Graded Motor Imagery and Fall Risk in Older Adults: An Exploratory Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Nerve Sensitivity Dorsum of Right Foot
研究概览
简要总结
To determine if there is any carry over effect of sensation training for the feet, officially called Graded Motor Imagery (GMI), will impact balance and fall risk factors in older individuals. This will be looked at to see if there is a difference in balance and sensation before and right after the training.
详细描述
In order to increase acuity of body maps, various tactile and movement-based strategies have been recommended and supported for research focusing on sensory discrimination. Current evidence, specific to painful conditions related to altered cortical mapping, have shown growing evidence in reducing pain and disability. In regards to it's ability to alter foot pain in older adults and decreasing fall risk, prior conference case study and case series presentations have suggested potential clinical benefit, but it has not been formally studied. The aim of this study is to determine if a sensory discrimination training for feet in older adults can alleviate pain, improve sensory discrimination, and also decrease fall risk. Specifically, does a 20 minute training session improve pain, balance (Brief-BEST test), and sensory discrimination in individuals over 65 years of age. Secondary analysis may exam characteristics that best identify those who benefit from this training.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Other
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Be able to read and understand English
- •Be over the age of 65
- •Be independent with ambulation (with or without an assistive device)
- •Not have any skin condition or injury to the plantar or dorsal part of the foot
- •Have the visual ability to view images on a tablet to partake in a test
排除标准
- •No existing skin conditions on the bottom of the foot that would impair sensation
- •No current injury to the plantar or dorsal side of the foot
- •No prior surgery or major injury to the plantar or dorsal side of the foot
- •Lacking sensation in the foot
- •Unable to read and understand English
- •Lacking ability to view images on a tablet to partake in a test
- •Unable to ambulate (with or without an assistive device)
结局指标
主要结局
Nerve Sensitivity Dorsum of Right Foot
时间窗: Assessed before and immediately after treatment
Change (from before treatment to immediately after treatment) in Pain Pressure Threshold (PPT) on dorsum of right foot (in pounds)
Lower extremity pain rating
时间窗: self-reported, change from before to immediately after treatment
Change (from before treatment to immediately after treatment) in pain for the lower extremity using the numeric pain rating scale (NPRS - 0 to 10 where 0 = no pain and 10 + maximum pain)
Laterality Speed
时间窗: tested for 60 seconds before and immediately after treatment
Change (from before treatment to immediately after treatment) in speed of foot recognition using Recognize (TM) (speed in seconds to recognize each of 40 images as right or left foot)
Laterality Accuracy
时间窗: tested for 60 seconds before and immediately after treatment
Change (from before treatment to immediately after treatment) in accuracy of foot recognition using Recognize (TM) (percent accurately correctly identified as right or left foot of those 40 images)
Nerve Sensitivity Dorsum of dominant hand
时间窗: Assessed before and immediately after treatment
Change (from before treatment to immediately after treatment) in Pain Pressure Threshold (PPT) on dorsum of web space of dominant hand (in pounds)
Nerve Sensitivity Dorsum of Left Foot
时间窗: Assessed before and immediately after treatment
Change (from before treatment to immediately after treatment) in Pain Pressure Threshold (PPT) on dorsum of left foot (in pounds)
Balance / fall risk
时间窗: Assessed before and immediately after treatment
Change (from before treatment to immediately after treatment) in Brief-BESTest (6 task subsets to assess static and dynamic balance) (0 - 15 scale where 0 - lowest score / unstable and 15 = highest / no balance issues)
次要结局
未报告次要终点
研究者
Kevin Farrell
Professor Emeritus / Principal Investigator
St. Ambrose University