Home Balance Pilot for Fall Reduction in COPD

McMaster University

Status: Completed

Conditions: Pulmonary Disease, Chronic Obstructive

Treatments: Behavioral: Home balance exercise program

Study type: Interventional

Funder types: Other

Identifiers

NCT02695342

Labarge-20004484

Details and patient eligibility

About

There is a growing body of evidence demonstrating that older adults with COPD have important problems with their balance and a high incidence of falls compared to those of a similar age. This research will explore the feasibility and preliminary effects of a tailored 6-month home balance exercise program for reducing falls in older adults with COPD.

Full description

Chronic obstructive pulmonary disease (COPD) is highly prevalent among older adults and is a leading cause of death, disability and hospitalization in Canada. There is a growing body of evidence demonstrating that older adults with COPD have important problems with their balance and a high incidence of falls compared to those of a similar age. This research will explore the feasibility and preliminary efficacy of a tailored 6-month home balance exercise program for reducing falls in older adults with COPD.

The primary objective of this pilot study is to determine the feasibility of a tailored home balance intervention for older adults with COPD in terms of recruitment, retention and adherence. The secondary objective is to examine the within-subject effects of the home-balance intervention on intermediate outcomes linked to falls including balance, functional strength and self-reported disability.

Thirty-five older adults with COPD will be recruited from respirology clinics at West Park Healthcare Centre (Toronto) and the Firestone Institute for Respiratory Health (Hamilton) to participate in a single-group, non-randomized clinical trial. Eligible participants will be enrolled in a 6-month balance home exercise intervention. The home program will be supervised by a physiotherapist and outcome measures will be collected at home at baseline, 3- and 6-months by a research assistant not involved in the intervention.

Enrollment: 36 patients

Sex: All

Ages: 60+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• a clinical diagnosis of COPD;
• age ≥ 60 yrs;
• a history of 1 or more falls in the previous year;
• ability to provide written informed consent.

Exclusion criteria

• inability to communicate in English;
• history of significant cardiovascular disease;
• marked decrease in arterial oxygen saturation at rest or during previous assessments of exercise capacity;
• severe cognitive impairment;
• evidence of a condition that severely limits mobility and may jeopardize safety;
• completion of a course of rehabilitation in the last 6 months or on a wait list for admission to rehabilitation.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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36 participants in 1 patient group

Home balance exercise program

Experimental group

Description:

The home-based exercise program will be tailored to address the underlying balance deficits in COPD and individualized according to each participant's ability. Physiotherapists will teach the program in four home visits over the first 6 weeks of the study; in the event of an exacerbation, a fifth visit will be provided to modify the program. Participants will be given an exercise DVD (with portable player), and will be instructed to perform the program 3 times/week for 6 months. Therapists will provide bi-monthly telephone support.

Treatment:

Behavioral: Home balance exercise program