Effects of a Music-Based Multitask Exercises Program on Gait, Balance and Fall Risk in the Elderly

NCT01107288 | Completed

• 1 other identifier: 07-156
• Study Type: interventional
• Target: 134
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate the effectiveness of a 6-month music-based multitask exercises program (Jaques-Dalcroze eurhythmics) in improving gait and balance, and reducing fall risk in community-dwelling older adults with an increased risk of falling.

Conditions

Gait; Balance; Falls

Keywords

Aged; Balance; Dual-task; Exercise; Falls; Gait; Music

Outcome Measures

Primary Outcomes (1)

• Change in gait variability

  6 months

Secondary Outcomes (7)

• Change in other spatio-temporal gait parameters

  6 months, 12 months

• Change in balance measures (Trunk sway parameters)

  6 months, 12 months

• Change in functional tests performances (Timed Up & Go test and simplified Tinetti test)

  6 months, 12 months

• Number of falls, fallers and multiple fallers (Daily recording of falls using falls calendars, to be returned monthly)

  6 months, 12 months

• Change in quality of life (SF-12 Health Survey questionnaire), anxiety/depression (HAD scale), cognitive function (Mini-Mental State Examination, Frontal Assessment Battery, clock drawing test), nutritional status (Mini Nutritional Assessment tool)

  6 months, 12 months

Study Arms (2)

Intervention group

EXPERIMENTAL

Randomized to receive the intervention first

Other: Music-based multitask exercises program

Delayed intervention control group

OTHER

Randomized to wait-list control first

Other: Music-based multitask exercises program

Interventions

Music-based multitask exercises program OTHER

Subjects are entered into a 6-month Jaques-Dalcroze eurhythmics program and are followed for an additional 6 months after the intervention period. They complete assessments at baseline, 6 and 12 months. The program consists of structured 1-hour group exercises classes, conducted weekly by an experimented instructor, that include varied multitask exercises performed to the rhythm of improvised piano music, sometimes with the manipulation of objects (e.g., instruments of percussion, balls), with gradually increasing difficulty over time. Basic exercises consist of walking following the music, responding directly to changes in music's rhythmic patterns.

Also known as: Jaques-Dalcroze Eurhythmics

Intervention group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Aged 65 years or older
• Living in the community
• Without previous Jaques-Dalcroze eurhythmics experience (except during childhood)
• Identified as being at high risk of fall (i.e., one or more self-reported falls after the age of 65 years or balance impairment as assessed by a simplified Tinetti test higher than 2 over 7 or the presence of one or two indicators of physical frailty based on Fried's criteria)

You may not qualify if:

• Neurological or orthopaedic disease (e.g., stroke with residual motor deficit, Parkinson's disease, osteoarthritis) with a significant impact on gait and balance performances
• Progressive or unstable medical conditions that could limit participation (e.g., terminal illness)
• Fully dependent on an assistive device such as canes and walkers

Sponsors & Collaborators

• University Hospital, Geneva: lead
• University Hospital, Basel, Switzerland: collaborator
• Jaques-Dalcroze Institute, Geneva, Switzerland: collaborator

Study Sites (1)

Department of Rehabilitation and Geriatrics, Geneva University Hospitals

Geneva, CH-1211, Switzerland

Location

Related Publications (1)

• Trombetti A, Hars M, Herrmann FR, Kressig RW, Ferrari S, Rizzoli R. Effect of music-based multitask training on gait, balance, and fall risk in elderly people: a randomized controlled trial. Arch Intern Med. 2011 Mar 28;171(6):525-33. doi: 10.1001/archinternmed.2010.446. Epub 2010 Nov 22.

  PMID: 21098340 DERIVED

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Andrea Trombetti, MD

  Bone Diseases Service, Department of Rehabilitation and Geriatrics, University Hospitals and Faculty of Medicine of Geneva

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: April 19, 2010
• First Posted: April 20, 2010
• Study Start: February 1, 2008
• Primary Completion: December 1, 2009
• Study Completion: December 1, 2012
• Last Updated: February 24, 2014

Record last verified: 2014-02

Locations

CH (1)