The Effectiviness of Pilates on the Risk of Fall in Healthy Older Adults

NCT04343300 | Completed

• 2 other identifiers: LdaSilvaCAPES
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

This research examine the effectiveness of a Pilates intervention for reducing the risk of falls among adults aged over 65 years. The effects were measured the Pilates classes with a supplementary home-based exercises in two phases: Phase I investigated (Mat Pilates supervised with a supplementary home-based Pilates exercise for the pre and post-test of 6 weeks intervention. Eligible 32 participants). The main study randomised controlled trial (phase II) investigate whether a Pilates intervention of 12 weeks with a supplementary at home program is effective in reducing falls risk factors. Pilates group which practiced Pilates and the control group which did not practice Pilates The aim of the study is to identify whether spatiotemporal gait parameters, mobility, postural stability parameters of anteroposterior and mediolateral (AP-ML), functional mobility, fear of falling and physical activity changes.

Conditions

Healthy

Outcome Measures

Primary Outcomes (2)

• Falls Efficacy Scale

  Participants should answer items thinking about how they usually do the activity and they should answer items to show how concerned they would be about falling: 1 = not at all concerned 2 = somewhat concerned 3 = fairly concerned 4 = very concerned. Total score ranging from 16 (not at all) to 64 (very much).

  up to 12 weeks

• Platform Footworkpro Pressure plate

  Measure the two parameters of stabilometry in mediolateral (cm) and anteroposterior (cm) sway in static position performance

  up to 12 weeks

Secondary Outcomes (8)

• Functional Reach Test (FRT)

  Baseline, post-test 12 weeks

• Functional Reach Test (FRT)

  Baseline, post-test 6 weeks

• Timed Up and Go (TUG)

  Baseline, post-test 12 weeks

• Timed Up and Go (TUG)

  Baseline, post-test 6 weeks

• GAITRite® system

  Baseline, post-test 12 weeks

Study Arms (2)

Control group

OTHER

Control group without Pilates exercise during 12 weeks Participants were advised to keep their routine Falls diary calendar

Other: exercise without Pilates

Pilates group

EXPERIMENTAL

Pilates classes were held twice weekly for one hour. The classes were divided into a warm-up, mat Pilates with accessories and a cool-down. Participants used small items of equipment such as bands, circles or rings, blocks, spyke balls and foam rollers. The intervention lasted 12 weeks; the classes were supervised twice a week. The supervised exercises were evaluated every four weeks (frequency and intensity) focused on the lower limb (muscles related to gait), core and trunk (muscles related to posture). The participants were asked to perform supplementary at-home workouts three times a week using a booklet and video that was provided to the participants. The video and booklet to introduce the six principles of Pilates, warm-up exercises, exercises on the chair, mat Pilates exercises and cool-down exercises. Participants were advised to perform these exercises three times a week for 30 minutes at home.

Other: Pilates

Interventions

Pilates OTHER

Intervention of12 weeks of Pilates

Pilates group

exercise without Pilates OTHER

exercise without Pilates

Control group

Eligibility Criteria

• Age: 65 Years - 87 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Those over 65 years older, both male and female, healthy and able to attend the Pilates sessions regularly were included. Those included had not had surgery in the past six months, had no restriction recommended by their General Practitioner and had a Montreal Cognitive Assessment score of over 26

You may not qualify if:

• Those excluded had a MOCA score of less than 26, had a fall in the last six months. had several pain, had acute inflammation, had a history of neurological illness, had medical and pharmacologic contraindications to exercise, vertigo or had a strong exercise routine already.

Sponsors & Collaborators

• National University of Ireland, Galway, Ireland: lead
• Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.: collaborator

MeSH Terms

Interventions

Exercise Movement Techniques; Exercise

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Larissa Donatoni da Silva, Phd student

  National University of Ireland, Galway

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: April 9, 2020
• First Posted: April 13, 2020
• Study Start: January 1, 2016
• Primary Completion: June 1, 2016
• Study Completion: December 1, 2018
• Last Updated: September 2, 2020

Record last verified: 2020-04