Examination of the Effects of Thoracic Mobility Exercises on Balance, Exercise Capacity, Sleep Quality, Pain and Daily Life Activities in Geriatric Individuals
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- Beck Balance Scale
Study Overview
Brief Summary
Aging leads to a gradual decline in muscle function and structural changes in the musculoskeletal system, which can affect balance and increase the risk of falls. This study aimed to assess the effects of thoracic mobility exercises on balance, exercise capacity, sleep quality, pain, and daily activities in 28 geriatric individuals (65+ years). Participants were divided into two groups: the Thoracic mobility exercises group performed conventional exercises with additional thoracic mobility exercises, while the Conventional physiotherapy exercises group did not.
Detailed Description
Aging is a natural and irreversible process of the human body that involves a gradual decline in physiological, structural and functional activities. the general muscle function in the body decreases, and in this respect, in addition to structural changes in the musculoskeletal system, there are also changes in the internal function of the muscles. This change may cause an increase in the thoracic curvature in the sagittal plane and postural changes, a shift in the center of gravity forward, disrupting balance and increasing the risk of falling. the intervertebral disc spaces narrow, which causes an increase in the kyphosis angle of the spine. Although studies in the literature use thoracic mobility exercises, the investigators found that these studies specifically evaluate effects on respiratory functions. The aim of this study is to examine the effects of thoracic mobility exercises on balance, exercise capacity, sleep quality, pain and daily living activities in geriatric individuals. 28 geriatric individuals aged 65 and over who do not need care were included in this study and were divided into 2 groups as experimental and control by randomization. The Conventional physiotherapy exercises group; While the thoracic mobility exercises group was made to do conventional exercises including warm-up, stretching, strengthening, posture and breathing exercises, in addition to these exercises, thoracic mobility exercises were done. The individuals included in the study were studied for a total of 8 weeks, 1 week for pre-assessment, 1 week for post-assessment and 6 weeks for exercise training.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Elderly individuals over the age of 65
- •Those who scored at least 24 points on the mini mental test
- •Those who did not need care in their daily living activities
Exclusion Criteria
- •Those with uncontrolled Diabetes Mellitus and Hypertension
- •Those with severe obesity
- •Those who use medications that may increase the risk of falling
- •Those with serious auditory and visual problems
- •Those with physical and psychological problems affecting physical mobility
- •Those who have undergone surgery in the last 6 months
Arms & Interventions
the Thoracic mobility exercises group
Thoracic mobility exercises Group: Conventional physiotherapy exercises were given to individuals participating in the Thoracic mobility exercises group. Conventional physiotherapy exercises included warm-up, stretching, strengthening, posture and breathing exercises integrated between them. These exercises were performed in 30-40 minute sessions, 3 days a week and for 6 weeks. Thoracic mobility exercises were applied to individuals participating in the study group in addition to conventional physical therapy exercises.
Intervention: Thoracic mobility exercises Group (Other)
the Conventional physiotherapy exercises group
Conventional physiotherapy exercises Group: Conventional physiotherapy exercises were given to individuals participating in the Conventional physiotherapy exercises group. Conventional physiotherapy exercises included warm-up, stretching, strengthening, posture and breathing exercises integrated between them. These exercises were performed in 30-40 minute sessions, 3 days a week and for 6 weeks. Use this module to add descriptions of each arm in the study and to list the interventions being studied.
Intervention: the Conventional physiotherapy exercises Group (Other)
Outcomes
Primary Outcomes
Beck Balance Scale
Time Frame: baseline- 6 weeks later
Beck Balance Scale is a scale that evaluates balance in the elderly, where some performance tests are applied to evaluate the deterioration in balance function. It is a valid tool used in clinical practice and research for the evaluation of the effectiveness of interventions and quantitative definitions of function. It consists of 14 items that are scored by observing performance. A ruler, stopwatch, step, chair and 15-20 minutes are required for the application. The highest score is 56. 0-20 indicates balance disorder, 21-40 indicates acceptable balance, and 41-56 indicates good balance.
Time Up-Go test
Time Frame: baseline- 6 weeks later
To perform the Time Up-Go test, the patient rises from a chair, walks at a comfortable and safe pace to a line on the floor three meters away, turns, and sits back in the chair. The test is attempted once to become familiar with the test. If the patient uses a walking aid, they can perform the test with it. A shorter time indicates better functional performance. A test score of ≥13.5 seconds indicates those at high risk of falling in the community setting. However, threshold values reported in the literature range from 10 to 33 seconds
Secondary Outcomes
- Evaluation of Exercise Capacity(baseline- 6 weeks later)
- Evaluation of Sleep Quality(baseline- 6 weeks later)
- The Geriatric Pain Scale(baseline- 6 weeks later)
- The Bartel daily life activity assessment scale(baseline- 6 weeks later)
Investigators
Buket Büyükturan
Associate Professor
Kirsehir Ahi Evran Universitesi