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N/A N=34 Prevention

Reactive Balance Training Targeting Both Slip- and Trip-Induced Falls

Accidental Fall

Enrolled (actual)
34
Serious AEs
0.0%
Results posted
May 2020
Primary outcome: Primary: Peak Slip Speed — 2.8 meters/sec

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Reactive balance training (Behavioral); Otago Balance Training (Behavioral)
Age
Adult, Older Adult · 60+ yrs
Sex
All
Sponsor
Virginia Polytechnic Institute and State University
Primary completion
Jul 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Peak Slip Speed
3.15; 2.58
PRIMARY
Peak Slip Speed
3.15; 2.58
PRIMARY
Trunk Angle at Touchdown After Tripping
36.9; 41.1
PRIMARY
Trunk Angle at Touchdown After Tripping
36.9; 41.1
SECONDARY
Slip Distance
74.2; 71.4
SECONDARY
Slip Distance
74.2; 71.4
SECONDARY
Fall Incidence After a Laboratory-induced Slip
3; 2
SECONDARY
Fall Incidence After a Laboratory-induced Slip
3; 2
SECONDARY
Recovery Step Length After Tripping
53.7; 64.1
SECONDARY
Recovery Step Length After Tripping
53.7; 64.1
SECONDARY
Fall Incidence After a Laboratory-induced Trip
3; 1
SECONDARY
Fall Incidence After a Laboratory-induced Trip
3; 1

Summary

The goal of this study was to evaluate the effects of reactive balance training (RBT) targeting slipping and tripping on laboratory-induced slips and trips. In an effort to build upon prior work, the present study included: 1) a control group receiving an alternative balance training intervention; 2) separate training and assessment sessions; 3) alternative RBT methods that may be more amenable to work outside the lab compared to prior methods, and 4) older adult participants receiving individualized training to reduce drop-out. The investigators hypothesized that slips after RBT would result in improved reactive balance kinematics, and a lower incidence of falls, compared to either initial slips before any intervention or after a control intervention. The investigators also hypothesized that trips after RBT would result in improved reactive balance kinematics, and a lower incidence of falls, compared to either initial trips before any intervention or after a control intervention. Results were intended to contribute to knowledge regarding the efficacy of alternative methods for RBT, and provide additional evidence regarding its efficacy.

Eligibility Criteria

Inclusion Criteria

  • pass a medical history and screening administered by a physician that excluded participants with osteoporosis of the lumbar spine or proximal femur as assessed by Dual Energy X-ray Absorptiometry (Lunar iDXA, GE Healthcare, Chicago, IL), or any unstable or progressive medical conditions that could contribute to imbalance or falls

Exclusion Criteria

  • smoked
  • were in physical therapy
  • had a self-reported fragility fracture within the last 10 years
  • had an acute lower extremity injury within the last 3 months
  • had lower extremity surgery within the last six months
  • had an ankle arthroplasty
  • had a knee or hip arthroplasty within the last 12 months
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04308239). 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.

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