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Trial registered on ANZCTR
Registration number
ACTRN12609000201279
Ethics application status
Approved
Date submitted
16/04/2009
Date registered
21/04/2009
Date last updated
5/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of Whole Body Vibration on balance, muscle strength and falls in older persons living in residential care
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Scientific title
Does Whole Body Vibration exercise improve balance and muscle strength and reduce the number of falls in older persons living in residential care
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Balance Impairment in older persons living in residential care facility
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Muscle Weakness in older persons living in residential care facility
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Accidental Falls in older persons living in residential care facility
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Condition category
Condition code
Physical Medicine / Rehabilitation
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0
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Physiotherapy
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Injuries and Accidents
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Whole Body Vibration (WBV) Exercise. In addition to group based balance and strength exercise (See Control Treatment) participants in the intervention group will also perform an additional 3 sessions of WBV exercise per week for 8 consecutive weeks ending at week 8. Participants will perform a minimum of 1 minute of WBV exercise per session (Week 1) progressing to a maximum of 5 x 1 minute repetitions in one WBV session (Week 8). Each 1-minute repetition will be followed by a 1-minute rest period. WBV exercise will be devlivered by a commercially available WBV Machine which consists of an oscillating platform (see - saw mechanism) of adjustable frequency and amplitude. The frequency of WBV exercise for the 1st, 3rd and 5th minute will be set at 18Hz. During the 2nd and 4th minutes the frequency will be set at 6Hz. Amplitude of the side-to-side motion of the platform will remain constant at 7 mm total (3.5 mm each side).
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Intervention code [1]
4377
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Treatment: Devices
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Comparator / control treatment
Active Control. Group based strength and balance exercise program. This will be delivered twice a week over a 8 week period with each session lasting 30 minutes. The exercises will be administered by a experienced Physiotherapy Assistant under the guidance and supervision of a physiotherapist according to standard work practises at the facility. The exercises will be chosen according to the balance and strength capcity of the participants identified during baseline assessment. Exercises will be targeted to identified lower limb muscle groups known to be implicated in accidental falls. A selction of static and dynamic balance exercises will also be used to challenge balance systems.
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Control group
Active
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Outcomes
Primary outcome [1]
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Mean Centre of Pressure and Limits of Stability Scores measured using a Force Platform
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Assessment method [1]
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Timepoint [1]
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Baseline and 2 weeks after end of Intervention
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Primary outcome [2]
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Mean Muscle Strength score using the Repeated Sit to Stand Test
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Assessment method [2]
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Timepoint [2]
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Baseline and 2 weeks after end of Intervention
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Secondary outcome [1]
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Number of Falls recorded using a Falls Calender
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Assessment method [1]
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Timepoint [1]
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Baseline and monthly for 6 months after the end of Intervention
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Eligibility
Key inclusion criteria
-Male or Female at least 65 years of age.
-Living in the defined Residential Aged Care Facility – Independent Living Units -Able to stand independently with or without aids.
-Cognitive capacity sufficient to understand the requirements of Whole Body Vibration and or group based strength and balance exercise.
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Minimum age
65
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- Cognitive impairment such that they are unable to understand the requirements of WBV exercise.
- Unable to stand independently without at most a walking aid for support.
- Lower Limb Joint Arthroplasty.
- Acute Inflammatory arthritis.
- Acute Neurological or Cardiac Event.
- Current acute soft tissue injury in the lower limbs, Lumbar or Thoracic Spine.
- Acute (un-united) fracture of the lower limbs, Lumbar or Thoracic Spine.
- History of Deep Venous Thrombosis.
- Current participation in a resistance-training program.
- Known Gallstones, kidney or bladder stones
- Peripheral Vascular Disease
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
20/04/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
44
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
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6018
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Sir Charles Gairdner Hospital
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Address [1]
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Hospital Avenue
Nedlands WA 6009
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Sir Charles Gairdner Hospital
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Address
Hospital Avenue
Nedlands WA 6009
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sir Charles Gairdner Hospital (SCGH) Group Human Research Ethics Committee (HREC)
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Ethics committee address [1]
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Sir Charles Gairdner Hospital Hospital Avenue Nedlands WA 6009
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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16/04/2009
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Ethics approval number [1]
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2009-020
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Summary
Brief summary
Falls and falls-related injuries are a serious public health issue affecting people aged 65 years and over. It is estimated that 1 in 3 people over the age of 65 will fall every year. Falls are the leading cause of injury-related hospitalization and death in persons older than 65 years of age. They are often the key precipitating factor in leading to admission to an residential aged care (RAC) facility. People living in RAC have a higher rate of falls than older people living in the community. They are generally frailer with greater muscle weakness than their peers living independently at home. There are usually a number of causes of falls. Risk factors that contribute to falls include gait and balance disorders, visual problems, cognitive impairment, and the use of certain medications. Improving lower limb muscle strength and balance using exercise is an effective treatment in falls prevention. In the presence of osteoporosis, the incidence of fracture following a fall increases sharply. Once a person has sustained a fracture due to osteoporosis they are four times more likely to sustain another fracture in the proceeding 12 months than the non-fracture population. Recent interest has emerged on the use of Mechanical Whole Body Vibration (WBV) as a potential therapy that may produce improvements in muscle strength, bone mineral density and balance. WBV works by stimulating the stretch reflex causing a contract - relax cycle of muscle. Given the benefits that WBV has been shown to provide to muscle strength, balance and bone mineral density it has the potential to play an important role in falls prevention particularly in frail older people who have difficulty participating in an active exercise program. It has been suggested that 5 minutes of WBV provides benefits equating with 30 minutes of traditional exercise. This may more achievable in the older person. This study aims to assess the effects of WBV on the muscle strength, balance and falls of older residents living in a RAC facility. Participants who meet the criteria to participate in the study will have their balance and muscle strength assessed prior to commencing the study. Previous falls history will be recorded. All participants will perform a targeted group exercise program aimed at improving lower limb strength and balance. The exercise program will be run two times per week for 8 weeks with each session lasting approximately 30 minutes. Half of the participants will perform additional WBV exercise 3 times per week for 8 weeks under the supervision of a qualified physiotherapist who is experienced in the use of WBV exercise. Each WBV exercise session will be a maximum 10 minutes. At the end of the 8 weeks participants will have their muscle strength and balance reassessed. Information on Falls will be collected for a further 6 months.
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Trial website
No trial website is available.
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Antonio (Tony) Petta
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Address
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Sir Charles Gairdner Hospital
C Block
Hospital Avenue
Nedlands WA 6009
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Country
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Australia
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Phone
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+ 61 08 9346 3282
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Antonio (Tony) Petta
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Address
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Sir Charles Gairdner Hospital
C Block
Hospital Avenue
Nedlands WA 6009
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Country
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Australia
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Phone
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+61 08 9346 3282
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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