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ISRCTN
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ISRCTN36275952
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ClinicalTrials.gov identifier
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Public title
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Can an enhanced balance training programme improve mobility & reduce falls in elderly patients presenting to Health Services
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Scientific title
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Acronym
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N/A
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Serial number at source
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REC00164
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Study hypothesis
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A randomised control study will be undertaken in 200 patients over 60 years of age to investigate the feasibility, effectiveness and acceptability of a well-defined generalisable, mainstream physiotherapy intervention in improving mobility and preventing falls. Outcome will be measured at 1, 3 and 6 months. In addition to validated measures for balance, falls and mobility, assessments will be include measures of functional ability, quality of life, patients' perception of walking abilities and satisfaction. Information will also be available on effective components of balance training (which can be replicated in other settings) and identification of patients most likely to benefit which will facilitate targeting to improve overall effectiveness. The emphasis of the project is to develop and evaluate interventions deliverable within mainstream practice and applicable to mainstream patients.
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Lay summary
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Ethics approval
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Not provided at time of registration
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Study design
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Randomised controlled trial
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Countries of recruitment
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United Kingdom
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Disease/condition/study domain
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Injury, occupational diseases, poisoning: Musculoskeletal injury
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Participants - inclusion criteria
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200 patients over 60 years of age who present with falls/deteriorating mobility to outpatient clinics, A & E departments and outpatients therapy services on 3 sites.
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Participants - exclusion criteria
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Does not match inclusion criteria
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Anticipated start date
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01/05/1998
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Anticipated end date
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01/04/2001
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Status of trial
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Completed |
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Patient information material
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Target number of participants
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200
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Interventions
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1. Intervention group will receive therapy specific to functional balance consisting of repetition and progressive grading of tasks to narrow the base of support and retraining dynamic balance.
2. Conventional treatment will consist of general transfer and mobility skills as currently prescribed.
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Primary outcome measure(s)
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Timed 3 metre walk; Self Perception Questionnaire (SPQ); Berg Balance Scale (incorporating the 180 degree turn); Balance Performance Monitor (BPM); Falls Efficacy Scale; Frenchay Activities Index; Euroqual; patient satisfaction.
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Secondary outcome measure(s)
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Not provided at time of registration
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Sources of funding
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NHS Executive London (UK)
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Trial website
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Publications
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2003 results in http://www.ncbi.nlm.nih.gov/pubmed/12757574
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Contact name
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Prof
Lalit
Kalra
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Address
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Guy's, King's, St Thomas' School of Medicine
Department of Medicine
King's Denmark Hill Campus
Bessemer Road
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City/town
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London
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Zip/Postcode
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SE5 9PJ
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Country
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United Kingdom
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Tel
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+44 (0)20 7346 3487
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Fax
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+44 (0)20 7346 3195
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Email
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lalit.kalra@kcl.ac.uk
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Sponsor
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NHS R&D Regional Programme Register - Department of Health (UK)
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Address
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The Department of Health
Richmond House
79 Whitehall
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City/town
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London
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Zip/Postcode
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SW1A 2NL
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Country
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United Kingdom
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Tel
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+44 (0)20 7307 2622
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Fax
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+44 (0)20 7307 2623
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Email
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dhmail@doh.gsi.org.uk
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Sponsor website:
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http://www.doh.gov.uk
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Date applied
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23/01/2004
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Last edited
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22/09/2009
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Date ISRCTN assigned
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23/01/2004
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