Balance on the Brain: a randomised controlled trial evaluating the effect of a multimodal exercise programme on physical performance, falls, quality of life and cognition for people with mild cognitive impairment—study protocol
Metadatos
Mostrar el registro completo del ítemEditorial
BMJ
Fecha
2022-04-18Referencia bibliográfica
Burton E... [et al.]. Balance on the Brain: a randomised controlled trial evaluating the effect of a multimodal exercise programme on physical performance, falls, quality of life and cognition for people with mild cognitive impairment—study protocolBMJ Open 2022;12:e054725. doi: [10.1136/bmjopen-2021-054725]
Patrocinador
National Health and Medical Research Council (NHMRC) of Australia APP1174739; Curtin UniversityResumen
Introduction Exercise and physical activity have been
shown to improve cognition for people living with mild
cognitive impairment (MCI). There is strong evidence
for the benefits of aerobic exercise and medium
evidence for participating in regular strength training
for people with MCI. However, people living with MCI
fall two times as often as those without cognitive
impairment and the evidence is currently unknown
as to whether balance training for people with MCI is
beneficial, as has been demonstrated for older people
without cognitive impairment. The aim of this study is
to determine whether a balance-focused
multimodal
exercise intervention improves balance and reduces
falls for people with MCI, compared with a control group
receiving usual care.
Methods and analysis This single blind randomised
controlled trial (Balance on the Brain) will be offered
to 396 people with MCI living in the community. The
multimodal exercise intervention consists of two balance
programmes and a walking programme to be delivered
by physiotherapists over a 6-month
intervention period.
All participants will be followed up over 12 months (for
the intervention group, this involves 6-month
intervention
and 6-month
maintenance). The primary outcomes are
(1) balance performance and (2) rate of falls. Physical
performance, levels of physical activity and sedentary
behaviour, quality of life and cognition are secondary
outcomes. A health economic analysis will be undertaken
to evaluate the cost-effectiveness
of the intervention
compared with usual care.
Ethics and dissemination Ethics approval has been
received from the South Metropolitan Health Service
Human Research Ethics Committee (HREC), Curtin
University HREC and the Western Australia Department
of Health HREC; and approval has been received to
obtain data for health costings from Services Australia.
The results will be disseminated through peer-review publications, conference presentations and online
platforms.