Effect of Otago Exercise Program in Comparison With Dual Task Training on Balance and Postural Control in Elderly Population
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Balance
研究概览
简要总结
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.
详细描述
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)
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
Otago exercise group
Otago exercise program consist of strengthening exercise of lower limb muscles and along with balance exercises. Knee flexors, knee extensors and hip abductors, which are particularly important or functional movements and walking. Ankle dorsiflexor and plantar flexor muscles, which are particularly important for recovering balance. Ankle cuff weights provide resistance to the knee flexors, knee extensors and hip abductors; the ankle dorsiflexors and plantar flexors are strengthened using body weight alone. The balance exercises are dynamic as well as static. They can help to maintain balance, postural control and functional mobility.
The program was designed specifically to prevent falls. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan. The exercises are individually prescribed and increase in difficulty during a series of visits under a trained instructor. ankle cuff weights (starting at 1kg) t
干预措施: otago exercise (Procedure)
Dual task group
Dual task training (DTT) is an intervention that involves performing two tasks simultaneously, typically a motor task (e.g., walking, standing) and a cognitive task (e.g., solving a mental puzzle, counting). The aim is to improve balance, postural control, functional mobility, and cognitive function, which are crucial for reducing the risk of falls among older adults. As people age, they experience declines in several areas, including: Reduced muscle strength, flexibility, and coordination make movements like walking or maintaining balance more difficult, Declines in attention, memory, and executive functions (e.g., problem-solving, decision- making) can make it challenging to focus on multiple things at once. For older adults, this dual tasking can increase the risk of imbalance and falls. DTT aims to improve older adults' ability to manage these simultaneous demands, making daily life safer and more manageable. Dual task training focuses on performing a motor task and a c
干预措施: Dual task exercise (Procedure)
结局指标
主要结局
Balance
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
未报告次要终点