Effect of Specifically Developed Exercise Intervention on Falls Among Older Adults in Nursing Homes

NCT05835297 | Completed

• 1 other identifier: 9283 - PTE 2022
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to examine the effect of multicomponent exercises recommendations on falls, physical functioning, physical activity, and general physical and psychological well-being among Hungarian older adults dwelling in nursing homes.

Conditions

Fall; Exercise Intervention; Elderly Population

Keywords

Fall; Exercise; Elderly; Guideline; Risk; Functionality

Outcome Measures

Primary Outcomes (1)

• Number of all falls (non-injurious and injurious)

  Whenever a fall occurred for any of the participants during intervention time, it will be recorded by the staff and reported on a fall incidence report. All fall will be reported; non-injurious (i.e., does not result in a physical harm), moderate injurious falls (i.e., result in bruising, sprains, cuts, abrasions, or reduction in physical function for at least three days, or if the participant sought medical help), and serious injurious falls (i.e., result in a fracture or admission to hospital with an injury or required stitches).

  During the 12-week of the intervention.

Secondary Outcomes (14)

• Short Physical Performance Battery (SPPB)

  Baseline and 12th week.

• Six-minute Walking Test (6MWT)

  Baseline and 12th week.

• Timed Up and Go Test (TUGT)

  Baseline and 12th week.

• Single Leg Stance Test (SLST)

  Baseline and 12th week.

• Functional Reach Test (FRT)

  Baseline and 12th week.

Study Arms (2)

Exercise group

EXPERIMENTAL

Physical exercise interventions for 45 min, twice a week plus usual care provided at the nursing home.

Other: Physical exercise interventions

Usual care

NO INTERVENTION

Usual care provided at the nursing home with no specific physical exercise intervention.

Interventions

Physical exercise interventions OTHER

Participants will undergo a 12-week multicomponent exercise regimen, twice per week on non-consecutive days for 45-60 min each. The session will be divided into 4 min of warm-up; range of motion exercises of upper and lower extremities, followed by light walking, then 8 min balance exercises, followed by 15 min strength exercises; two sets of 13-15 repetitions maximum of chair rises with progression, two sets of 13-15 repetitions of modified squats (holding a chair backrest if needed) with progression, 2 sets of 20-30 repetitions of seated or 2 sets of 13-15 repetitions of standing calf raises, then 15 min aerobic exercises; five 3-min bouts of walking between two strengthening exercises and/or 2 balance exercises, finally 3 min cool down exercises of light walking and stretching exercises.

Exercise group

Eligibility Criteria

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

You may qualify if:

• Willingness to participate
• Males and females aged ≥65 years living in nursing homes
• Physically mobile (capable of ambulating/rising from chair with or without assistance)
• Not under simultaneous physical activity/exercise investigation in other experimental studies or under other exercise rehabilitation programme
• To be able to read and understand the self-reported assessments as well as follow the verbal instructions.

You may not qualify if:

• Physically unable or medically unfit to participate in physical exercise after consultation of the responsible medical team
• Score of \< 18 on mini-mental state examination (MMSE).

Sponsors & Collaborators

• University of Pecs: lead

Study Sites (1)

University of Pécs

Pécs, Hungary

Location

Related Publications (2)

• Sadaqa M, Debes WA, Nemeth Z, Bera-Baka Z, Vachtler-Szepesi M, Foldes LN, Premusz V, Hock M. Multicomponent exercise intervention for preventing falls and improving physical functioning in older adult nursing home residents: study protocol for a randomised controlled trial. BMC Public Health. 2025 Oct 2;25(1):3296. doi: 10.1186/s12889-025-24606-y.

  PMID: 41039429 DERIVED

• Sadaqa M, Debes WA, Nemeth Z, Bera-Baka Z, Vachtler-Szepesi M, Naczine Foldes L, Premusz V, Hock M. Multicomponent Exercise Intervention for Preventing Falls and Improving Physical Functioning in Older Nursing Home Residents: A Single-Blinded Pilot Randomised Controlled Trial. J Clin Med. 2024 Mar 10;13(6):1577. doi: 10.3390/jcm13061577.

  PMID: 38541803 DERIVED

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator (PhD candidate)

Study Record Dates

• First Submitted: April 17, 2023
• First Posted: April 28, 2023
• Study Start: May 25, 2023
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: January 9, 2025

Record last verified: 2024-03

Locations

HU (1)