Monitoring Combined Effect of Balance and Strengthening Exercises on Static and Dynamic Balance in Elderly Populations
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Timed Up and Go (TUG) (sec.)
研究概览
简要总结
The purpose of training is to evoke improvements in reactive balance, then the training program may be associated with all postural control systems, including the musculoskeletal system, the cognitive system, as well as the somatosensory feedback system, while challenging the body in different environmental situations and unexpected perturbations
详细描述
A study will be conducted at South Valley University Hospital. Subjects have been assigned a consent form before enrolling in the study. This study followed the Consolidated Standards of Reporting Trials guidelines.
Design Parallel double blinded randomized control trial. Subjects Study will be included 60 subjects with geriatrics balance disturbance with high risk falling, osteoporosis, vestibular age related changes, female post-menopausal based on history, physical examination. Male and female subjects meeting the following criteria were included: age ranged from 50 to 70 years, BMI was 18-25 kg/m2, will be divided into two groups, If a patient had a history of hiatus hernia, substantial gastro-esophageal reflux, acute cardiac events, un controlled diabetes mellitus, hypertension within the last six weeks, congestive heart failure, acute exacerbation, exacerbation six months before, active hemoptysis, or malignant disease, they were excluded from the study.
Procedures Assessment
Assessment Tools to effectively monitor the combined effects of these exercises, various assessment tools can be employed:
Balance Tests: Standardized tests functional reach and the Timed Up and Go (TUG) test can provide quantitative measures of balance improvements.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
The study Group: training program will be implemented for 60 min per session, 3 times per week for 8 weeks. This intervention included aerobic training on treadmill or bicycle ergometer and mat activities (stretching and muscle strengthening). Balance Exercises & Strength and Balance Exercises.
1-Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice A- Standing with a decreased base B- Graded reaching in standing
- Feet together and level.
- Semi-tandem stance.
- Tandem stance.
- Stand on one leg.
- Maintain position for longer
- Close eyes.
- Stand on different surfaces e.g. foam rubber mat.
- Minimize hand support & Aim to increase time without hand support. • Feet placement- narrower, step standing
- Reaching further.
- Reaching in different directions.
- Reaching down to a stool or the floor.
- Reaching for heavier objects.
- Reaching for a full cup of water.
- Standing on a softer surface eg foam
入排标准
- 年龄范围
- 50 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •geriatrics balance disturbance with high risk falling
- •osteoporosis
- •vestibular age related changes
- •female post-menopausal based on history
排除标准
- •Hiatus hernia
- •Substantial gastro-esophageal reflux
- •Acute cardiac events
- •Uncontrolled diabetes mellitus
- •Hypertension within the last six weeks
- •Congestive heart failure,
- •Acute exacerbation, exacerbation six months before
- •Active hemoptysis, or malignant disease
研究组 & 干预措施
The study Group
training program will be implemented for 60 min per session, 3 times per week for 8 weeks. This intervention included aerobic training on treadmill or bicycle ergometer and mat activities (stretching and muscle strengthening). Balance Exercises & Strength and Balance Exercises.
- Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice
- Strength and Balance Exercises A- Sit-to-stand B- Heel raise C- Forward step-up D- Lateral step-up E- Half- squats sliding down a wall
干预措施: 1-Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice 2-Strength and Balance Exercises A- Sit-to-stand B- Heel r (Procedure)
The control group
The active control group will be received only physical therapy training, which will be provided 3 times per week for 60-min per session. This intervention included aerobic training on treadmill or bicycle ergometer and mat activities (stretching and muscle strengthening).
干预措施: 1-Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice 2-Strength and Balance Exercises A- Sit-to-stand B- Heel r (Procedure)
结局指标
主要结局
Timed Up and Go (TUG) (sec.)
时间窗: 8 weeks
Assessment Tools to effectively monitor the combined effects of these exercises, various assessment tools can be employed: • Timed Up and Go (TUG) Method: The patient starts in a seated position. The patient stands up upon therapist's command: walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the patient is seated. The subject is allowed to use an assistive device. Normal time ( \< 10 sec)
Functional Reach Test (FRT) (centimeters)
时间窗: 8 weeks
Assessment Tools to effectively monitor the combined effects of these exercises, various assessment tools can be employed: • Functional Reach Test (FRT): Functional Reach Test is a measure of how high someone can reach while standing. Procedure: If measuring against a wall, the subject stands side on and reaches up with the hand closest to the wall. Keeping the feet flat on the ground, the point of the fingertips is marked then the distance measured. Normal distance 25 centimeters or more
次要结局
未报告次要终点
研究者
Ibrahim Abuzaid
Head of Department of physical therapy for cardiovascular/pulmonary disorders and Geriatrics
South Valley University