N/A
N=33
Balance Training for Elders With Heart Failure
Heart Failure
Bottom Line
View on ClinicalTrials.gov: NCT02566785 ↗Enrolled (actual)
33
Serious AEs
0.0%
Results posted
Oct 2018
Primary outcome: Primary: Pre/Post Scores on the 30 Second Sit to Stand Test Will be Used to Detect Any Changes in Leg Strength and Endurance That Occur During the 12 Week Group Exercise Sessions. — 6.9; 6.5; 7.9; 7.7 number of sit to stand cycles
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Balance Intervention (Other)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- University of Nebraska
- Primary completion
- Dec 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Pre/Post Scores on the 30 Second Sit to Stand Test Will be Used to Detect Any Changes in Leg Strength and Endurance That Occur During the 12 Week Group Exercise Sessions. |
6.9; 6.5; 7.9; 7.7 | — |
| PRIMARY Dynamic Gait Index |
18.9; 19.1; 20.9; 18.9 | — |
| SECONDARY Activity Balance Confidence Scale |
74.9; 74.1; 72.1; 71.2 | — |
Summary
Falls are the leading cause of injury-related deaths in older (≥ 65 y/) community dwelling heart failure (HF) patients. Fall risks are even greater for those with HF due to decreased exercise capacity, loss of skeletal muscle & medication side effects. Though resistance training (RT) is effective for improving skeletal muscle, it has only a modest effect on improving balance, which is comprised of peripheral sensory input central integration, & motor output. A multi-component intervention focusing on balance retraining & strengthening the muscles supporting static/dynamic balance & functional mobility is necessary.
This pilot study will evaluate the effect of a multi-component balance & RT intervention on physical function, balance, & falls in older (≥ 65 y/) community dwelling heart failure (HF) patients. The study will also explore perceptions related to outcomes & the intervention through focus groups, generate data on adherence and generate data on feasibility of conducting the BASIC Training intervention. The results of this study will be used to develop a targeted intervention to induce changes in elderly HF patients to prevent future falls; thus reducing costs, physical & emotional burdens related to falls; & effect a major difference in the quality of life.
The study will be once per week supervised group sessions & twice a week home sessions, and include 30 Second Sit-to-Stand, Modified Clinical Test of Sensory Interaction on Balance, Activity Specific Balance Confidence Scale, Timed Up & Go, Dynamic Gait Index.
Eligibility Criteria
Inclusion Criteria
- 65 years of age or greater;
- New York Heart Association class II and III,
- community dwelling;
- able to speak and read English,
- must have written permission from cardiologist to participate.
Exclusion Criteria
- wheel chair dependency;
- history of significant residual neurologic deficits [e.g.: recent stroke];
- recent history of whiplash or concurrent complaints of neck pain;
- recent fracture or lower extremity surgery. Participants will be screened for cognitive dysfunction and must pass the Mini-Mental State Examination [with a score at or above 23 points].
Data sourced from ClinicalTrials.gov (NCT02566785). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.