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Effects of treadmill slip and trip perturbation-based balance training on falls in community-dwelling older adults (STABILITY): study protocol for a randomised controlled trial

INTRODUCTION: Falls among older adults are most frequently caused by slips and trips and can have devastating consequences. Perturbation-based balance training (PBT) have recently shown promising fall preventive effects after even small training dosages. However, the fall preventive effects of PBT d...

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Autores principales: Nørgaard, Jens Eg, Andersen, Stig, Ryg, Jesper, Stevenson, Andrew James Thomas, Andreasen, Jane, Danielsen, Mathias Brix, Oliveira, Anderson de Souza Castelo, Jørgensen, Martin Grønbech
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8823198/
https://www.ncbi.nlm.nih.gov/pubmed/35131823
http://dx.doi.org/10.1136/bmjopen-2021-052492
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author Nørgaard, Jens Eg
Andersen, Stig
Ryg, Jesper
Stevenson, Andrew James Thomas
Andreasen, Jane
Danielsen, Mathias Brix
Oliveira, Anderson de Souza Castelo
Jørgensen, Martin Grønbech
author_facet Nørgaard, Jens Eg
Andersen, Stig
Ryg, Jesper
Stevenson, Andrew James Thomas
Andreasen, Jane
Danielsen, Mathias Brix
Oliveira, Anderson de Souza Castelo
Jørgensen, Martin Grønbech
author_sort Nørgaard, Jens Eg
collection PubMed
description INTRODUCTION: Falls among older adults are most frequently caused by slips and trips and can have devastating consequences. Perturbation-based balance training (PBT) have recently shown promising fall preventive effects after even small training dosages. However, the fall preventive effects of PBT delivered on a treadmill are still unknown. Therefore, this parallel-group randomised controlled trial aims to quantify the effects of a four-session treadmill-PBT training intervention on falls compared with treadmill walking among community-dwelling older adults aged 65 years or more. METHODS AND ANALYSIS: 140 community-dwelling older adults will be recruited and randomised into either the treadmill-PBT or the treadmill walking group. Each group will undergo three initial training sessions within a week and an additional ‘booster’ session after 26 weeks. Participants in the treadmill-PBT group will receive 40 slip and/or trip perturbations induced by accurately timed treadmill belt accelerations at each training session. The primary outcome of interest is daily life fall rates collected using fall calendars for a follow-up period of 52 weeks. Secondary outcomes include physical, cognitive and social–psychological fall-related risk factors and will be collected at the pre-training and post-training test and the 26-week and 52-week follow-up tests. All outcomes will be analysed using the intention-to-treat approach by an external statistician. A Poisson’s regressions with bootstrapping, to account for overdispersion, will be used to compare group differences in fall rates. ETHICS AND DISSEMINATION: The study protocol has been approved by the North Denmark Region Committee on Health Research Ethics (N-20200089). The results will be disseminated in peer-reviewed journals and at international conferences. TRIAL REGISTRATION NUMBER: NCT04733222.
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spelling pubmed-88231982022-02-17 Effects of treadmill slip and trip perturbation-based balance training on falls in community-dwelling older adults (STABILITY): study protocol for a randomised controlled trial Nørgaard, Jens Eg Andersen, Stig Ryg, Jesper Stevenson, Andrew James Thomas Andreasen, Jane Danielsen, Mathias Brix Oliveira, Anderson de Souza Castelo Jørgensen, Martin Grønbech BMJ Open Geriatric Medicine INTRODUCTION: Falls among older adults are most frequently caused by slips and trips and can have devastating consequences. Perturbation-based balance training (PBT) have recently shown promising fall preventive effects after even small training dosages. However, the fall preventive effects of PBT delivered on a treadmill are still unknown. Therefore, this parallel-group randomised controlled trial aims to quantify the effects of a four-session treadmill-PBT training intervention on falls compared with treadmill walking among community-dwelling older adults aged 65 years or more. METHODS AND ANALYSIS: 140 community-dwelling older adults will be recruited and randomised into either the treadmill-PBT or the treadmill walking group. Each group will undergo three initial training sessions within a week and an additional ‘booster’ session after 26 weeks. Participants in the treadmill-PBT group will receive 40 slip and/or trip perturbations induced by accurately timed treadmill belt accelerations at each training session. The primary outcome of interest is daily life fall rates collected using fall calendars for a follow-up period of 52 weeks. Secondary outcomes include physical, cognitive and social–psychological fall-related risk factors and will be collected at the pre-training and post-training test and the 26-week and 52-week follow-up tests. All outcomes will be analysed using the intention-to-treat approach by an external statistician. A Poisson’s regressions with bootstrapping, to account for overdispersion, will be used to compare group differences in fall rates. ETHICS AND DISSEMINATION: The study protocol has been approved by the North Denmark Region Committee on Health Research Ethics (N-20200089). The results will be disseminated in peer-reviewed journals and at international conferences. TRIAL REGISTRATION NUMBER: NCT04733222. BMJ Publishing Group 2022-02-07 /pmc/articles/PMC8823198/ /pubmed/35131823 http://dx.doi.org/10.1136/bmjopen-2021-052492 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Geriatric Medicine
Nørgaard, Jens Eg
Andersen, Stig
Ryg, Jesper
Stevenson, Andrew James Thomas
Andreasen, Jane
Danielsen, Mathias Brix
Oliveira, Anderson de Souza Castelo
Jørgensen, Martin Grønbech
Effects of treadmill slip and trip perturbation-based balance training on falls in community-dwelling older adults (STABILITY): study protocol for a randomised controlled trial
title Effects of treadmill slip and trip perturbation-based balance training on falls in community-dwelling older adults (STABILITY): study protocol for a randomised controlled trial
title_full Effects of treadmill slip and trip perturbation-based balance training on falls in community-dwelling older adults (STABILITY): study protocol for a randomised controlled trial
title_fullStr Effects of treadmill slip and trip perturbation-based balance training on falls in community-dwelling older adults (STABILITY): study protocol for a randomised controlled trial
title_full_unstemmed Effects of treadmill slip and trip perturbation-based balance training on falls in community-dwelling older adults (STABILITY): study protocol for a randomised controlled trial
title_short Effects of treadmill slip and trip perturbation-based balance training on falls in community-dwelling older adults (STABILITY): study protocol for a randomised controlled trial
title_sort effects of treadmill slip and trip perturbation-based balance training on falls in community-dwelling older adults (stability): study protocol for a randomised controlled trial
topic Geriatric Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8823198/
https://www.ncbi.nlm.nih.gov/pubmed/35131823
http://dx.doi.org/10.1136/bmjopen-2021-052492
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