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Effects of Comprehensive Fall Prevention Protocol (CARE: Cognitive-Aerobic-Resistance-Exer-gaming) on Mobility Level in Elderly

Not Applicable
Conditions
Physical Therapy
Balance Traiing
Fall Patients
Fall Injury
Geriatric Fall
Interventions
Other: electrotherapy treatment
Registration Number
NCT04529200
Lead Sponsor
Isra University
Brief Summary

Lack of research oriented health care facilities especially rehabilitation department in Pakistan. 30-50 % of population of age 65 years and above have some problems with balance (3) and 75 % of people aging 70 years and above have poor balance which leads to fall related injuries (5). So fall and related injuries are major problem in this age group. All studies conducted so far addresses only one or two aspects of balance training not to all. This study will address all the aspects and develop a comprehensive balance training protocol and will try to contribute to this under research area.

Detailed Description

Lack of research oriented health care facilities especially rehabilitation department in Pakistan. 30-50 % of population of age 65 years and above have some problems with balance (3) and 75 % of people aging 70 years and above have poor balance which leads to fall related injuries (5). So fall and related injuries are major problem in this age group. All studies conducted so far addresses only one or two aspects of balance training not to all. This study will address all the aspects and develop a comprehensive balance training protocol and will try to contribute to this under research area.

Cost effective treatment for patients. To meet the expectation of patient to improve their quality of life and improvement of their satisfactory level. It will be interesting for patient to visualize the activity patient is performing and comparison of effectiveness of comprehensive fall prevention protocol with traditional balance training.

It will reduce the occurrence of fall episodes and hence reduce the cost to treat these fall and fall related injuries. Older adult will be less dependent, and more mobile and contributing member of the community.

Objectives

The objectives of the study are:

1. To compare the effect of comprehensive fall prevention protocol (CARE) on fall risk as compared to conventional training in elderly.

2. To compare the effect of comprehensive fall prevention protocol (CARE) on Mobility Level as compared to conventional training in elderly.

3. To compare the effect of comprehensive fall prevention protocol (CARE) on Wii Fit balance as compared to conventional training in elderly.

4. To compare the effect of comprehensive fall prevention protocol (CARE) on Dynamic Balance as compared to conventional training in elderly.

5. To compare the effect of comprehensive fall prevention protocol (CARE) on Quality of life as compared to conventional training in elderly.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Individuals of age 60 -80 years
  • Either gender
  • Berg balance score between 20-40
Exclusion Criteria
  • • Musculoskeletal conditions (fractures, severe arthritis)

    • Neurological conditions like Epilepsy, Parkinson,
    • Alzheimer's, Impaired cognition
    • Other systemic diseases or co-morbidities

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1. Comprehensive fall prevention protocol group (CARE)electrotherapy treatmentevery week protocol change for every patient according to 1 repetition maximum
2. Conventional balance training groupelectrotherapy treatmentconventional protocol commonly used for rehabilitation
Primary Outcome Measures
NameTimeMethod
Berg Balance Test8 week

questionaire used to evaluate balance

Activities of Balance Confidence8 week

questionaire used to evaluate balance

Fullerton Advanced Balance (FAB) Scale8 week

questionaire used to evaluate function of balance in older adult

Functional reach test8 week

This test measures the distance between the length of an outstretched arm in a maximal forward reach from a standing position,while maintaining a fixed base of support.

Dynamic gait index8 week

The Dynamic Gait Index (DGI) was developed as a clinical tool to assess gait, balance and fall risk.

Elderly mobility scale8 week

questionaire used to evaluate condition of elders

Timed Up and go test (TUG)8 week

questionaire used to evaluate mobility

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Isra University

🇵🇰

Islamabad, Capital, Pakistan

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