A Multidimensional Inpatient Balance Training Class to Improve Functional Outcomes in Rehabilitation Inpatients With ABI

NCT03110237 | Unknown

• 1 other identifier: H16-02866
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Many survivors of acquired brain injury (ABI) suffer from decreased balance and increased risks of falls. Previous studies indicate that balance training improves balance, reduces falls, and increases walking speed and balance confidence. The purpose of this study is to determine if a multidimensional balance training based on the FallProof(TM) approach achieves better improvements in balance and walking performance than the current practice . Participants will be assigned to: 1)a task-oriented circuit training balance class (current practice), or 2) balance training class based on the FallProof(TM) approach. Standardized tests will determine if participating in balance training helps improve balance, walking speed and balance confidence.

Conditions

Brain Injuries, Traumatic; Cerebrovascular Trauma; Acute Brain Injuries

Outcome Measures

Primary Outcomes (1)

• Community Balance and Mobility Scale (CB & M)

  A performance measure composed of 13 challenging tasks. Item scores range from 0 to 5 and reflect progressive task difficulty. All tasks performed without ambulation aides.

  after attending balance class for 3 weeks

Secondary Outcomes (3)

• Timed Up and Go Test (TUG)

  after attending balance class for 3 weeks

• 4 meters Gait Speed Test (GST)

  after attending balance class for 3 weeks

• Falls Efficacy Scale (FES)

  after attending balance class for 3 weeks

Study Arms (2)

Control Balance Training (BT) class

ACTIVE COMPARATOR

Group based circuit training class, 30 minute session, twice a week for three weeks

Other: Control Balance Training (BT) class

Fallproof Balance Training (BT) class

EXPERIMENTAL

Group based balance training class based on the FallProof(TM) approach, 30 minute session , twice a week for three weeks

Other: Fallproof Balance Training (BT) class

Interventions

Control Balance Training (BT) class OTHER

Circuit training class with 11 stations, including: step-ups, ball kicking, balance beam, sit to stand, walk and carry, tandem walking, walking over a mat, walking up a ramp, walking at different speeds, speed walk, dual task walking.

Control Balance Training (BT) class

Fallproof Balance Training (BT) class OTHER

There are four categories of exercises in this approach including: center of gravity control training (e.g. multi-directional weight shifts in standing, standing with altered base of support), multisensory training (e.g. standing on compliant surfaces, eyes open/closed), postural strategy training (e.g. resisted perturbation to facilitate ankle, hip or step strategy), and gait pattern variation training (e.g. walking with altered base of support , walking over and around obstacles). Each training category will be allocated 5 minutes with two exercises in each category. An additional 5 minutes will be allotted for games to challenge balance (balloon volleyball, pass the potato, circle soccer).There will be opportunity for group discussion and observational learning.

Fallproof Balance Training (BT) class

Eligibility Criteria

• Age: 16 Years - 69 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• inpatients admitted to GFS with a diagnosis of ABI;
• medical stability
• has the cognitive ability to understand and follow instructions and participate in a class setting
• a Berg Balance Score of ≥52;
• able to walk independently with or without a mobility aid.

You may not qualify if:

• \) unable to attend class in a group setting and/or unable to follow instructions.

Sponsors & Collaborators

• University of British Columbia: lead

Study Sites (1)

GF Strong Rehabilitation Center

Vancouver, British Columbia, V5Z 2G9, Canada

Location

Related Publications (26)

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MeSH Terms

Conditions

Brain Injuries, Traumatic; Cerebrovascular Trauma; Brain Injuries

Interventions

Artifacts

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Craniocerebral Trauma; Trauma, Nervous System; Wounds and Injuries; Cerebrovascular Disorders; Vascular Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Investigative Techniques

Study Officials

• Marian Cayer, BSc

  Vancouver Coastal Health

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sophia Zhao, MPT

CONTACT

604-734-1313; sophia.zhao@vch.ca

Marian Cayer, BSc

CONTACT

604-734-1313; marian.cayer@vch.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 31, 2017
• First Posted: April 12, 2017
• Study Start: April 10, 2017
• Primary Completion: November 30, 2017
• Study Completion: December 30, 2017
• Last Updated: April 12, 2017

Record last verified: 2017-04

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)