Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12606000172505
Ethics application status
Approved
Date submitted
20/01/2006
Date registered
12/05/2006
Date last updated
12/05/2006
Type of registration
Retrospectively registered
Titles & IDs
Public title
Balance, strength and related falls risk factors in people with haemophilia and other bleeding disorders (PWH), and feasibility of a targeted home exercise program to improve balance.
Query!
Scientific title
Balance, strength and related falls risk factors in people with haemophilia and other bleeding disorders (PWH), and feasibility of a targeted home exercise program to improve balance.
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Haemophilia and other bleeding disorders
1145
0
Query!
Condition category
Condition code
Blood
1225
1225
0
0
Query!
Other blood disorders
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Two groups of participants will be recruited, a group of 30 adults with haemophilia and other bleeding disorders, and a goup of 30 age and gender matched controls. All participants will undergo a baseline assessment consisting of laboratory measures of balance, clinical measures of balance, falls history, falls risk, falls self efficacy, pain level, and disease severity. Following baseline assessments the haemophilia and other bleeding disorders group will be provided with an individualised, tailored balance and strengthening home exercise program. The balance and strengthening exercises will be selected from the Otago exercise program, and the exercises will be selected, by a qualified physiotherapist, based on results of the baseline assessment. Participants will undertake the exercise program for four months, with ongoing support from the physiotherapist. Following the exercise program intervention the participants from the haemophilia and other bleeding disorders group will have the baseline assessment measures repeated.
Query!
Intervention code [1]
851
0
None
Query!
Comparator / control treatment
No intervention is given to the controls.
Query!
Control group
Historical
Query!
Outcomes
Primary outcome [1]
1661
0
1. the falls and falls related history and balance and mobility as a risk factor for falls in people with haemophilia and other bleeding disorders
Query!
Assessment method [1]
1661
0
Query!
Timepoint [1]
1661
0
Measured at baseline
Query!
Primary outcome [2]
1662
0
2. whether an individualised tailored home exercise program targeting balance and strength in adults with haemophilia and other bleeding disorders will improve balance and strength in this population
Query!
Assessment method [2]
1662
0
Query!
Timepoint [2]
1662
0
Measured through the follow-up assessment at the conclusion of the exercise program
Query!
Secondary outcome [1]
2967
0
1. Which measures of balance performance (laboratory and clinical) are most useful in identifying balance impairment in people with haemophilia and other bleeding disorders.
Query!
Assessment method [1]
2967
0
Query!
Timepoint [1]
2967
0
Measured at baseline.
Query!
Secondary outcome [2]
2968
0
2. What the association is between balance performance and falls risk.
Query!
Assessment method [2]
2968
0
Query!
Timepoint [2]
2968
0
Measured at baseline.
Query!
Secondary outcome [3]
2969
0
3. What the association is between balance performance and falls efficacy.
Query!
Assessment method [3]
2969
0
Query!
Timepoint [3]
2969
0
Measured at baseline.
Query!
Secondary outcome [4]
2970
0
4. What the feasibility and effectiveness is of a tailored home exercise program in improving balance in adults with haemophilia and other bleeding disorders.
Query!
Assessment method [4]
2970
0
Query!
Timepoint [4]
2970
0
Measured at 4-month follow-up.
Query!
Eligibility
Key inclusion criteria
All participants must be willing and able to give informed consent. They must also be able to stand unsupported for greater than 30 seconds.
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
Not stated
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
Participants will be excluded if there is presence of additional co-morbidities that confer risk of falls, or if they have had lower limb surgery within the previous two months.
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Non-randomised trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Open (masking not used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Query!
Type of endpoint/s
Safety/efficacy
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Recruiting
Query!
Date of first participant enrolment
Anticipated
1/11/2005
Query!
Actual
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
60
Query!
Accrual to date
Query!
Final
Query!
Recruitment in Australia
Recruitment state(s)
Query!
Funding & Sponsors
Funding source category [1]
1337
0
Charities/Societies/Foundations
Query!
Name [1]
1337
0
Haemophilia Foundation of Australia
Query!
Address [1]
1337
0
Query!
Country [1]
1337
0
Australia
Query!
Primary sponsor type
Charities/Societies/Foundations
Query!
Name
Haemophilia Foundation of Australia
Query!
Address
Query!
Country
Australia
Query!
Secondary sponsor category [1]
1180
0
None
Query!
Name [1]
1180
0
nil
Query!
Address [1]
1180
0
Query!
Country [1]
1180
0
Query!
Ethics approval
Ethics application status
Approved
Query!
Ethics committee name [1]
2686
0
The Alfred Research and Ethics Committee
Query!
Ethics committee address [1]
2686
0
Query!
Ethics committee country [1]
2686
0
Australia
Query!
Date submitted for ethics approval [1]
2686
0
Query!
Approval date [1]
2686
0
27/10/2005
Query!
Ethics approval number [1]
2686
0
188/05
Query!
Summary
Brief summary
Health professionals working with people with haemophilia and other bleeding disorders (PWH) report a concern that patients appear to be at increased risk of falls and serious injuries from falls. However, to date there is no published research about falls risk in samples of adult haemophilia patients or any research quantifying the extent of balance dysfunction in PWH. Therefore this project aims to: - Determine which measures of balance performance are most useful in identifying balance impairment in PWH in comparison to healthy age and gender matched controls; - Evaluate the association between balance performance and falls risk; - Evaluate the association between balance performance and falls efficacy (confidence in mobility); and - Evaluate the feasibility and effectiveness of a tailored home exercise program in improving balance and related outcomes for PWH. Thirty adults with haemophilia or other bleeding disorders and 30 age and gender matched healthy adults will be recruited. All participants will undergo a baseline assessment of laboratory measures of balance, clinical measures of balance, falls risk, falls efficacy, activity level, pain, disease severity and health related quality of life. Following the initial assessment the participants from the haemophilia group will be provided with an individually tailored balance and strengthening home exercise program from a physiotherapist, based on the results of the initial assessment. The participants will be required to undertake the home exercise program for four months, during which time they will receive two visits from the physiotherapist, who will review them and provide any support required. At the end of the four month program the participants from the haemophilia group will undergo the baseline assessment again in order to evaluate their progress. This pilot work will be useful to inform health care providers, and PWH, about the magnitude of the problem of balance dysfunction, what methods are most appropriate to identify this risk, and whether standard balance training exercises will be useful in this group. If successful, further studies will be required with a large sample to evaluate whether this approach can reduce falls in this group.
Query!
Trial website
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
36239
0
Query!
Address
36239
0
Query!
Country
36239
0
Query!
Phone
36239
0
Query!
Fax
36239
0
Query!
Email
36239
0
Query!
Contact person for public queries
Name
10040
0
Ms Marcia Fearn
Query!
Address
10040
0
National Ageing Research Institute
PO Box 31
Parkville VIC 3052
Query!
Country
10040
0
Australia
Query!
Phone
10040
0
+61 3 83872512
Query!
Fax
10040
0
+61 3 83872153
Query!
Email
10040
0
[email protected]
Query!
Contact person for scientific queries
Name
968
0
Associate Professor Keith Hill
Query!
Address
968
0
National Ageing Research Institute
PO Box 31
Parkville VIC 3052
Query!
Country
968
0
Australia
Query!
Phone
968
0
+61 3 83872639
Query!
Fax
968
0
+61 3 83872153
Query!
Email
968
0
[email protected]
Query!
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.
Download to PDF