Feasibility and Benefits of Group Based Exercise in Residential Aged Care Adults

NCT02640963 | Completed

• 1 other identifier: RO 1823
• Study Type: interventional
• Target: 37
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study is a pilot study (feasibility and acceptability study), which will compare feasibility and efficacy outcomes between a 12-week Exercise Program and control group in RAC residents.

Conditions

Geriatric Disorder; Sarcopenia

Keywords

exercise; older adults; physical performance

Outcome Measures

Primary Outcomes (6)

• recruitment rate

  defined as the number of residents recruited from those invited. Measurement units = number and percentage

  up to 12 weeks

• measurement (physiological and surveys) completion rate

  defined as the number of participants able to complete each outcome measure at baseline and follow-up. Measurement units = number and percentage

  up to 12 weeks

• loss-to-follow-up

  defined as participants who withdrew or dropped out and did not consent to a follow up assessment. Measurement units = number and percentage

  up to 12 weeks

• exercise session adherence

  measured by the number of sessions attended out of the maximum 24 sessions. Measurement units = number and percentage

  up to 12 weeks

• acceptability

  measured via a programme satisfaction survey completed post-training that assessed the burden of training and testing, as well as how participants felt about the trial. Measurement units = number and percentage

  up to 12 weeks

• adverse events

  defined as incidents in which harm or damage resulted to a participant and included, but were not limited to, falls and fall-related injuries, musculoskeletal or cardiovascular incidents and problems with medication and medical devices. Measurement units = number and percentage

  up to 12 weeks

Secondary Outcomes (3)

• Gait Speed

  change from baseline to 12 weeks

• Handgrip strength

  change from baseline to 12 weeks

• Sit to stand performance

  change from baseline to 12 weeks

Study Arms (2)

Intervention: the GrACE programme

EXPERIMENTAL

The programme included several weight-bearing exercises (using body weight and dumbbells) and a range of seated, non-resisted upper- and lower-body dynamic and reaching movements. While developed for respite care older adults, the GrACE programme was slightly modified for the RAC setting; using reduced range of motion and resistance, and an extended conditioning/familiarisation phase. The conditioning phase lasted for three weeks and focus on the development of correct technique. After concluding the conditioning phase, participants started to use light dumbbells. Participants performed the exercises twice per week for 12 weeks. Training sessions lasted approximately 45 minutes, were separated by at least 48 hours and were delivered by an experienced allied health professional.

Other: Exercise

Control Group

PLACEBO COMPARATOR

All subjects assigned to the control group were given the option to engage in other activities that were offered by the facility during the 12-week intervention period. Activities were facility specific, and included Zumba aerobic exercise and walking, however no specific resistance exercises were offered.

Other: Control

Interventions

Exercise OTHER

to determine the feasibility of the GrACE (Group Aged Care Exercise) programme in RAC, with the secondary objective of measuring the programme benefits on gait speed, sit to stand and handgrip strength.

Intervention: the GrACE programme

Control OTHER

to compare with the GrACE (Group Aged Care Exercise) programme in RAC, as well as the secondary objective of measuring the programme benefits on gait speed, sit to stand and handgrip strength against the intervention group

Control Group

Eligibility Criteria

• Age: 65 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Aged 65 years and over,
• Residing in a RAC,
• Able to walk with a walker and/or walking stick or could self-ambulate and,
• Could provide informed consent.

You may not qualify if:

• End-stage terminal and/or life expectancy \<6-months (ethical reasons),
• Two person transfer or unable to self-ambulate (due to increased falls risk),
• Unable to communicate or follow instructions (personal needs beyond the scope of this project),
• Insufficient cognitive function to provide informed consent and,
• Dangerous behaviours that would endanger the client or research staff.

Sponsors & Collaborators

• Bond University: lead

Related Publications (8)

• Henwood TR, Keogh JW, Reid N, Jordan W, Senior HE. Erratum to: Assessing sarcopenic prevalence and risk factors in residential aged care: methodology and feasibility. J Cachexia Sarcopenia Muscle. 2014 Sep;5(3):237. doi: 10.1007/s13539-014-0151-0. No abstract available.

  PMID: 24898356 BACKGROUND

• McDonough AL, Batavia M, Chen FC, Kwon S, Ziai J. The validity and reliability of the GAITRite system's measurements: A preliminary evaluation. Arch Phys Med Rehabil. 2001 Mar;82(3):419-25. doi: 10.1053/apmr.2001.19778.

  PMID: 11245768 BACKGROUND

• Sterke CS, van Beeck EF, Looman CW, Kressig RW, van der Cammen TJ. An electronic walkway can predict short-term fall risk in nursing home residents with dementia. Gait Posture. 2012 May;36(1):95-101. doi: 10.1016/j.gaitpost.2012.01.012. Epub 2012 Mar 3.

  PMID: 22386897 BACKGROUND

• Kressig RW, Beauchet O; European GAITRite Network Group. Guidelines for clinical applications of spatio-temporal gait analysis in older adults. Aging Clin Exp Res. 2006 Apr;18(2):174-6. doi: 10.1007/BF03327437.

  PMID: 16702791 BACKGROUND

• Mathiowetz V. Comparison of Rolyan and Jamar dynamometers for measuring grip strength. Occup Ther Int. 2002;9(3):201-9. doi: 10.1002/oti.165.

  PMID: 12374997 BACKGROUND

• Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C, Sayer AA. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011 Jul;40(4):423-9. doi: 10.1093/ageing/afr051. Epub 2011 May 30.

  PMID: 21624928 BACKGROUND

• Millor N, Lecumberri P, Gomez M, Martinez-Ramirez A, Izquierdo M. An evaluation of the 30-s chair stand test in older adults: frailty detection based on kinematic parameters from a single inertial unit. J Neuroeng Rehabil. 2013 Aug 1;10:86. doi: 10.1186/1743-0003-10-86.

  PMID: 24059755 BACKGROUND

• Henwood T, Wooding A, and de Souza D. 2013. Centre-based exercise delivery: feasability of a staff-delivered program and the benefits for low-functioning older adults accessing respite day care. Activities, Adaptations & Ageing 73:224-238.

  BACKGROUND

MeSH Terms

Conditions

Sarcopenia; Motor Activity

Interventions

Exercise

Condition Hierarchy (Ancestors)

Muscular Atrophy; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Atrophy; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Justin Keogh, PhD

  Bond University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Student

Study Record Dates

• First Submitted: December 15, 2015
• First Posted: December 29, 2015
• Study Start: January 1, 2015
• Primary Completion: May 1, 2015
• Study Completion: May 1, 2015
• Last Updated: March 21, 2016

Record last verified: 2016-03

Data Sharing

• IPD Sharing: Will not share