Fit and Active in Age – The Functional Movement Circle for Elderly (FuMoC-E): a new training program to affect fall-related risk factors [Fit und Aktiv im Alter – Entwicklung und Evaluation eines gerätegestützten Sturzpräventionszirkels]

ISRCTN ISRCTN71211809
DOI https://doi.org/10.1186/ISRCTN71211809
Secondary identifying numbers N/A
Submission date
02/08/2012
Registration date
16/08/2012
Last edited
12/06/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Falls are one of the main factors for older people to lose their independence and are often the reason for an older person to move into a nursing home. It is well known that physical activity training programs could prevent falls. These programs include strength and coordination/balance exercises. Our goal is to study the effects of a new training program (Functional Movement Circle for Elderly [FuMoC-E]) on fall-related risk factors.

Who can participate?
Men and women aged over 60 living in the city center of Cologne (Germany).

What does the study involve?
Participants will be randomly allocated to one of four different groups: three intervention groups and one control group. Participants in the three intervention groups will exercise two times per week over 6 months. Participants in intervention group 1 will take part in the FuMoC-E training program, with strength and balance exercises complemented by a track with different daily movements (stair climbing, road curbs) and different surfaces (carpet, stones). The participants of intervention group 2 receive the same training program as intervention group 1 with the exception of not having the track with the daily movements. In intervention group 3 the training is modelled like training in a usual sports club. Participants in the control group are encouraged to maintain their usual activities over 6 months. Afterwards they will get the opportunity to take part in the FuMoC-E program.

What are the possible benefits and risks of participating?
Those taking part will benefit immediately by improving their strength, power, balance and mobility. This will help to prevent falls.

Where is the study run from?
The measurements are set up in the Institute of Movement and Sport Gerontology of the German Sport University Cologne. The FuMoC-E training takes place in a gym in Cologne (Braunsfeld).

When is the study starting and how long is it expected to run for?
The study ran from March 2011 to April 2012.

Who is funding the study?
Funding has been provided by ERGO-FIT GmbH & Co. KG, TOYOTA Germany GmbH and the Institute of Movement and Sport Gerontology of the German Sport University, Cologne.

Who is the main contact?
Tobias Morat
t.morat@dshs-koeln.de

Study website

Contact information

Mr Tobias Morat
Scientific

German Sport University Cologne
Am Sportpark Muengersdorf 6
Cologne
50933
Germany

Phone +49 (0)221 4982 6129
Email t.morat@dshs-koeln.de

Study information

Study designLongitudinal interventional pre-post study randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeQuality of life
Participant information sheet Not available in web format, please use the contact details below to request the patient information sheet
Scientific titleThe Functional Movement Circle for Elderly (FuMoC-E): a randomised controlled trial to determine the effects of a new training program for older people to affect fall-related risk factors [Der Sturzpräventionszirkel (FuMoC-E): Eine randomisierte, kontrollierte Interventionsstudie zur Ermittlung der Auswirkungen eines neuartigen Trainingsprogramms für Ältere auf sturzrelevante Risikofaktoren]
Study acronymFuMoC-E
Study objectivesThe aims of the study are:
1. To improve fall-related risk factors in older people
2. To examine relationships between different risk factors
3. To provide a new training program for older people to promote their physical fitness and to prevent falls
4. To compare the effectiveness of different exercise programs (FuMoC-E vs strength and balance training and coordination training)
5. To evaluate the practicability and acceptance of the FuMoC-E training program

It is hypothesized that the implementation of the new training program 'FuMoC-E (Functional Movement Circle for Elderly)' positively affects fall-related risk factors.

Hypothesis 1: The hypothesis is that there will be significant (p < 0.05) positive improvements on the following risk factors: isometric and dynamic strength and power, functional mobility, gait parameters, fear of falling and fall frequency after 3, respectively 6 months of training in the FuMoC-E

Hypothesis 2: The hypothesis is that there will be significantly (p < 0.05) greater improvements in the intervention group which trained in the FuMoC-E vs the other two intervention groups and the control group
Ethics approval(s)Ethics Committee of the German Sport University Cologne, 10/08/2010
Health condition(s) or problem(s) studiedDevelopment and evaluation of a new training program
Intervention1. Intervention group 1 (IG1):
Participants exercise two times per week over 6 months. Every session comprises 60 minutes (10 min warm-up on a cycling, cross or hand crank ergometer). The IG1 group performs training in the FuMoC-E with strength and balance exercises complemented by a track with different daily movements (stair climbing, road curbs) and different surfaces (carpet, stones). There are six strength exercises, two balance exercises (sensorimotoric exercises) and the track. In the first 8 weeks participants train with 60-75% of 1-repetition maximum (=1RM), 2 sets of 10-12 repetitions and 1 min rest (hypertrophy training), followed by 4 weeks of power training with 40-50% of 1RM, 2 sets and 6-8 repetitions and 2 min rest. The intensity of loading was gradually increased, adapted on subjectively perceived exertion (OMNI-RES scale). In the second 3 months only the intensity is increased on 70-85% of 1RM for the 8 weeks of hypertrophy training and on 60-70% for the following 4 weeks of power training, everything else was equivalent with the same details of the first 3 months (mentioned above). The participants of this group train in pairs, if one partner is training on one station the other partner passes the track with the daily movements, afterwards they change.

2. Intervention group 2 (IG2):
The participants of IG 2 receive the same training program like IG1 with the sole exception of not having the track with the daily movements included in the rests between the sets at each station. The participants train in pairs.

3. Intervention group 3 (IG3):
Participants exercise two times per week over 6 months. Each session includes 60 minutes of exercise. The training is modeled like training in a usual sports club. A 10 min warm-up is followed by the main part of each session which includes different exercises with tools and small equipment to strengthen muscles and improve coordination. At the end of each session a 5-10 min cool-down is realized.

4. Control group (CG):
Participants of the control group are encouraged to maintain their habitual activities over 6 months. Afterwards they will get the opportunity to train in the FuMoC-E.
Intervention typeOther
Primary outcome measureHealth-related fitness:
1. Strength (isometric and dynamic) and power in chest and leg press
2. Balance (modified Romberg Test)
3. Functional mobility (Timed Up & Go Test; Chair Rise Test; Maximum Step Length Test)
4. Gait velocity
5. Time on a track with different daily movements and surfaces

All outcomes are measured at baseline and after 3 and 6 months.
Secondary outcome measures1. Leisure time and social activities
2. Fall diary
3. Fear of falling
4. Quality of life

All outcomes are measured at baseline and after 3 and 6 months. The fall diary is completed daily and delivered every 3 months.
Overall study start date01/03/2011
Completion date01/05/2012

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participants60
Key inclusion criteria1. Age ≥ 60 years
2. Willing to be randomly assigned to any of the study intervention groups or the control group
3. Willing to participate over a maximum duration of 12 months in the study
Key exclusion criteria1. Older persons with one of the following diseases:
1.1. Acute coronary heart diseases
1.2. Thrombophlebitis
1.3. Acute lung diseases
1.4. Infections
1.5. Osteoporosis
1.6. Disc prolapse during the last 6 months
1.7. Neuromuscular diseases
2. Older persons using a walking aid or having a diagnosed walking disorder
3. Older persons who are not able to sit or stand without aid
Date of first enrolment01/03/2011
Date of final enrolment01/05/2012

Locations

Countries of recruitment

  • Germany

Study participating centre

German Sport University Cologne
Cologne
50933
Germany

Sponsor information

Ergo-Fit GmbH & Co. KG (Germany)
Industry

Blocksbergstr. 165
Pirmasens
66955
Germany

Website http://www.ergo-fit.de/web/

Funders

Funder type

Industry

Ergo-Fit & Co. KG (Germany)

No information available

Toyota Germany GmbH (Germany)

No information available

German Sport University, Cologne (Germany)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan