is a randomized controlled trial aimed at determining the effectiveness of a virtual and home-based tai ji quan intervention vs. a virtual and home-based multimodal exercise intervention in reducing incidence of falls among community-dwelling older adults at high risk of falling
- Conditions
- Accidental Fall
- Being tested
- Virtual tai ji quan: moving for better balance intervention (V-TJQMBB), Virtual multimodal exercise intervention (V-Multimodal)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Virtual tai ji quan: moving for better balance intervention (V-TJQMBB)Behavioural
Also called V-TJQMBB
This intervention involves a tai ji quan exercise program, named tai ji quan: moving for better balance
Virtual multimodal exercise intervention (V-Multimodal)Behavioural
Also called V-Multimodal
This intervention involves a multimodal exercise program that consists of balance, strength, light walking, and stretching exercises
| Study group | Role | What they receive |
|---|---|---|
| Virtual tai ji quan | Active comparator | Participants participating are intervened with practice and drills of tai ji quan forms and associated movements. Training focuses on lower-extremity strength, postural control, and mobility, with an emphasis on weight bearing and weight shifting, extending and controlling the body's center of mass over its base of support; self-induced movement perturbation; gait preparation, initiation, locomotion, and termination; and sensory integration. The exercise training also emphasizes connecting tai ji quan forms to transitional movements that are associated with performing daily activities. Each session includes brief movement-based warm-ups and light breathing cool-down exercises. Receives: Behavioral: Virtual tai ji quan: moving for better balance intervention (V-TJQMBB) |
| Virtual multimodal exercise | Active comparator | Participants participating are intervened with a multicomponent exercise program that involves light walking, strength, postural control, and flexibility exercises. Walking exercises include amble forward and backward walk, long strides, heel-toe walking, narrow- and wide-base walking, and sidestepping. Strength training includes single- and multi-joint exercises such as semi-squats, lunging forward and sideways, and toe stands that involve exercising ankle dorsiflexors, knee extensors, and hip abductors. Balance training involves semi-tandem foot-standing, heel-toe and line walking, single-leg standing, alternation of the base of support, weight transfers, toe and heel movements, and various reaching and stretching movements away from the center of the base of support. Flexibility exercises include a static stretching routine of major upper and lower body muscle groups. Each session includes brief movement-based warm-ups and light breathing cool-down exercises. Receives: Behavioral: Virtual multimodal exercise intervention (V-Multimodal) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Self-reported number of falls
This measure will reflect change in the incidence of falls as a result of intervention. Study participants will be given a falls calendar to record number of falls at home. Falls are defined as "when you land on the floor or the ground, or fall and hit objects like stairs or pieces of furniture, by accident." This information will be ascertained monthly via a phone call by study assessors
Measured: Monthly, baseline to 6 months
Secondary outcomes (10)
Short Physical Performance Battery (SPPB)
This measure reflects change in lower extremity function with intervention. This is measured by SPPB which involves three functional tasks: static balance, gait speed, and getting in and out of a chair, with scores ranging from 0 (worst performance) to 12 (best performance).
Measured: Baseline, 4 months, 6 months, and 12 months
Timed up and Go (TUG)
Reflects change in mobility performance with intervention. This is measured by TUG (measured in seconds) which assesses mobility and fall risk. The test measures the time taken by an individual to stand up from a standard chair, walk a distance of 3 meters, turn, walk back to the chair, and sit down. Lower scores represent better lower extremity physical function.
Measured: Baseline, 4 months, 6 months, and 12 months
30-second chair stand
Reflects change in lower-extremity strength with intervention. This is measured by a 30-second chair stand test.
Measured: Baseline, 4 months, 6 months, and 12 months
Dual-task walking
Reflects change in dual-task costs in gait speed with intervention. The TUG test protocol will be repeated under a dual-task condition where the participant is asked to walk while performing an arithmetic task. Lower scores on this walk indicate better performance. Dual-task walking cost is defined as the difference between single- and dual-task walking speed, expressed in percentage, with less negative values representing improvement in dual-task walking speed relative to single-task walking.
Measured: Baseline, 4 months, 6 months, and 12 months
Montreal Cognitive Assessment (MoCA)
Reflects change in global cognitive function. This is measured by MoCA which measures cognitive function of multiple domains (attention/concentration, executive functions, short term memory, language, visuospatial abilities, orientation to time and place). MoCA has a total score that ranges from 0 to 30, with higher scores representing better cognitive functioning.
Measured: Baseline, 4 months, 6 months, and 12 months
Trail Making (A, B)
Reflects change in executive function with intervention. This is measured by Trail Making Test (TMT) which consists of two parts (A and B). In Part A, the participant is asked to count the number (1 through 25) off the screen out loud as quickly as possible. In Part B, the participant is asked to recite numbers and letters in an alternating sequence (1-A-2-B-3-C . . . 12-L) as quickly as possible. Errors are corrected immediate with the clock running. For Parts A and B, scoring is expressed in terms of the time (in seconds) to completion. The difference in time taken to complete Part B versus Part A is calculated to form a measure of executive function, with smaller difference scores indicating better executive function.
Measured: Baseline, 4 months, 6 months, and 12 months
Category Fluency
Reflects change in memory with intervention. This is measured by a category fluency test in which the participant is asked to generate the names of as many animals as possible in 60 seconds.
Measured: Baseline, 4 months, 6 months, and 12 months
Forward Digit Span
Reflects change in attention with intervention. This is measured by Forward Digit Span test. During the test, the participant is asked to repeat a series of digits in the order given. The maximum raw score is 16, with higher scores indicating better attention.
Measured: Baseline, 4 months, 6 months, and 12 months
Backward Digit Span
Reflects change in short-term working memory with intervention. This is measured by Backward Digit Span test. During the test, the participant is asked to repeat a series of digits in reverse order. The maximum raw score is 16, with higher scores indicating better memory.
Measured: Baseline, 4 months, 6 months, and 12 months
Proportion of fallers
Number of fallers from the participants in each intervention group
Measured: At 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Apr 2023
- Study start29 Sep 2023
- Primary completion30 Mar 2029 (estimated)
- Study completion31 Mar 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Accidental FallStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 620 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Oregon Research Institute
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05822466
- Sponsor's protocol ID
- R01AG081206
- Status last verified
- Jan 2026
- First submitted
- 10 Apr 2023
- Last updated
- 3 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 3 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Remotely Delivered Tai Ji Quan Intervention to Reduce Incidence of Falls in High Risk Community-Dwelling Older Adults
- ClinicalTrials.gov ID
- NCT05822466
- Acronym / sponsor ID
- R01AG081206
- Conditions
- Accidental Fall
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 620 participants (estimated)
- Lead sponsor
- Oregon Research InstituteUniversity, hospital or other
- Study start
- 29 Sep 2023 (actual)
- Primary completion
- 30 Mar 2029 (estimated)
- Study completion
- 31 Mar 2029 (estimated)
- First posted
- 20 Apr 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To examine two different exercise programs in reducing incidence of falls among community-dwelling older adults
Detailed description
This is a randomized controlled trial aimed at determining the effectiveness of a virtual and home-based tai ji quan intervention vs. a virtual and home-based multimodal exercise intervention in reducing incidence of falls among community-dwelling older adults at high risk of falling
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Virtual tai ji quan | Active comparator | Behavioral: Virtual tai ji quan: moving for better balance intervention (V-TJQMBB)Participants participating are intervened with practice and drills of tai ji quan forms and associated movements. Training focuses on lower-extremity strength, postural control, and mobility, with an emphasis on weight bearing and weight shifting, extending and controlling the body's center of mass over its base of support; self-induced movement perturbation; gait preparation, initiation, locomotion, and termination; and sensory integration. The exercise training also emphasizes connecting tai ji quan forms to transitional movements that are associated with performing daily activities. Each session includes brief movement-based warm-ups and light breathing cool-down exercises. |
| Virtual multimodal exercise | Active comparator | Behavioral: Virtual multimodal exercise intervention (V-Multimodal)Participants participating are intervened with a multicomponent exercise program that involves light walking, strength, postural control, and flexibility exercises. Walking exercises include amble forward and backward walk, long strides, heel-toe walking, narrow- and wide-base walking, and sidestepping. Strength training includes single- and multi-joint exercises such as semi-squats, lunging forward and sideways, and toe stands that involve exercising ankle dorsiflexors, knee extensors, and hip abductors. Balance training involves semi-tandem foot-standing, heel-toe and line walking, single-leg standing, alternation of the base of support, weight transfers, toe and heel movements, and various reaching and stretching movements away from the center of the base of support. Flexibility exercises include a static stretching routine of major upper and lower body muscle groups. Each session includes brief movement-based warm-ups and light breathing cool-down exercises. |
Who may qualify
- Ages
- 65 to 90 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (2 listed)
- age between 65 and 90 years and
- having had 1 or more falls in the preceding 12 months or having a score ≥12 seconds on the Timed Up\&Go (TUG) test.
Key exclusion criteria (5 listed)
- showing a diagnosis of dementia or significant cognitive impairment, as indicated by a score of <24 on the Mini Mental State Evaluation (MMSE, range: 0-30);
- being unable to ambulate independently for household distances; (c) having no medical clearance;
- having participated in any regular and structured tai ji quan-based or multicomponent exercise programs (≥2 times weekly) in the preceding 6 months;
- having any physical condition that would preclude participation in moderate-intensity exercise; and
- being unwilling to commit to the duration of the intervention or accept group assignment.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Virtual tai ji quan: moving for better balance intervention (V-TJQMBB)Also: V-TJQMBBThis intervention involves a tai ji quan exercise program, named tai ji quan: moving for better balance | Behavioural | Virtual tai ji quan |
| Virtual multimodal exercise intervention (V-Multimodal)Also: V-MultimodalThis intervention involves a multimodal exercise program that consists of balance, strength, light walking, and stretching exercises | Behavioural | Virtual multimodal exercise |
Primary outcome
Self-reported number of falls
Time frame: Monthly, baseline to 6 months
This measure will reflect change in the incidence of falls as a result of intervention. Study participants will be given a falls calendar to record number of falls at home. Falls are defined as "when you land on the floor or the ground, or fall and hit objects like stairs or pieces of furniture, by accident." This information will be ascertained monthly via a phone call by study assessors
10 secondary outcomes
Short Physical Performance Battery (SPPB)
Time frame: Baseline, 4 months, 6 months, and 12 months
Timed up and Go (TUG)
Time frame: Baseline, 4 months, 6 months, and 12 months
30-second chair stand
Time frame: Baseline, 4 months, 6 months, and 12 months
Dual-task walking
Time frame: Baseline, 4 months, 6 months, and 12 months
Montreal Cognitive Assessment (MoCA)
Time frame: Baseline, 4 months, 6 months, and 12 months
Trail Making (A, B)
Time frame: Baseline, 4 months, 6 months, and 12 months
Category Fluency
Time frame: Baseline, 4 months, 6 months, and 12 months
Forward Digit Span
Time frame: Baseline, 4 months, 6 months, and 12 months
Backward Digit Span
Time frame: Baseline, 4 months, 6 months, and 12 months
Proportion of fallers
Time frame: At 6 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Feb 2026.
- Individual participant dataSharing planned: Yes
Related trials for Accidental Fall
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Multicomponent Exercise and Pain Science Education for Fall Prevention in Older Adults With Chronic Musculoskeletal Pain (MovePainFall)
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Whole-Body Point-of-Care Ultrasound in Older Adults Presenting to the Emergency Department After a Fall
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Enrolling by invitation
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Not yet recruitingObservational study
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Virtual tai ji quan: moving for better balance intervention (V-TJQMBB) and Virtual multimodal exercise intervention (V-Multimodal) in people with Accidental Fall, run by Oregon Research Institute at 1 site in United States.
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 2 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 3 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Fuzhong Li, Ph.D. (541-484-2123, fuzhongl@ori.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Self-reported number of falls (time frame: Monthly, baseline to 6 months). 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 3 Feb 2026.