Neck Integration and Eye Movement Training for Fall Risk in the Elderly

Not Applicable

Active, not recruiting

• Conditions: Elderly; Oculomotor System; Proprioception, Postural Balance

• Registration Number: NCT07167979
• Lead Sponsor: Kaohsiung Medical University

Brief Summary

Age is one of the primary risk factors for falls, with risk increasing as people get older. Research on fall risk and prevention has identified hundreds of contributing factors, showing that falls have complex and multifactorial causes. Risk factors can be categorized as environmental, extrinsic, or intrinsic. Intrinsic factors include physiological aspects-such as reduced lower-limb strength, impaired gait and balance, weaker grip strength, diminished sensory function, and poorer sensorimotor control-as well as psychological aspects, including fear of falling, depression, and cognitive decline. Strongly associated intrinsic risk factors include a history of falls, physical weakness, gait and balance disorders, certain medications, and dizziness. While fixed factors like age and fall history cannot be changed, identifying and targeting modifiable risk factors is crucial for prevention. Among these, gait and balance impairments are considered the most important modifiable intrinsic factors.

Detailed Description

Not available

Study Timeline

• Study Start: 2025-08-10
• Study First Submitted: 2025-08-20
• Status Verified: 2025-09
• Study First Submitted QC: 2025-09-04
• Last Update Submitted: 2025-09-04
• Study First Posted: 2025-09-11
• Last Update Posted: 2025-09-11
• Primary Completion: 2025-12
• Study Completion: 2026-05-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Adults aged 65 to 85 years. Able to independently perform mobility necessary for activities of daily living.

No major medical conditions that significantly affect functional capacity.

Exclusion Criteria

• Presence of central nervous system disorders (e.g., stroke). Severe musculoskeletal or visual injury of the lower limbs within the past three months that prevents participation in assessments.

Cognitive impairment. Current use of antidepressant medications.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Neck proprioception	Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.	Laser Joint Position Error Test
Neck range of motion	Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.
Neck position	Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.	Measurement Method: Craniovertebral Angle
Neck muscle	Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.	craniocervical flexion test, CCFT
Center of Pressure	Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.	force plate
Oculomotor	Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.	tobii eye tracker 5; :Latency and Accuracy
Dynamic balance	Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.	y-balance
L/E Muscle strength	Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.	MicroFET2 MMT
Ankle proprioception	Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.	Joint Position Reproduction Test Kinesthesia
The Falls Efficacy Scale International	Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.	The scale scores range from 16 to 64, with higher scores indicating greater severity

Trial Locations

Locations (1)

Oculomotor training device; 🇨🇳 Kaohsiung City, Sanmin District, Taiwan