N/A
N=34
Reactive Balance Training Targeting Both Slip- and Trip-Induced Falls
Accidental Fall
Bottom Line
View on ClinicalTrials.gov: NCT04308239 ↗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
| Outcome | Result | p-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
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.