Effect of Otago Exercise Program in Comparison With Dual Task Training on Balance and Postural Control in Elderly Population

Not Applicable

Active, not recruiting

• Conditions: Postural Balance; Posture; Aged; Exercise Therapy; Fall Prevention; Muscle Strength; Cognition

• Registration Number: NCT06929351
• Lead Sponsor: Foundation University Islamabad

Brief Summary

Balance and postural control are major concerns in reduction of risk of fall among older adults. Otago Exercise Program and dual task training program are commonly used approaches to improve balance, functional mobility and postural control. However, limited studies have compared the efficacy of Otago Exercise Program and dual task training program in improving balance and functional mobility. One-third to one-half of the population over age 60 reports injuries due to fall because of the high incidence of balance and mobility disorders in older adults, interventions are necessary that optimize the performance of balance- and mobility-related activities among older adults. The aim of the current study to find out better intervention which will benefit the clinicians and physiotherapists in clinical decision making of managing the geriatric population, suffering fear of fall, going to effect on their daily livings, with evidence.

Detailed Description

Objective of study:

* To determine the effect of Otago Exercise Program in comparison with Dual task training on balance in elderly population.

* To determine the effect of Otago Exercise Program in comparison with Dual task training on functional mobility in elderly population.

* To determine the effect of Otago Exercise Program in comparison with Dual task training on postural control in elderly population.

* To determine the effect of Otago Exercise Program in comparison with Dual task training on reduction the fear of fall in elderly population. Significance of study

* The study will be going to highlight whether healthy older adults who perform Otago exercise program would show significant improvement on balance and postural control in comparison with dual task training program.

* Through this research medical professionals may identify the best treatment protocol in reduction of fear of fall among older adults.

* This study will helpful for the physiotherapists in clinical decision making of managing the geriatric population, suffering fear of fall, going to effect on their daily livings, with evidence.

* It will provide research data for further study and fill the research gap. Alternate hypothsis

* There will be statistically significant difference between Otago Exercise Program in comparison with Dual task training on balance in elderly population. (p\<0.05)

* There will be statistically significant difference between Otago Exercise Program in comparison with Dual task training on postural control in elderly population. (p\<0.05).

* There will be statistically significant difference between Otago Exercise Program in comparison with Dual task training on fear of fall in elderly population. (p\<0.05)

* There will be statistically significant difference between Otago Exercise Program in comparison with Dual task training on functional mobility in elderly population (p\<0.05).

Null hupothesis

* There will be no statistically significant difference between Otago Exercise Program in comparison with Dual task training on balance in elderly population. (p\>0.05)

* There will be no statistically significant difference between Otago Exercise Program in comparison with Dual task training on postural control in elderly population. (p\>0.05)

* There will be no statistically significant difference between Otago Exercise Program in comparison with Dual task training on fear of fall in elderly population. (p\>0.05)

* There will be no statistically significant difference between Otago Exercise Program in comparison with Dual task training on functional mobility in elderly population. (p\>0.05)

Study Timeline

• Study Start: 2024-09-12
• Study First Submitted: 2024-12-06
• Primary Completion: 2025-03-15
• Status Verified: 2025-04
• Study First Submitted QC: 2025-04-14
• Last Update Submitted: 2025-04-14
• Study Completion: 2025-04-15
• Study First Posted: 2025-04-16
• Last Update Posted: 2025-04-16

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Age ≥ 60 years
• both male and female,
• Older adults who are functionally independent,
• Can walk independently or with assistive devices will be considered typical healthy,
• Can sit to stand with or without support,
• Mini-mental status examination ≥ 24.

Exclusion Criteria

• history of fracture especially in the lower limb,
• major cognitive issues (e.g. Alzheimer's disease, dementia),
• major orthopedic problems (e.g. lower limb fractures, amputation),
• neurological disease (e.g. stroke, Parkinson disease) or any other comorbidities that restrict mobility
• marked impairment of visual and vestibular function.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Balance	8 weeks	Berg balance scale is used to assess static and dynamic balance having 14 balance tasks Scoring: 5-point ordinal scale (graded 0-4) , Max score = 56 41-56 = low fall risk, 21-40 = medium fall risk, 0 -20 = high fall risk Perform at the start of treatment protocol, after 4 weeks and at the end of intervention
Postural Control	8 weeks	tool used for assessment of postural control is Dynamic gait index. It includes eight items, A four-point ordinal scale, ranging from 0-3. "0" indicates the lowest level of function and "3" the highest level of function.; Total Score = 24. \< 19/24 = predictive of falls in the elderly, \> 22/24 = safe ambulators
risk of fall	8 weeks	tool used to assess fall risk is FES-I. 16 items Questionnaire. individuals are instructed to score their concern of falling during an activity on a 4 point Likert scale with 1 as not concerned at all and 4 as very concerned. The item scores are summed up to obtain a total of 64. ≤ 16= no concern about falling \> 16= concern about falling
Functional Mobility	8 weeks	tool used for assessment of functional mobility is Timed Up And Go. Uses 1 practice/3 trials for average score. If the participant perform it with in 10 sec will be consider normal, \> 10 second= impaired functional mobility lead to moderate to high risk of fall.
Functional Mobility Strength	8 weeks	Tool used for assessment of functional mobility strength is Sit to stand 30 sec: The score is the total number of stands with in 30 sec. For men and women above 60 years normal average score is 15 and 12 respectively below average score indicates a risk.

Trial Locations

Locations (1)

Foundation University College of Physical Thrapy; 🇵🇰 Islamabad, Pakistan