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Vitality Acupunch Exercise Program for Sarcopenia Older Adults (VA)

Primary Purpose

Activities of Daily Living, Functional Fitness

Status
Completed
Phase
Not Applicable
Locations
Taiwan
Study Type
Interventional
Intervention
Vitality acupunch (VA) exercise program
Control
Sponsored by
Kaohsiung Medical University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Activities of Daily Living

Eligibility Criteria

65 Years - 100 Years (Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • age ≥ 65 years old
  • have been living in the facility for at least three months
  • intact cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ) score ≥ 8
  • hand-grip strength < 28 kg for men and < 18 kg for women
  • calf circumference < 34 cm for men and < 33 cm for women

Exclusion Criteria:

  • have spinal cord injury
  • have severe cardiovascular or pulmonary diseases
  • have musculoskeletal diseases

Sites / Locations

  • Kaohsiung Medical University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Vitality acupunch (VA)

Control

Arm Description

The VA program took 40 minutes to complete and included three phases: 1) activating qi and blood (5 movements, 10 minutes): warm-up exercises that allowed the body to accumulate heat and promote flexibility of the joints to loosen up the body, 2) punching meridians (14 movements, 20 minutes): both hands were used to exert a vibrating effect according to the rhythms that stimulate the 14 meridians in the entire body to improve aerobic endurance, and 3) relaxing body and mind (5 movements, 10 minutes): muscle relaxing exercises to rest the body and cease the qi. Participants in the experimental group received the VA program led by the instructors, who were trained and certified by the PI, 3 times per week and 40 minutes per session for 6 months.

Participants in the control group continued with their daily activities as usual.

Outcomes

Primary Outcome Measures

Lung capacity
measured by the TruZoneTM Peak Flow Meter
Upper body flexibility
measured by the Back Scratch Test
Lower body flexibility
measured by the Chair Sit-and-Reach Test
Range of joint motion
measured by the goniometry
Arm muscle endurance
measured by the Arm Curl Test
Leg muscle endurance
measured by the Chair-to-Stand Test

Secondary Outcome Measures

Activities of daily living (ADL)
measured by the Barthel Index. The score of "0-20" means totally dependent; "21-60" means heavily dependent; "61-90" means moderately dependent; "91-99" means mildly dependent; "100" indicates total independence in the ADL of a person.

Full Information

First Posted
August 5, 2020
Last Updated
March 9, 2021
Sponsor
Kaohsiung Medical University
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1. Study Identification

Unique Protocol Identification Number
NCT04504786
Brief Title
Vitality Acupunch Exercise Program for Sarcopenia Older Adults
Acronym
VA
Official Title
Effects of the Vitality Acupunch Exercise Program on the ADL and Functional Fitness of Sarcopenia Older Adults
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
August 7, 2020 (Actual)
Primary Completion Date
March 6, 2021 (Actual)
Study Completion Date
March 6, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Kaohsiung Medical University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This project was aimed to test the effects of a six-month VA program on the activities of daily living (ADL) and functional fitness of institutional older adults with sarcopenia.
Detailed Description
A cluster-randomized controlled trial was conducted to test the effects of a six-month VA program on ADL and functional fitness (lung capacity, body flexibility, range of the joint's motion, and muscle endurance) of institutional older adults with sarcopenia. Using convenience sampling, 12 long-term care facilities with 114 older adults were recruited, and then cluster-randomized by the facility to a VA experimental or a control group. The experimental group received the VA program led by certified instructors 3 times per week and 40 minutes per session for six months; the control group continued with their regular daily activities. One pre-test and two post-tests, three months apart, were conducted.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Activities of Daily Living, Functional Fitness

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Vitality acupunch (VA)
Arm Type
Experimental
Arm Description
The VA program took 40 minutes to complete and included three phases: 1) activating qi and blood (5 movements, 10 minutes): warm-up exercises that allowed the body to accumulate heat and promote flexibility of the joints to loosen up the body, 2) punching meridians (14 movements, 20 minutes): both hands were used to exert a vibrating effect according to the rhythms that stimulate the 14 meridians in the entire body to improve aerobic endurance, and 3) relaxing body and mind (5 movements, 10 minutes): muscle relaxing exercises to rest the body and cease the qi. Participants in the experimental group received the VA program led by the instructors, who were trained and certified by the PI, 3 times per week and 40 minutes per session for 6 months.
Arm Title
Control
Arm Type
Active Comparator
Arm Description
Participants in the control group continued with their daily activities as usual.
Intervention Type
Other
Intervention Name(s)
Vitality acupunch (VA) exercise program
Intervention Description
The VA had three phases and took 40 minutes to complete.
Intervention Type
Other
Intervention Name(s)
Control
Intervention Description
Participants maintained their daily activities.
Primary Outcome Measure Information:
Title
Lung capacity
Description
measured by the TruZoneTM Peak Flow Meter
Time Frame
6 months
Title
Upper body flexibility
Description
measured by the Back Scratch Test
Time Frame
6 months
Title
Lower body flexibility
Description
measured by the Chair Sit-and-Reach Test
Time Frame
6 months
Title
Range of joint motion
Description
measured by the goniometry
Time Frame
6 months
Title
Arm muscle endurance
Description
measured by the Arm Curl Test
Time Frame
6 months
Title
Leg muscle endurance
Description
measured by the Chair-to-Stand Test
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Activities of daily living (ADL)
Description
measured by the Barthel Index. The score of "0-20" means totally dependent; "21-60" means heavily dependent; "61-90" means moderately dependent; "91-99" means mildly dependent; "100" indicates total independence in the ADL of a person.
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: age ≥ 65 years old have been living in the facility for at least three months intact cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ) score ≥ 8 hand-grip strength < 28 kg for men and < 18 kg for women calf circumference < 34 cm for men and < 33 cm for women Exclusion Criteria: have spinal cord injury have severe cardiovascular or pulmonary diseases have musculoskeletal diseases
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kuei-Min Chen, PhD
Organizational Affiliation
Kaohsiung Medical University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kaohsiung Medical University
City
Kaohsiung
ZIP/Postal Code
80708
Country
Taiwan

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34751506
Citation
Tung HT, Chen KM, Huang KC, Hsu HF, Chou CP, Kuo CF. Effects of Vitality Acupunch exercise on functional fitness and activities of daily living among probable sarcopenic older adults in residential facilities. J Nurs Scholarsh. 2022 Mar;54(2):176-183. doi: 10.1111/jnu.12723. Epub 2021 Nov 8.
Results Reference
derived

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Vitality Acupunch Exercise Program for Sarcopenia Older Adults

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