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Mobility & Falls

Approximately 30% of adults aged over 65 fall each year and many report difficulties with mobility. This theme focuses on exercise and other physical activity interventions to prevent falls and enhance mobility.

Learn more about fall prevention from Prof Anne Tiedemann's interview on ABC Radio Canberra below.

Preventing falls_ABC Radio Canberra Jan 2024
00:00 / 09:16
Current research projects & trials

BEST at Home - Balance Exercise and Strength Training program for older people living at home

We hope the findings of this project lead to the development of home-based exercise programs to improve strength, balance and reduce falls and improve shoulder functioning in older people. The aim of this project is to compare the effectiveness of two home-based exercise programs – one aimed at improving lower limb strength and balance for preventing falls and the other aimed at improving upper limb strength and mobility to reduce shoulder dysfunction. Participants are taught the exercises in a group workshop setting and then complete their exercises at home three times each week for 12 months. Participants are provided with a calendar to record their exercises and falls each month, and a program manual and exercise weights. This project is no longer recruiting. Principal Investigator: Professor Cathie Sherrington. Chief Investigators: Dr Susan Furber, Professor Anne Tiedemann, Professor Kirsten Howard, Professor Adrian Bauman, Associate Professor Karen Ginn and Dr Paul Van Den Dolder. This project has received ethics approval from the University of Wollongong and Illawarra Shoalhaven Local Health District. This is a NHMRC Partnership Grant (2014 – 2019). For more information about this project, please contact: Professor Cathie Sherrington e: cathie.sherrington@sydney.edu.au Trial registered on ANZCTR: ACTRN12615000865516

Coaching for Healthy Ageing (CHAnGE) - Effect of a physical activity promotion and fall prevention plan on physical activity and falls in community-dwelling people aged 60+

We hope the findings of this project lead to increased physical activity, decreased risk of falling and improved eating habits in older people. The aim is to evaluate the effectiveness of two 12 month healthy ageing strategies among people who attend established, community-based groups. The first intervention is a physical activity and fall prevention intervention, including telephone-based health coaching and written information on physical activity and falls. The second is a nutrition intervention involving telephone-based health coaching and written information about eating habits. The trial also aims to establish the impact of these interventions on physical activity, eating habits, weight (body mass index), goal attainment, mobility confidence, quality of life, fear of falling, risk-taking behaviour, well-being, and mood. This project is no longer recruiting. Principal Investigator: Professor Cathie Sherrington. Chief Investigators: Professor Anne Tiedemann, Professor Dafna Merom, Professor Stuart Smith, Associate Professor Allison Tong, Professor Kirsten Howard and Professor Chris Rissel. This project has received ethics approval from the University of Sydney Human Research Ethics Committee. This is a NHMRC Project Grant (2015 – 2018). For more information about this project, please contact: Associate Professor Anne Tiedemann e: anne.tiedemann@sydney.edu.au Trial registered on ANZCTR: ACTRN12615001190594

SAGE - Preventing falls with yoga based exercise

We hope the findings of this project lead to the development of a yoga-based exercise program to prevent falls in people aged 65 and over. The aim of this project is to assess the effectiveness of a 40 week yoga program, compared with an advice booklet, on falls. We will also assess the effectiveness of the program on other key indicators of healthy ageing, such as mental health, establish the cost-effectiveness of the intervention, and measure the yoga program’s potential for implementation. Participants allocated to the yoga-based exercise group will attend 40 weeks of twice-weekly, one-hour yoga classes in established yoga studios in Sydney with experienced yoga teachers. Participants will be asked to complete a home-based yoga program for at least two extra 20-minute sessions each week. This project is currently recruiting. For more information about this project, please contact us at sph.sagetrial@sydney.edu.au Principal Investigator: Professor Anne Tiedemann (IMH) Chief Investigators: Professor Cathie Sherrington (IMH), Professor Stephen Lord (NeuRA) Associate Investigators: Professor Kirsten Howard (University of Sydney), Professor Adrian Bauman (University of Sydney), Professor Chris Rissel (University of Sydney), Professor Robert Cumming (University of Sydney), Professor Kaarin Anstey (NeuRA), Professor Roberta Shepherd (University of Sydney), Associate Professor Patrick Kelly (University of Sydney), Dr Anne Grunseit (University of Sydney), Romina Sesto This project has received ethics approval. The sponsor of this trial is The University of Sydney. Funding is from the National Health and Medical Research Council.

PROPOSE - Professional referral to physical activity, sport and exercise

We hope the findings of this project lead to enhanced promotion of physical activity by health professionals for people aged 50+ and people of all ages with a physical disability. The aim of the project is to determine whether a health professional education and support package (workshop, website, on-line discussion, phone/email support) increases promotion of physical activity and frequency of recommendations about attendance at community-based structured physical activity opportunities among people aged 50+ and/or people of any age with physical disabilities compared with waiting list control. This project is currently recruiting. Chief Investigator: Professor Cathie Sherrington (IMH) Associate Investigators: Professor Anne Tiedemann (IMH), Dr Leanne Hassett (IMH), Dr Bethan Richards (IMH), Professor Louise Baur (The Children’s Hospital at Westmead & The University of Sydney), Professor Adrian Bauman (The University of Sydney), Professor Lisa Harvey (The University of Sydney), Associate Professor Philayrath Phongsavan (University of Sydney), Professor Jennifer Alison (University of Sydney), Associate Professor Ben Smith (University of Sydney), Kate Purcell (IMH), Jenni Cole (Disability Sports Australia), Professor Chris Rissel (University of Sydney & the NSW Office of Preventive Health), Associate Professor Jeff Walkley (Belgravia Leisure), Dr Genevieve Dwyer (Western Sydney University), Kerry West (IMH). This project has received ethics approval from Local Health District Ethics Committees and is being funded by Medical Research Future Fund (MRFF) Rapid Applied Research Translation Grant. For more information about this project, please contact: Kate Purcell e: kate.purcell@sydney.edu.au

Exploring health professionals' and parkrun volunteers' perspectives about referral to parkrun events

We hope the findings of this project lead to understanding of health professional promotion of parkrun to patients in Australia to help more Australians become active more often. The aim of the project is to undertake qualitative research with a range of health practitioners as well as with people who lead local parkrun events to explore greater health professional promotion of parkrun in Australia. Parkrun organise free, weekly, timed 5 km events in parks all around the world. To encourage patients to become more active, a number of general practice surgeries in the United Kingdom have become parkrun practices. In parkrun practices, health practitioners direct suitable patients to local parkrun events and encourage them to participate or volunteer. This project will explore the use of similar approaches in Australia. Principal investigator: Dr Stephen Gilbert (IMH) Chief Investigator: Prof. Cathie Sherrington (IMH) Associate Investigators: Prof. Anne Tiedemann (IMH), Dr Anne Grunseit (University of Sydney), Dr Lindsey Reece (University of Sydney). This project has received ethics approval from the University of Sydney Human Research Ethics Committee. For more information about this project, please contact: Dr Stephen Gilbert e: stephen.gilbert@sydney.edu.au

Adapting a successful program targeting falls reduction in the rehabilitation setting, to the acute hospital environment

We hope the findings of this project lead to understanding of how to adapt the successful Safe Recovery falls reduction program to the acute hospital environment. The aim of the project is to explore key suggested acute care-specific modifications to the Safe Recovery program from both clinical and patient perspectives and to explore perceived barriers and enablers to successful implementation of the Safe Recovery program in the acute setting. This will be explored through focus groups and interviews among acute care patients and family members, nurses, allied health professionals and medical officers. This project is currently recruiting. Principal Investigator: Wendy Tilden (Sydney Local Health District) Chief Investigator: Professor Cathie Sherrington (IMH) Associate Investigators: Dr Greg Fairbrother (Sydney Local Health District), Associate Professor Mark Latt (Royal Prince Alfred Hospital), Associate Professor Vasi Naganthan (Sydney Local Health District), Professor Bob Cumming (University of Sydney), Ms Annie Hepworth (Sydney Local Health District), Cassandra Chan (Sydney Local Health District), Ruth Perrott (Sydney Local Health District), Francis Ling (Royal Prince Alfred Hospital), Charlotte McLennan (IMH). This project has received ethics approval from the Sydney Local Health District Ethics Review Committee and has been funded by the Australia and New Zealand Musculoskeletal Clinical Trials Network Centre of Research Excellence Seed Funding scheme. For more information about this project please contact: Charlotte McLennan e: charlotte.mclennan@sydney.edu.au

Ironbark Trial - Preventing falls in older Aboriginal people

The aim of this trial is to assess the effectiveness of the Ironbark fall prevention program on reducing the number of falls in Aboriginal and Torres Strait Islander people who are 45 years and older. This group is compared to control participants who receive a healthy ageing program. The Ironbark program includes interactive discussion about fall risk factors, combined with balance and strength training. It was created after a successful New South Wales pilot and will now run across New South Wales, South Australia and Western Australia. This study is not yet recruiting participants. Principal Investigator: Professor Rebecca Ivers Institute for Musculoskeletal Health Investigators: Professor Cathie Sherrington and Professor Anne Tiedemann This study is funded through the NHMRC. For more information on this George Institute for Global Health trial, please contact: Dr Julieann Coombes w: https://www.georgeinstitute.org.au/people/julieann-coombes

iSOLVE - A cluster randomised controlled trial to evaluate the effectiveness of an integrated general practice fall prevention process compared with usual care on GP practice change and the rate of falls in older people residing in the community

The intention of the trial is to keep older patients active, independent and engaged with the community by focusing on falls prevention. This study aims to engage a whole of primary care approach to fall prevention by integrating processes and pathways into general practitioner practices, and programming health professionals to identify older people at risk of falls. This program will focus on people 65 years or older, who have fallen in the past year or are worried about falling, and who reside in the community. The iSolve intervention is a clinical decision tool for general practitioners to provide tailored management plans for elderly patients who have a high risk of falls. It also provides a directory of fall prevention service providers in the patient’s local area. This study is no longer recruiting participants. Principal Investigator: Professor Lindy Clemson Institute for Musculoskeletal Health Investigator: Professor Cathie Sherrington The study has received ethics approval from the University of Sydney and funding from the NHMRC. For more information about this University of Sydney trial: Visit the iSOLVE website w: https://sydneynorthhealthnetwork.org.au/programs/aged-care/ Or contact Professor Lindy Clemson e: lindy.clemson@sydney.edu.au Trial registered on ANZCTR: ACTRN12615000401550

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