Effectiveness of Telerehabilitation in Balance Training Program

NCT06210828 | Unknown

• 1 other identifier: 339/2566(IRB3)
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

• The purpose of this study is to assess the effectiveness of telerehabilitation for fall prevention.
• Participants are randomly assigned to telerehabilitation group or control group.
• Both the telerehabilitation and control groups will receive fall prevention education.
• In addition, both groups will receive a fall prevention exercise brochure that includes instructions on how to perform the exercises, the recommended repetition and number of sets.
• The telerehabilitation group engages in two exercise sessions per week for a duration of 12 weeks at home. The session will be led by a physical therapist via telerehabilitation (LINE video call).
• All participants are advised to perform exercise for a total 3 days/week and record in the log book.
• Participants are evaluated for balancing abilities using tests including: Timed Up and Go test, Five times chair stand, Single leg stance, Gait speed, Number of fall at 3 month, 6 month, 1 year.

Conditions

Postural Balance; Fall

Keywords

Physical Performance; Falling; Elderly; Telerehabilitation; Telerehab; Telemedicine; Exercise; Telehealth

Outcome Measures

Primary Outcomes (1)

• Timed Up and Go test

  time taken to rise from a chair, walk a 3-meter distance, turn around, walk back and sit down

  1 year

Secondary Outcomes (3)

• Five times chair stand

  1 year

• Single leg stance

  1 year

• Gait speed

  1 year

Study Arms (2)

Telerehabilitation Group

EXPERIMENTAL

A telerehabilitation group participates in two weekly exercise sessions over a 12-week period at home. These sessions, led by a physical therapist through two-way communication, focus on lower extremity strengthening and balance exercises. In addition to the guided sessions, participants are encouraged to perform self-directed exercises one day per week.

Behavioral: Telerehabilitation

Control Group

ACTIVE COMPARATOR

* Receive fall prevention exercise brochure that includes instructions on how to perform the exercises, the recommended repetition and number of sets. * Participants are suggested to perform self-directed exercises three day per week.

Behavioral: Control

Interventions

Telerehabilitation BEHAVIORAL

Two weekly exercise sessions over a 12-week period at home via LINE Video call with physical therapist. Focusing on lower extremity strengthening and balance exercises. In addition to the guided sessions, participants are encouraged to perform self-directed exercises one day per week.

Telerehabilitation Group

Control BEHAVIORAL

Receive fall prevention exercise brochure

Control Group

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Elderly aged ≥ 60 years walking independently with or without gait aid use
• Had a history of falling at least 1 time within the past year.
• Participants or their caregivers have an ability to use telemedicine (LINE video call), read and understand a brochure.

You may not qualify if:

• Those who have unstable medical conditions influenced their gait and mobility such unstable cardiopulmonary problem, non-heal fracture and severe arthritis and a cognitive impairment limited learning ability to exercise will be excluded.

Sponsors & Collaborators

• Siriraj Hospital: lead

Study Sites (1)

Faculty of medicine, Siriraj Hospital

Bangkok Noi, Bangkok, 10700, Thailand

RECRUITING

Related Publications (17)

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  PMID: 8514201 BACKGROUND

• Sherrington C, Michaleff ZA, Fairhall N, Paul SS, Tiedemann A, Whitney J, Cumming RG, Herbert RD, Close JCT, Lord SR. Exercise to prevent falls in older adults: an updated systematic review and meta-analysis. Br J Sports Med. 2017 Dec;51(24):1750-1758. doi: 10.1136/bjsports-2016-096547. Epub 2016 Oct 4.

  PMID: 27707740 BACKGROUND

• Gardner MM, Buchner DM, Robertson MC, Campbell AJ. Practical implementation of an exercise-based falls prevention programme. Age Ageing. 2001 Jan;30(1):77-83. doi: 10.1093/ageing/30.1.77.

  PMID: 11322678 BACKGROUND

• Kwak CJ, Kim YL, Lee SM. Effects of elastic-band resistance exercise on balance, mobility and gait function, flexibility and fall efficacy in elderly people. J Phys Ther Sci. 2016 Nov;28(11):3189-3196. doi: 10.1589/jpts.28.3189. Epub 2016 Nov 29.

  PMID: 27942147 BACKGROUND

• Kuptniratsaikul V, Praditsuwan R, Assantachai P, Ploypetch T, Udompunturak S, Pooliam J. Effectiveness of simple balancing training program in elderly patients with history of frequent falls. Clin Interv Aging. 2011;6:111-7. doi: 10.2147/CIA.S17851. Epub 2011 May 6.

  PMID: 21594001 BACKGROUND

• Zhuang J, Huang L, Wu Y, Zhang Y. The effectiveness of a combined exercise intervention on physical fitness factors related to falls in community-dwelling older adults. Clin Interv Aging. 2014;9:131-40. doi: 10.2147/CIA.S56682. Epub 2014 Jan 10.

  PMID: 24453483 BACKGROUND

• Leslie S, Tan J, McRae PJ, O'leary SP, Adsett JA. The Effectiveness of Exercise Interventions Supported by Telerehabilitation For Recently Hospitalized Adult Medical Patients: A Systematic Review. Int J Telerehabil. 2021 Dec 16;13(2):e6356. doi: 10.5195/ijt.2021.6356. eCollection 2021.

  PMID: 35646230 BACKGROUND

• Chen JJ, Cooper DM, Haddad F, Sladkey A, Nussbaum E, Radom-Aizik S. Tele-Exercise as a Promising Tool to Promote Exercise in Children With Cystic Fibrosis. Front Public Health. 2018 Sep 28;6:269. doi: 10.3389/fpubh.2018.00269. eCollection 2018.

  PMID: 30324099 BACKGROUND

• Peretti A, Amenta F, Tayebati SK, Nittari G, Mahdi SS. Telerehabilitation: Review of the State-of-the-Art and Areas of Application. JMIR Rehabil Assist Technol. 2017 Jul 21;4(2):e7. doi: 10.2196/rehab.7511.

  PMID: 28733271 BACKGROUND

• Bernocchi P, Giordano A, Pintavalle G, Galli T, Ballini Spoglia E, Baratti D, Scalvini S. Feasibility and Clinical Efficacy of a Multidisciplinary Home-Telehealth Program to Prevent Falls in Older Adults: A Randomized Controlled Trial. J Am Med Dir Assoc. 2019 Mar;20(3):340-346. doi: 10.1016/j.jamda.2018.09.003. Epub 2018 Oct 23.

  PMID: 30366759 BACKGROUND

• Ranaweera AD, Fonseka P, PattiyaArachchi A, Siribaddana SH. Incidence and risk factors of falls among the elderly in the District of Colombo. Ceylon Med J. 2013 Sep;58(3):100-6. doi: 10.4038/cmj.v58i3.5080.

  PMID: 24081169 BACKGROUND

• Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr. 2014 Feb 1;14:14. doi: 10.1186/1471-2318-14-14.

  PMID: 24484314 BACKGROUND

• Tiedemann A, Shimada H, Sherrington C, Murray S, Lord S. The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age Ageing. 2008 Jul;37(4):430-5. doi: 10.1093/ageing/afn100. Epub 2008 May 16.

  PMID: 18487264 BACKGROUND

• Chang CJ, Chang YS, Yang SW. Using single leg standing time to predict the fall risk in elderly. Annu Int Conf IEEE Eng Med Biol Soc. 2013;2013:7456-8. doi: 10.1109/EMBC.2013.6611282.

  PMID: 24111469 BACKGROUND

• Hong C. Gait Speed Cut-Off Point as a Predictor of Fall in Community-Dwelling Older Adults: Three-Year Prospective Finding from Living Profiles of Elderly People Surveys in Korea. KJFP 2016;6:105-110.

  BACKGROUND

• Kis O, Buch A, Stern N, Moran DS. Minimally supervised home-based resistance training and muscle function in older adults: A meta-analysis. Arch Gerontol Geriatr. 2019 Sep-Oct;84:103909. doi: 10.1016/j.archger.2019.103909. Epub 2019 Jul 8.

  PMID: 31301519 BACKGROUND

• Ninlerd C, Dungkong S, Phuangphay G, Amornsupak C, Narkbunnam R. Effect of home-based rehabilitation exercise program for elderly patients with femoral neck fracture after bipolar hemiarthroplasty. Siriraj Med J. 2020; 72(4): 307-14

  BACKGROUND

Related Links

• SITUATION OF 2020 THE THAI OLDER PERSONS
• Falls
• Telehealth Guidelines

MeSH Terms

Conditions

Motor Activity

Interventions

Telerehabilitation

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Telemedicine; Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• INTOUCH AMPHAIPHAN

  Siriraj Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

INTOUCH AMPHAIPHAN

CONTACT

+66863919784; aintouchamphaiphan@gmail.com

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: Intouch Amphaiphan, MD

Study Record Dates

• First Submitted: January 8, 2024
• First Posted: January 18, 2024
• Study Start: November 1, 2023
• Primary Completion: March 31, 2025
• Study Completion: March 31, 2025
• Last Updated: January 23, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

TH (1)