Impact of Skills Acquired Through Judo Training on Risk Factors for Falling in Elderly Men and Women

NCT04061785 | Completed

• 1 other identifier: J4B190723
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Falls and injuries from falls are one of the greatest threats to public health. One of the risk factors for accidental falls is a low self-efficacy regarding the perceived capability to perform activities without the risk of falling. Judo is a sport which include "break fall" strategies where falls with correct landing strategies and rolling movements are in focus in order to avoid injuries. The investigators expect that a judo inspired training (Judo4Balance) will strengthen self-efficacy when it comes to the perceived ability to perform daily tasks without the risk of falling and thereby reduce the risk for falling. Judo based training also includes a well rounded training with focus on strength, balance, explosive power, stamina, proprioception and flexibility. These physical qualities are of importance for reducing the risk of falling. Therefore the investigators' hypothesis is that a 12 week long judo inspired training program could be a suitable tool for reducing falls. The aim of the project is to evaluate and document whether a 12 week standardized judo inspired exercise program including both the training of above mentioned physical qualities as well as "break fall" techniques can influence the risk of falling as well as reduce the negative consequences such as injuries from an accidental fall. For the evaluation of the 12 week intervention a validated test battery will be used which gives an indication of the risk for falling in the near future. Furthermore, a specifically designed "Falling Competence" Test has been developed by the investigators' M. Tonoknogi and K Strömqvist Bååthe to measure "break fall" technique. If it can be proven that the intervention group reaches the expected positive results then the control group will be offered the same type of Judo4Balance training after that they have been participating as a randomized control group. There is evidence that the risk of falling can be reduced by training, nevertheless judo based training has not to the investigator's knowledge been scientifically investigated among the elderly with the aim of reducing the risk of falls. Neither has it been studied if this type of group training is motivational for continuing physical activity after the intervention. Due to the Covid-19 pandemic and the Swedish Govt. recommendations (in mid March 2020) to avoid group exercises for older adults (to decrease the risk of the spread of Covid-19) the 9 exercise intervention groups where put on hold/paused after 6-9 weeks into the exercise program. We applied for and received an approval for an addition to the ethical approval (2019-03048), in order to follow up with the study subject after 6-7 months of self-quarantine in the homes with a self rating of: Fall EfficacyScale (FES), EQ3D as well as questionnaire about the subjects perceived physical and mental health. These questionnaires were sent by post.

Conditions

Aging Problems; Frailty; Fall Injury; Accidental Fall; Fear of Falling

Keywords

Fall prevention; Physical training; judo; exercise; Judo4Balance; Break falls; Preventive Exercise

Outcome Measures

Primary Outcomes (2)

• Change in "break fall" competence/skills

  Two tests by the name "Judo4Balance - Falling Competence Test" - Backward and forward have been developed to test skills for falling backwards as well as falling forwards in a safe setting, with progressive difficulty. The judo "break-fall technique is graded on a 0-4 scale where 0 represents the minimum score and 4 represents the maximum score for each test . Minimum Score = 0 = The subject is unable to lay down on the mat and lift the head from the surface and then stand up independently. Maximum Score = 4 = the subejct is able to fall backwards or forwards from a standing up position without any dangerous maneuver \* A dangerous maneuver is an action which could during a fall increase the risk of injury such as: not holding up the head, not lowering the center of gravity, putting out hand or elbow etc. If a dangerous maneuver is spotted the test will be stopped.

  Before and after 12 weeks

• Change in Participants' Falls Efficacy after 12 weeks

  The change in participants' falls-efficacy will be measured through - Modified Falls-Efficacy Scale - Swedish version (FES(S))A validated questionnaire which measures the self confidence in performing an activity without falling on an 11 grade scale, where 0 is not sure at all and 10 is totally confident when performing the activity without falling.The subject rates oneself based on 13 described activities where maximum score is 130 points.

  Before and after 12 weeks of training (+addition after 7 months of self quarantine)

Secondary Outcomes (5)

• Change in Physical Function, Balance, Strength and Walking

  Before and after 12 weeks

• Change in Balance

  Before and after 12 weeks

• Change in level of Physical Activity

  Before and after 12 weeks (+addition after 7 months of self quarantine after Covid pandemic)

• Change in Quality of Life

  Before and after 12 weeks (+addition after 7 months of self quarantine during Covid pandemic)

• Identification of depressive symptoms after quarantine the last 2 weeks

  (addition after 7 months of self quarantine)

Other Outcomes (1)

• Change in movement patterns when having fear of falling

  Before and after 12 weeks

Study Arms (2)

Participants in 12 week Judo Inspired Exercise program

ACTIVE COMPARATOR

The subjects will participate in a 12 week judo inspired training program (45 minute sessions once a week) with the specific aim to increase physical qualities related to falls and injuries during falls. The subjects will be tested before and after the 12 week period

Other: Judo4Balance - 12 week judo inspired exercise program

Control Group

NO INTERVENTION

The subjects will go about their normal life for 12 weeks without any intervention. The persons will be tested before and after the 12 week period.

Interventions

Judo4Balance - 12 week judo inspired exercise program OTHER

12 weeks x 45 minute judo inspired exercise in lead by instructor in a group setting.

Participants in 12 week Judo Inspired Exercise program

Eligibility Criteria

• Age: 55 Years - 110 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age
• Understanding oral and written communication in Swedish

You may not qualify if:

• Cannot sit up without support
• Not being able to hold up neck when laying on the floor or rolling backwards.
• Aortic aneurysm,
• Angina pectoris
• Cataract operation within the last 6 months

Sponsors & Collaborators

• Dalarna University: lead
• The Swedish Judo Federation: collaborator
• Sormland County Council, Sweden: collaborator

Study Sites (1)

Dalarna University

Falun, Dalarna County, SE-79188, Sweden

Location

Related Publications (8)

• Timsina LR, Willetts JL, Brennan MJ, Marucci-Wellman H, Lombardi DA, Courtney TK, Verma SK. Circumstances of fall-related injuries by age and gender among community-dwelling adults in the United States. PLoS One. 2017 May 4;12(5):e0176561. doi: 10.1371/journal.pone.0176561. eCollection 2017.

  PMID: 28472065 BACKGROUND

• Hellström K, Sandström M, Heideken Wågert P, et al. Fall-Related Self-efficacy in Instrumental Activities of Daily Living is Associated with Falls in Older Community-Living People. Phys Occup Ther Geriatr. 2013;31(2):128-139.

  BACKGROUND

• Franchini, E, Kiss, MA, Sterkowicz S. Physical fitness and anthropometrical differences between elite and non elite judo players. Biol Sport 2005; 22: 315-328, 2005.

  BACKGROUND

• Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, Scherr PA, Wallace RB. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994 Mar;49(2):M85-94. doi: 10.1093/geronj/49.2.m85.

  PMID: 8126356 BACKGROUND

• Frändin K, Grimby G. Assessment of physical activity, fitness and performance in 76-year-olds. Scand J Med Sci Sports. 1994; 4(1), 41

  BACKGROUND

• Hellstrom K, Lindmark B, Wahlberg B, Fugl-Meyer AR. Self-efficacy in relation to impairments and activities of daily living disability in elderly patients with stroke: a prospective investigation. J Rehabil Med. 2003 Sep;35(5):202-7. doi: 10.1080/16501970310000836.

  PMID: 14582550 BACKGROUND

• Franchignoni F, Horak F, Godi M, Nardone A, Giordano A. Using psychometric techniques to improve the Balance Evaluation Systems Test: the mini-BESTest. J Rehabil Med. 2010 Apr;42(4):323-31. doi: 10.2340/16501977-0537.

  PMID: 20461334 BACKGROUND

• Arkkukangas M, Stromqvist Baathe K, Ekholm A, Tonkonogi M. Short Multicomponent Group Exercise Intervention Promotes Long-Term Physical Activity Habits among Community-Dwelling Older Adults during COVID-19 Restrictions: A Cohort Study. Int J Environ Res Public Health. 2022 Nov 17;19(22):15140. doi: 10.3390/ijerph192215140.

  PMID: 36429859 DERIVED

Related Links

• Description and film from the Swedish Judo4Balance exercise program for elderly

MeSH Terms

Conditions

Frailty; Motor Activity

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• Michail Tonkonogi, PhD

  Dalarna University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: August 14, 2019
• First Posted: August 20, 2019
• Study Start: September 30, 2019
• Primary Completion: January 21, 2022
• Study Completion: January 31, 2022
• Last Updated: July 13, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)