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HealthySteps: Exercise for Older Adults With Mobility Limitation (HealthySteps)

Primary Purpose

Mobility Limitation

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Timing and Coordination
Aerobic Walking
Stretching and Relaxation
Sponsored by
Simon Fraser University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mobility Limitation focused on measuring energy cost of walking, energy metabolism, aged, older adult, exercise, gait, walking, aerobic, motor skill

Eligibility Criteria

65 Years - undefined (Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Men and women who live in the lower mainland (greater Vancouver) area of British Columbia
  • Aged 65 years or older
  • Living independently in their own home
  • Report mobility limitation, defined as any difficulty walking one-quarter mile (about 2-3 blocks) outside on level ground or climbing one flight of stairs (about 10 steps) without resting because of a health or physical problem

Exclusion Criteria:

  • Have a current medical condition for which exercise is contraindicated
  • Have participated in an exercise intervention study in the past 6 months
  • Do not have adequate cognitive function to provide informed consent and participate fully in the study
  • Do not speak and understand English fluently

Sites / Locations

  • Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Timing and Coordination

Aerobic Walking

Stretching and Relaxation

Arm Description

Outcomes

Primary Outcome Measures

energy cost of walking
assessed by oxygen consumption during treadmill and overground walking
fatigue and fatigability
assessed by questionnaire, rated perceived exertion during walking, and decrements in walking performance over time.
daily activity
assessed by accelerometry and the Physical Activity Scale for the Elderly
life-space mobility
assessed by life-space mobility questionnaire
endurance
assessed by the long-distance corridor walk
physical function
assessed by standing balance, gait speed, and chair stands

Secondary Outcome Measures

energy cost of walking
assessed by oxygen consumption during treadmill and overground walking
fatigue and fatigability
assessed by questionnaire, rated perceived exertion during walking, and decrements in walking performance over time
daily activity
assessed by accelerometry and the Physical Activity Scale for the Elderly
life-space mobility
assessed by the life-space mobility questionnaire
endurance
assessed by the long-distance corridor walk
physical function
assessed by standing balance, gait speed, and chair stands

Full Information

First Posted
November 23, 2012
Last Updated
January 19, 2015
Sponsor
Simon Fraser University
Collaborators
Drummond Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT01740505
Brief Title
HealthySteps: Exercise for Older Adults With Mobility Limitation
Acronym
HealthySteps
Official Title
HealthySteps: A Pilot Randomized Controlled Trial of Exercise to Improve Walking Energetics, Fatigue, and Activity in Older Adults With Mobility Limitation
Study Type
Interventional

2. Study Status

Record Verification Date
January 2015
Overall Recruitment Status
Completed
Study Start Date
January 2013 (undefined)
Primary Completion Date
November 2013 (Actual)
Study Completion Date
November 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Simon Fraser University
Collaborators
Drummond Foundation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will compare three different exercise programs in older adults who report difficulty walking and will determine if the programs improve walking.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mobility Limitation
Keywords
energy cost of walking, energy metabolism, aged, older adult, exercise, gait, walking, aerobic, motor skill

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
72 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Timing and Coordination
Arm Type
Experimental
Arm Title
Aerobic Walking
Arm Type
Experimental
Arm Title
Stretching and Relaxation
Arm Type
Active Comparator
Intervention Type
Behavioral
Intervention Name(s)
Timing and Coordination
Intervention Description
This intervention is based on progressively difficult stepping and walking patterns that promote the timing and coordination of stepping within the gait cycle. Small-group 60-minute classes twice weekly for 12 weeks.
Intervention Type
Behavioral
Intervention Name(s)
Aerobic Walking
Intervention Description
Outdoor walking with progressive increases in exercise intensity. Small-group 60-minute classes twice weekly for 12 weeks.
Intervention Type
Behavioral
Intervention Name(s)
Stretching and Relaxation
Intervention Description
Full-body stretching, range-of-motion exercises, and relaxation techniques. No specific gait training. Small-group 60-minute classes twice weekly for 12 weeks.
Primary Outcome Measure Information:
Title
energy cost of walking
Description
assessed by oxygen consumption during treadmill and overground walking
Time Frame
12 weeks
Title
fatigue and fatigability
Description
assessed by questionnaire, rated perceived exertion during walking, and decrements in walking performance over time.
Time Frame
12 weeks
Title
daily activity
Description
assessed by accelerometry and the Physical Activity Scale for the Elderly
Time Frame
12 weeks
Title
life-space mobility
Description
assessed by life-space mobility questionnaire
Time Frame
12 weeks
Title
endurance
Description
assessed by the long-distance corridor walk
Time Frame
12 weeks
Title
physical function
Description
assessed by standing balance, gait speed, and chair stands
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
energy cost of walking
Description
assessed by oxygen consumption during treadmill and overground walking
Time Frame
24 weeks
Title
fatigue and fatigability
Description
assessed by questionnaire, rated perceived exertion during walking, and decrements in walking performance over time
Time Frame
24 weeks
Title
daily activity
Description
assessed by accelerometry and the Physical Activity Scale for the Elderly
Time Frame
24 weeks
Title
life-space mobility
Description
assessed by the life-space mobility questionnaire
Time Frame
24 weeks
Title
endurance
Description
assessed by the long-distance corridor walk
Time Frame
24 weeks
Title
physical function
Description
assessed by standing balance, gait speed, and chair stands
Time Frame
24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Men and women who live in the lower mainland (greater Vancouver) area of British Columbia Aged 65 years or older Living independently in their own home Report mobility limitation, defined as any difficulty walking one-quarter mile (about 2-3 blocks) outside on level ground or climbing one flight of stairs (about 10 steps) without resting because of a health or physical problem Exclusion Criteria: Have a current medical condition for which exercise is contraindicated Have participated in an exercise intervention study in the past 6 months Do not have adequate cognitive function to provide informed consent and participate fully in the study Do not speak and understand English fluently
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dawn C Mackey, PhD
Organizational Affiliation
Simon Fraser University; Vancouver Coastal Health Research Institute, Centre for Hip Health and Mobility
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 1M9
Country
Canada

12. IPD Sharing Statement

Learn more about this trial

HealthySteps: Exercise for Older Adults With Mobility Limitation

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