Home-based exercise program to prevent falls in cardiac rehabilitation patients

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This research aims to evaluate the effectiveness of a structured home-based exercise program designed to enhance balance and muscle strength in patients undergoing cardiac rehabilitation. The program includes individualized therapeutic exercises delivered through a mobile health application, focusing on improving physical function and reducing fall risk. Participants will undergo comprehensive fall risk screening and physical function assessments before being randomized into either a standard rehabilitation group or an experimental group receiving the additional home-based training. The goal is to enhance the rehabilitation experience and improve daily living activities.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* All patients referred to and who undergo early outpatient CR irrespective of diagnosis will be eligible for the study.
* All participants must have access to a smart mobile device.

Exclusion Criteria:

* Advanced dementia.
* Wheelchair bound.
* Vision loss.
* Patients that underwent sternotomy within 12-weeks will be excluded from the upper body muscular strength/power assessment and associated upper body training. At the time of enrollment into CR, balance, upper body muscular fitness, and lower body muscular fitness will be assessed in each subject before they are randomized at a 1:1 allocation ratio into one of two parallel groups:
* Standard early outpatient center-based supervised CR only (control; CR); or
* Early outpatient center-based supervised CR plus individualized, home-based, m-Health delivered physical function training (experimental group; CR+PFt). Balance, upper body muscular fitness, and lower body muscular fitness and gait will be reassessed in each participant after 5-to-6 weeks of CR and again upon completion of the CR program. Patient reported measures of fall risk will be measured at baseline with the Stop Elderly Accidents, Deaths, and Injuries (STEADI) tool kit. Balance confidence, health-related quality of life, physical activity level, and functional capacity will be evaluated before and after CR and CR+PFt using the Activities-Specific Balance Confidence (ABC) Scale, the Dartmouth Primary Care Cooperative Information Project (COOP) charts, and the Duke Activity Status Index (DASI).

Where it's running

• Mayo Clinic Arizona
  Scottsdale, Arizona, United States Recruiting
• Mayo Clinic Florida
  Jacksonville, Florida, United States Recruiting

Study contacts

• Principal investigator: Robert Scales, PhD, MS — Mayo Clinic
• Study coordinator: Robert Scales, PhD, MS
• Email: scales.robert@may.edu
• Phone: 480-791-8935

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.