The Effect of Modified Stepping Trainings in Frailty Elderly With Physical Performance- a Prospective Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Rehabilitation
- Sponsor
- Chonticha Kaewjoho
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Timed up and go test (TUGT)
- Status
- Completed
- Last Updated
- 8 months ago
Overview
Brief Summary
This single-blind, randomized controlled trial compared the effects of modifiled stepping exercise training on flat step and unstable step on the functional outcomes in community-dwelling older adults. The subjects were involved in a step up in 4 directions exercise on each surface, according to their groups, for 50 min/day, 3 days/week, for 6 weeks. The functional outcomes were assessed prior to training, at Week 3, Week 6 after training and 1 months after training.
Investigators
Chonticha Kaewjoho
Department of Allied Health Sciences
University of Phayao
Eligibility Criteria
Inclusion Criteria
- •The eligible participants needed ability of independent walking over at least 10 m without any assistive devices, and did not participate in a regular exercise program prior to being involved in the study. Older individuals who presented any signs and symptoms that might affect walking and the ability to participate in the study, such as unstable medical conditions, inflammation in the joints of the lower extremities (with a pain scale of more than 5 out of 10 on a visual analog scale), and having sequelae of neurological deficits, were excluded from the study
Exclusion Criteria
- •people who were initially recruited, those diagnosed with dementia, depression, severe cardiovascular disease, or mental illness were excluded.
Outcomes
Primary Outcomes
Timed up and go test (TUGT)
Time Frame: pre test, 4 week, 6 week, 1 month follow up
The study subjects were instructed to sit on a chair (46cm height) without arm rest. They were instructed to get up from chair on command, walk at a comfortable pace, walk around the cone which was marked 3m ahead and return to a seated position on the original chair. The stop watch was started as soon as the subject lifted buttocks off the chair and it was stopped at the point where the subject sat back in the chair after completing walking. The total time taken by each subject to complete the task was noted as the final score
The five-times-sit-to-stand (FTSTS) test
Time Frame: pre test, 4 week, 6 week, 1 month follow up
a simple and quick test initially designed to be a proxy measure of lower-limb strength. The test requires a subject to stand up and sit down five times as quickly as possible from a chair with a seat 43-cm high. The time taken to complete the test (the FTSTS scores) is recorded with a stopwatch. Excellent test-retest reliability of FTSTS scores (intraclass correlation coefficient (ICC) 0.933) has been reported in people with chronic stroke and community-dwelling older adults (ICC 0.89- 0.96). Several other studies have demonstrated the reliability or validity or both of FTSTS scores in specific subject populations, including Parkinson's disease (Duncan et al., 2011) and renal pathologies and subjects with rheumatoid arthritis and balance disorders
Secondary Outcomes
- Individual isometric muscle strength(pre test, 4 week, 6 week, 1 month follow up)
- Back-leg-chest strength(pre test, 4 week, 6 week, 1 month follow up)
- The 10-m Walk Test (10-m WT)(pre test, 4 week, 6 week, 1 month follow up)