Mobility DifficultyNCT06908317
Teaching the Getting Up From the Floor Among Long-Term Care Facility Residents
A study testing floor rise training using backward chaining method in people with Mobility Difficulty and Exercise, run by Semmelweis University at 1 site in Hungary.
Trial summary
The aim of this study is to determine the effect of teaching the getting up from the floor using the Backward Chaining Method on functional mobility, muscle strength, fear of falling, and life-space mobility among among long-term care facility residents. Read more about this study
- Who is it for?
- Ages 65 years and olderHealthy volunteers can take part
- Conditions the study is for
- Mobility Difficulty, Exercise, ELDERLY PEOPLE
- What is being tested?
- floor rise training using backward chaining method
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 26 participants
- Where
- 1 siteHungary
- Study dates
- 14 Apr 2025to 17 Oct 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
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
- Healthy volunteers accepted
- Older adult
Who may be able to join
- • aged 65 years or older,
- living in the nursing home for at least 2 months,
- being able to walk at least 6 meters with or without walking aids
Who cannot join
- • being physically unable to be taught how to get up from the floor.
- lower limb endoprosthesis implanted within 6 months
- severe pain (VAS> 7/10)
- cognitively unable to co-operate (based on psychiatrist's judgement)
- planned moving away from the nursing home during the study period.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Backward Chaining Method for Teaching the Getting Up From the Floor Among Long-Term Care Facility Residents
The aim of this study is to determine the effect of teaching the getting up from the floor using the Backward Chaining Method on functional mobility, muscle strength, fear of falling, and life-space mobility among among long-term care facility residents.
Methods: Randomized controlled trial of a teaching the getting up from the floor using the Backward Chaining Method for older people living in long-term care facility. The assessment of primary and secondary outcomes takes place in all subjects upon entry to the study (pre-test) by blinded assessors and after the 20-session intervention (post-test). After baseline assessments is completed, participants will be randomly allocated to intervention or control groups using stratified randomization based on the use of walking aids and baseline values of FES-I.
Read more
The BCM sessions will be provided in a community room situated in the nursing home and will be led by a physiotherapist with extensive experience in geriatric physiotherapy with assistance of 2 physiotherapist student.
Only stable chairs provided for supporting and safety, wedge pillows, and training mats are required during practicing.
Expected results Improvement in functional mobility of the IG Improvement in lower and upper limb muscle strength Improvement in fall efficacy Improvement in life-space mobility
- Conditions
- Mobility Difficulty, Exercise, ELDERLY PEOPLE
- Being tested
- floor rise training using backward chaining method
- Keywords
- get up from the floor, backward chaining method, fall prevention, long-term care facility
- Medical subject headings
- Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
floor rise training using backward chaining methodOther
Each session lasts for 40 minutes starting with a five minutes warming-up including flexibility exercises and ends with a five minutes cooling-down consisting of stretching and breathing exercises. Warming-up is followed by the practicing of getting up floor taught with BMC involving the following 7 steps:
Step 1: descending from a standing position to half kneeling on a wedge pillow. Step 2: descending from a standing position to half kneeling on the floor. Step 3: Like step 2, then descending both knees to the floor into a high kneeling position. Step 4: Like step 3, then descending both hands to the floor one at a time, to come to a prone kneeling position. Step 5: Like step 4, then descending of the body to half sitting. A pillow can be positioned under the hip to soften the floor surface. Step 6: Like step 5, then descending of the body to side lying position. Step 7: Like step 6, then turning from side-lying to supine
| Study group | Role | What they receive |
|---|---|---|
| intervention group | Experimental | Practicing in getting up from the floor is taught with backward chaning method, three times per week for 7 weeks plus usual care provided at the nursing home. Receives: Other: floor rise training using backward chaining method |
| usual care group | No intervention | Practicing in only usual care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Timed Up and Go test
A test to measure the time (in seconds) it takes for the participant to stand up from a standard armchair (approximate seat height 46 cm; arm height 65 cm), walk to a cone 3 m from the chair, turn around, walk back to the chair and sit down again. Instruction for the participants is given as follows "walk at a comfortable and safe pace". Wearing their usual footwear, using their usual walking aids, and supporting themselves on the arm of a chair to stand up are allowed/permitted, but physically assistance is not given for them.
After a trial to familiarise the test, two successive performances are measured and the average of these is used the analyses. If necessary, a 30-second rest is provided between tests.
Measured: Baseline and at the end of the 7-week intervention period
Secondary outcomes (6)
30-second Sit to Stand Test
A test to assess the functional lower limb muscle strength. This test counts the sit-to-stands completed in 30 seconds by the participant from a chair (approximate seat height of 46 cm), with arms folded across the chest. The instruction to the participants is to " stand-up completely and sit down as quickly as possible". The digital stop-watch is started when begin on the command "go". Before timing, the participants is asked to perform one sit-to-stand. During testing, the completion of each correct stand is silently counted by the assessor to ensure for the participant his/her own correct performance. Incorrectly executed stands are not counted. At the end of 30-second test period, stand more than halfway up is counted as a full stand. If the participant could not perform a single sit-to-stand in a standard way, they are scored 0. During testing participants wear their regular footwear.
Measured: Baseline and at the end of the 7-week intervention period
grip-strength
A test to assess overall muscle strength because this test strongly correlates with the overall muscle strength. The grip-strength will be measured by Kern MAP 40K1 dynamometer and measured in kilogram. This test will be administered in a sitting position and by taking the average of two consecutive measures in the dominant hand
Measured: Baseline and at the end of the 7-week intervention period
Fall Efficacy Scale-International (FES-I)
A test to assess fear of falling. With its seven items, this scale asks how concerned the elderly person is about a possible fall during frequent activities of daily living. The answer is marked on a scale of four: 1=not at all concerned; 2=somewhat concerned; 3=fairly concerned; 4=very concerned. The total score can vary from 7 to 28 points with higher score indicating higher level of concern for falling
Measured: Baseline and at the end of the 7-week intervention period
Nursing Home Life-Space Diameter (NHLSD)
A test to assess life-space mobility. It will be completed with the assistance of the nursing home staff based on the resident's movement during the previous 2 weeks. This measurement evaluates the extent of the resident's movement (diameter): (1) within resident's room, (2) within unit, (3) outside unit, and (4) outside the facility; and frequency of movement: (0) never, (1) less than weekly, (2) at least weekly, (3) > 2 times/week, (4) 1-3 times/day, and (5) > 3 times/ day. Total NHLSD scores were calculated as 1(diameter 1 × frequency 1) + 2(diameter 2 × frequency 2) + 3(diameter 3 × frequency 3) + 4(diameter 4 × frequency 4). The score ranges from 0 to 50, 0 indicating being bedbound and 50 indicating leaving the facility daily. The total scores marks the area in which the person moves around. The total score ranges from 0 to 50, 0 indicating being bedbound and 50 indicating leaving the facility daily
Measured: Baseline and at the end of the 7-week intervention period
independence of mobility
During using the Nursing Home Life-Space Diameter (NHLSD), besides distance and frequency, the human assistance for mobility is scored on a two-point scale (0 = dependent, 1 = independent). If movement is performed without human assistance, score of each item is multiplyed by 2. This another total score incorporates mobility independence into the total score and thus reflects not only distance and frequency but also dependence on human assistance for mobility. In this case the maximum score, NHLSD-dependence, is 100 points
Measured: Baseline and at the end of the 7-week intervention period
Number of falling
Falls will be recorded to measure adverse events. It will be by nursing home staff throughout the intervention period. They will be provided with a pre-designed diary and asked to record each day if any participants will have fallen. The diaries will be collected weekly by the assessor physiotherapists.
Measured: During the 7-week intervention period
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Apr 2025
- Study start14 Apr 2025
- Primary completion17 Oct 2025
- Study completion17 Oct 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Mobility DifficultyStudies 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
- Model description
- parallel assignment
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 26 participants (actual)
Sponsor and investigators
- Lead sponsor
- Semmelweis University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Dr. Kovács Éva, Semmelweis University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06908317
- Sponsor's protocol ID
- SE RKEB: 24/2025
- Status last verified
- Dec 2025
- First submitted
- 27 Mar 2025
- Last updated
- 23 Dec 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: All IPD that underlie results in a publication.
Study at a glance
From the registry record, last updated by the sponsor on 23 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Backward Chaining Method for Teaching the Getting Up From the Floor Among Long-Term Care Facility Residents
- ClinicalTrials.gov ID
- NCT06908317
- Acronym / sponsor ID
- SE RKEB: 24/2025
- Conditions
- Mobility Difficulty, Exercise, ELDERLY PEOPLE
- Keywords
- get up from the floor, backward chaining method, fall prevention, long-term care facility
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 26 participants (actual)
- Lead sponsor
- Semmelweis UniversityUniversity, hospital or other
- Study start
- 14 Apr 2025 (actual)
- Primary completion
- 17 Oct 2025 (actual)
- Study completion
- 17 Oct 2025 (actual)
- First posted
- 3 Apr 2025 (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.
The aim of this study is to determine the effect of teaching the getting up from the floor using the Backward Chaining Method on functional mobility, muscle strength, fear of falling, and life-space mobility among among long-term care facility residents.
Methods: Randomized controlled trial of a teaching the getting up from the floor using the Backward Chaining Method for older people living in long-term care facility. The assessment of primary and secondary outcomes takes place in all subjects upon entry to the study (pre-test) by blinded assessors and after the 20-session intervention (post-test). After baseline assessments is completed, participants will be randomly allocated to intervention or control groups using stratified randomization based on the use of walking aids and baseline values of FES-I.
The BCM sessions will be provided in a community room situated in the nursing home and will be led by a physiotherapist with extensive experience in geriatric physiotherapy with assistance of 2 physiotherapist student.
Only stable chairs provided for supporting and safety, wedge pillows, and training mats are required during practicing.
Expected results Improvement in functional mobility of the IG Improvement in lower and upper limb muscle strength Improvement in fall efficacy Improvement in life-space mobility
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- parallel assignment
| Arm | Type | Receives |
|---|---|---|
| intervention group | Experimental | Other: floor rise training using backward chaining methodPracticing in getting up from the floor is taught with backward chaning method, three times per week for 7 weeks plus usual care provided at the nursing home. |
| usual care group | No intervention | –Practicing in only usual care |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (3 listed)
- • aged 65 years or older,
Key exclusion criteria (5 listed)
- • being physically unable to be taught how to get up from the floor.
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 |
|---|---|---|
| floor rise training using backward chaining methodEach session lasts for 40 minutes starting with a five minutes warming-up including flexibility exercises and ends with a five minutes cooling-down consisting of stretching and breathing exercises. Warming-up is followed by the practicing of getting up floor taught with BMC involving the following 7 steps: Step 1: descending from a standing position to half kneeling on a wedge pillow. Step 2: descending from a standing position to half kneeling on the floor. Step 3: Like step 2, then descending both knees to the floor into a high kneeling position. Step 4: Like step 3, then descending both hands to the floor one at a time, to come to a prone kneeling position. Step 5: Like step 4, then descending of the body to half sitting. A pillow can be positioned under the hip to soften the floor surface. Step 6: Like step 5, then descending of the body to side lying position. Step 7: Like step 6, then turning from side-lying to supine | Other | intervention group |
Primary outcome
Timed Up and Go test
Time frame: Baseline and at the end of the 7-week intervention period
A test to measure the time (in seconds) it takes for the participant to stand up from a standard armchair (approximate seat height 46 cm; arm height 65 cm), walk to a cone 3 m from the chair, turn around, walk back to the chair and sit down again. Instruction for the participants is given as follows "walk at a comfortable and safe pace". Wearing their usual footwear, using their usual walking aids, and supporting themselves on the arm of a chair to stand up are allowed/permitted, but physically assistance is not given for them. After a trial to familiarise the test, two successive performances are measured and the average of these is used the analyses. If necessary, a 30-second rest is provided between tests.
6 secondary outcomes
30-second Sit to Stand Test
Time frame: Baseline and at the end of the 7-week intervention period
grip-strength
Time frame: Baseline and at the end of the 7-week intervention period
Fall Efficacy Scale-International (FES-I)
Time frame: Baseline and at the end of the 7-week intervention period
Nursing Home Life-Space Diameter (NHLSD)
Time frame: Baseline and at the end of the 7-week intervention period
independence of mobility
Time frame: Baseline and at the end of the 7-week intervention period
Number of falling
Time frame: During the 7-week intervention period
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Dec 2025.
- Individual participant dataSharing planned: Yes. All IPD that underlie results in a publication.
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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. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing floor rise training using backward chaining method in people with Mobility Difficulty and Exercise, run by Semmelweis University at 1 site in Hungary.
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 3 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: finished, as of the sponsor's last update on 23 Dec 2025. 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 Hungary. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Timed Up and Go test (time frame: Baseline and at the end of the 7-week intervention period). 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 23 Dec 2025.