Stepping-Up Intervention for Limited Mobility
(Stepping-Up Trial)
Trial Summary
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the treatment Chair-Based Yoga Program, Stepping-Up, Telephone-Based Coaching Walking Program?
Research shows that walking programs like STRIDE can help reduce the negative effects of immobility in hospitalized patients, such as loss of function and increased need for care after leaving the hospital. This suggests that similar programs, like the Stepping-Up intervention, may also be effective in improving mobility and reducing these negative outcomes.12345
Is the Stepping-Up Intervention for Limited Mobility safe for humans?
The Stepping-Up Intervention, including similar programs like Chair-Based Yoga and Telephone-Based Coaching Walking Program, has been generally safe in humans. Studies show no serious adverse events, with only a few minor issues like muscle strains, emphasizing the importance of starting slowly and gradually increasing activity.678910
How is the Stepping-Up treatment different from other treatments for limited mobility?
What is the purpose of this trial?
Preclinical mobility limitations (PCML) manifest early in the process of declining mobility, and are not typically identified or acted upon by clinicians. These mobility limitations manifest as changes in how daily tasks such as walking are performed (slower speed, lower endurance). Persons in the PCML stage are at increased risk for the onset of disability and chronic disease. Persistent deterioration in mobility is a predictor of mortality and has been reported even in the absence of changes in activities of daily living over a two-year period. Further, older persons with mobility limitations, including reduced gait speed, are at risk for falls. These cumulative transitions of a person's life-long mobility form their mobility trajectory and preventing mobility decline at an early stage along this trajectory is the focus of this research initiative. This study will evaluate a novel intervention, STEPPING-UP, for improving walking ability in persons with PCML.
Research Team
Julie Richardson, PhD
Principal Investigator
McMaster University
Ayse Kuspinar, PhD
Principal Investigator
McMaster University
Eligibility Criteria
This trial is for people aged 55-75 living in Ontario, Canada who have early signs of mobility decline but can still do daily tasks like walking. They must understand English, own a laptop with internet and email to use Zoom©, and not have any major illnesses that would stop them from participating.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants will attend virtual sessions for exercise and self-management tailored by a Physiotherapist and kinesiologist
Follow-up
Participants are monitored for changes in mobility and healthcare utilization
Treatment Details
Interventions
- Chair-Based Yoga Program
- Stepping-Up
- Telephone-Based Coaching Walking Program
Find a Clinic Near You
Who Is Running the Clinical Trial?
McMaster University
Lead Sponsor
City of Hamilton
Collaborator
YMCA Hamilton/Burlington/Brantford
Collaborator