This proposed randomized controlled trial aims to study the long-term compliance of the LiFE program and its combined effects with a home safety visit on fall prevention in community-dwelling older fallers.
This will be a single-blinded randomized controlled trial. The subjects will be randomly assigned to the LiFE exercise plus home safety assessment group, or the control group by a computer program operated by an independent researcher. This study conforms to the ethical principles of the World Medical Association Declaration of Helsinki.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
108
Lifestyle-integrated exercise training targeting to improve strength and balance. Strategy to embed the exercise in the daily activity would also be taught so that the life exercise can be performed at any time of the day. The exercise would be taught in 6 home visits over 6-months.
Home safety assessment and modification that targets to reduce environmental risk factors of falls.
The Chinese University of Hong Kong Jockey Club Centre of Osteoporosis Care and Control
Hong Kong, Hong Kong
The Chinese University of Hong Kong
Hong Kong, Hong Kong
Fall
Prospective fall data will be collected through telephone follow-up for 1.5 year
Time frame: 1.5 years
Handgrip strength
Hand grip strength will be assessed by handheld dynamometer
Time frame: Baseline and follow-up assessment at 6-month
Functional lower body strength
Five-time sit-to-stand test will be used to assess lower body strength
Time frame: Baseline and follow-up assessment at 6-month
Single leg standing balance
Single leg standing balance of both legs will be assessed
Time frame: Baseline and follow-up assessment at 6-month
10-meter walk test
The usual walking speed on a 10-meter walkway
Time frame: Baseline and follow-up assessment at 6-month
Timed-up and Go test
The time required to stand up from a chair, walk 3-m, return, and sit down, in comfortable speed
Time frame: Baseline and follow-up assessment at 6-month
Timed-up and Go test with dual-task
The timed-up and Go test would be tested while asking the participants to do serial-3-subtraction
Time frame: Baseline and follow-up assessment at 6-month
Montreal Cognitive Assessment 5-minute protocol
A standardized cognitive test
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Time frame: Baseline and follow-up assessment at 6-month
Activity level
Selected participants will be asked to wear an activity tracker for 7 days to examine their activity level
Time frame: Baseline and follow-up assessment at 6-month
Fall risk
Physiological Profile Assessment (PPA) will be used to assess fall risk
Time frame: Baseline and follow-up assessment at 6-month