Can an enhanced balance training programme improve mobility & reduce falls in elderly patients presenting to Health Services

ISRCTN	ISRCTN36275952
DOI	https://doi.org/10.1186/ISRCTN36275952
Secondary identifying numbers	REC00164

Submission date: 23/01/2004
Registration date: 23/01/2004
Last edited: 22/09/2009

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Injury, Occupational Diseases, Poisoning

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Lalit Kalra
Scientific

Guy's, King's, St Thomas' School of Medicine
Department of Medicine
King's Denmark Hill Campus
Bessemer Road
London
SE5 9PJ
United Kingdom

Phone	+44 (0)20 7346 3487
Email	lalit.kalra@kcl.ac.uk

Study information

Study design	Randomised controlled trial
Primary study design	Interventional
Secondary study design	Randomised controlled trial
Study setting(s)	Hospital
Study type	Prevention
Scientific title
Study objectives	A randomised control study will be undertaken in 200 patients over 60 years of age to investigate the feasibility, effectiveness and acceptability of a well-defined generalisable, mainstream physiotherapy intervention in improving mobility and preventing falls. Outcome will be measured at 1, 3 and 6 months. In addition to validated measures for balance, falls and mobility, assessments will be include measures of functional ability, quality of life, patients' perception of walking abilities and satisfaction. Information will also be available on effective components of balance training (which can be replicated in other settings) and identification of patients most likely to benefit which will facilitate targeting to improve overall effectiveness. The emphasis of the project is to develop and evaluate interventions deliverable within mainstream practice and applicable to mainstream patients.
Ethics approval(s)	Not provided at time of registration
Health condition(s) or problem(s) studied	Injury, occupational diseases, poisoning: Musculoskeletal injury
Intervention	1. Intervention group will receive therapy specific to functional balance consisting of repetition and progressive grading of tasks to narrow the base of support and retraining dynamic balance. 2. Conventional treatment will consist of general transfer and mobility skills as currently prescribed.
Intervention type	Other
Primary outcome measure	Timed 3 metre walk; Self Perception Questionnaire (SPQ); Berg Balance Scale (incorporating the 180 degree turn); Balance Performance Monitor (BPM); Falls Efficacy Scale; Frenchay Activities Index; Euroqual; patient satisfaction.
Secondary outcome measures	Not provided at time of registration
Overall study start date	01/05/1998
Completion date	01/04/2001

Eligibility

Participant type(s)	Patient
Age group	Senior
Sex	Both
Target number of participants	200
Key inclusion criteria	200 patients over 60 years of age who present with falls/deteriorating mobility to outpatient clinics, A & E departments and outpatients therapy services on 3 sites.
Key exclusion criteria	Does not match inclusion criteria
Date of first enrolment	01/05/1998
Date of final enrolment	01/04/2001

Locations

Countries of recruitment

England
United Kingdom

Study participating centre

Guy's, King's, St Thomas' School of Medicine

London
SE5 9PJ
United Kingdom

Sponsor information

NHS R&D Regional Programme Register - Department of Health (UK)
Government

The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Phone	+44 (0)20 7307 2622
Email	dhmail@doh.gsi.org.uk
Website	http://www.doh.gov.uk

Funders

Funder type

Government

NHS Executive London (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
Publication and dissemination plan	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	results	01/06/2003		Yes	No