The Impact of Specifically Adapted Judo-based Training Program on Risk Factors for Falls Among Adults

NCT04294342 | Completed

• 1 other identifier: J4B180802-Fallkompetens
• Study Type: interventional
• Target: 162
• Locations: 1 country
• Sites: 1

Brief Summary

This is a control study with a 2-group pretest-posttest design investigating the effects of a 10-week judo-inspired exercise program (Judo4Balance) for physical functions, self-efficacy, activity level, and fall techniques among working adults \& part-time working retired people. Falls constitute a common and severe threat to older men and women's health worldwide. However, falls are not just a problem of advanced age, studies have been reporting that falls are a problem at all ages. Nevertheless, falls are under-studied, particularly among young and middle-aged adults (working age adults). For all fall-related injuries among adults, the proportions have been reported to be 32.3% among older adults, 35.3% among middle-aged adults, and 32.3% among younger adults in the United States. This indicates that falls and fall related injuries represent a significant threat to public health at all ages. Therefore, new innovative ways of prevention is much needed and needs to be studied.

Conditions

Accidental Fall; Fall Injury; Work-related Injury; Work Accident

Keywords

Fall prevention; Physical training; judo; judo4Balance; Break falls; Health and Safety; Falling at work

Outcome Measures

Primary Outcomes (3)

• Change in participants "break fall" competence/skill

  Two tests have been developed to test the skills for falling backwards as well as falling forwards in a safe setting, with progressive difficulty. Four Judo puzzle mats are needed for the test. The "break fall" technique froward and backward are graded from a 0-4 point scale. (where 0 is not being able to lay down and get up from the floor and 4 is being able to fall safely from a standing up position, thus representing the best score).

  Before and after 10 weeks of training

• Change in participants' fall efficacy after 10 weeks

  The change in falls-efficacy will be measured through - Modified Falls-Efficacy Scale - Falls Efficacy Scale-Swedish version (FES-S) and Falls Efficacy Scale-Swedish version for working age (FES-S-W) is used to measure the self-confidence in the ability to perform various daily activities without falling.The FES-S-W was extended with six additional questions, with the aim to ask people of working age about their confidence related to falling as well as their confidence of not getting hurt when falling. The original instrument consists of 13 items and the extended test 19 items. Each item is rated from 0 to 10, with a maximum score of 130/190 points, which represents the highest level of self-efficacy. The original instrument has been shown to have high test-retest reliability.

  Before and after 10 weeks of training

• Change in Balance

  The Mini-BESTest and Mini-BESTest- W were used to measure balance. The original test includes 14 different tasks on 4 subscales. The extended test includes six additional items: feet shoulder-width apart, on toes for extended time (30 seconds); feet together, eyes closed and on toes; walking backwards; walking backwards on a line; standing on one leg on a foam surface left/right; change in gait speed backwards; and step over obstacles backwards. All tasks are graded from 0 to 2 points, with a total maximum score of 28 points for the original test and 40 points for the extended test. The higher the score the better the performance. The original test has high reported test-retest reliability and interrater reliability.

  Before and after the 10 weeks of training

Secondary Outcomes (4)

• Short Physical Performance Battery (SPPB-W)

  Before and after 10 weeks of training

• Change in level of Physical Activity

  Before and after 10 weeks training

• Judo4Balance Instructors perception of the suitability and effectiveness of the program

  After the 10 weeks of training

• Judo4Balance - Participant Survey

  After the 10 week program

Study Arms (2)

Participants in 10 week Judo Inspired Exercise program

ACTIVE COMPARATOR

The intervention included 10 sessions, using a 10-week (45-50 minutes /week) pre-established program called Judo4Balance, a structured exercise program which consists of three blocks. All sessions include: Balance, Strength, power and break fall exercises. The intervention group i tested before and after the 10 week exercise.

Behavioral: Active Comparator: Participants in 10 week Judo Inspired Exercise program

Control Group

NO INTERVENTION

The subjects in the control group go about their normal life for 10 weeks without any intervention. The control group is tested before and after the 10 week period.

Interventions

Active Comparator: Participants in 10 week Judo Inspired Exercise program BEHAVIORAL

The intervention included 10 sessions, using a 10-week (45-50 minutes /week) pre-established program called Judo4Balance, a structured exercise program. Each session consisting of warm-up, balance, strength, power and break fall exercises. There is clear a progression within the 10 week program in three main blocks. Block 1: learning the exercises and principle movements, Block 2 more resistance and advance falling techniques, Block 3 Power training and falling strategies from stand up positions.

Also known as: Judo4Balance: Fall-Preventive Exercise Group

Participants in 10 week Judo Inspired Exercise program

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Over 18 years of age. Understanding oral and written communication in Swedish.

You may not qualify if:

• Physically fragile individuals that are so weak that they cannot sit up without support or not being able to hold up neck when laying on the floor or rolling backwards
• Individuals with aortic aneurysm, angina pectoris or recently has had a cataract operation.

Sponsors & Collaborators

• Dalarna University: lead
• Sormland County Council, Sweden: collaborator

Study Sites (1)

Dalarna University

Falun, Dalarna County, 791 88, Sweden

Location

Related Publications (5)

• 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 RESULT

• 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 RESULT

• 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 RESULT

• 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 RESULT

• Arkkukangas M, Baathe KS, Ekholm A, Tonkonogi M. A 10-week judo-based exercise programme improves physical functions such as balance, strength and falling techniques in working age adults. BMC Public Health. 2021 Apr 17;21(1):744. doi: 10.1186/s12889-021-10775-z.

  PMID: 33865349 DERIVED

Related Links

• Link to the non-profit Swedish Judo Federation Fall Prevention Program

Study Officials

• Michail Tonkonogi, PhD

  Dalarna University

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: An intervention group which will be training the 10-week judo4 balance

Study Record Dates

• First Submitted: March 1, 2020
• First Posted: March 4, 2020
• Study Start: May 1, 2018
• Primary Completion: February 1, 2020
• Study Completion: December 31, 2020
• Last Updated: July 13, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)