There is a growing body of evidence demonstrating that older adults with COPD have important problems with their balance and a high incidence of falls compared to those of a similar age. This research will explore the feasibility and preliminary effects of a tailored 6-month home balance exercise program for reducing falls in older adults with COPD.
Chronic obstructive pulmonary disease (COPD) is highly prevalent among older adults and is a leading cause of death, disability and hospitalization in Canada. There is a growing body of evidence demonstrating that older adults with COPD have important problems with their balance and a high incidence of falls compared to those of a similar age. This research will explore the feasibility and preliminary efficacy of a tailored 6-month home balance exercise program for reducing falls in older adults with COPD. The primary objective of this pilot study is to determine the feasibility of a tailored home balance intervention for older adults with COPD in terms of recruitment, retention and adherence. The secondary objective is to examine the within-subject effects of the home-balance intervention on intermediate outcomes linked to falls including balance, functional strength and self-reported disability. Thirty-five older adults with COPD will be recruited from respirology clinics at West Park Healthcare Centre (Toronto) and the Firestone Institute for Respiratory Health (Hamilton) to participate in a single-group, non-randomized clinical trial. Eligible participants will be enrolled in a 6-month balance home exercise intervention. The home program will be supervised by a physiotherapist and outcome measures will be collected at home at baseline, 3- and 6-months by a research assistant not involved in the intervention.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
36
Firestone Institute for Respiratory Health, St. Joseph's Healthcare Hamilton
Hamilton, Ontario, Canada
West Park Healthcare Centre
Toronto, Ontario, Canada
Recruitment rate
Percentage of eligible patients that consent to enroll in the study
Time frame: Baseline
Retention rate
Percentage of the sample that complete all 3 outcome assessments
Time frame: 6 months
Compliance
Mean number of prescribed exercise sessions completed
Time frame: 6 months
Berg Balance Scale
Measure of balance
Time frame: baseline, 3 months, 6 months
Balance Evaluation Systems Test (BESTest)
Measure of balance
Time frame: baseline, 3 months, 6 months
Activity-Specific Balance Confidence questionnaire
Measure of balance confidence
Time frame: baseline, 3 months, 6 months
30-second Sit-to-Stand Test
Measure of functional lower body strength
Time frame: baseline 3 months, 6 months
Self-reported function (PF-10)
Physical function sub-scale of the Medical Outcomes Study 36-item Short-form Health Survey
Time frame: baseline, 3 months, 6 months
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