Effect Task specific exercises on balance, walking speed and functional performance in elderly people

Completed

Conditions: balance, walking speed issues

Registration Number: CTRI/2018/07/015067

Lead Sponsor: Indian Spinal Injuries Centre Institute of Rehabilitation Sciences

Brief Summary: Falls are a well-known problem among the elderly and it has been reported that one in three people aged 65 years and over fall once or more each year and about 50% of them will suffer recurrent falls (Masudand Morris 2001). Several studies have determined the physical consequences of falls, such as hip fractures (1%), fractures at other sites (3%) or brain injury (2%). Gait changes and poor balance ability are among the major fall risk factors.

Epidemiological studies of falls in the elderly have indicated that falls are a multi-causal phenomenon with a complex interaction between intrinsic factors (e.g., advanced age, specific diseases, gait disorders) and extrinsic factors (e.g., environmental and housing conditions). Among the intrinsic factors, researchers have identified decreased balance and mobility skills as very strong predictors of the likelihood for falls. Hallmarks for successful aging by community-dwelling older adults include appropriate gait speed (Montero-Odasso et al., 2005) and balance confidence (Powell& Myers, 1995).

Gait and balance disorders have been consistently identified in multiple reviews as among the strongest risk factor for falls. About 10-25% of falls are associated with poor balance and gait abnormalities. Functional mobility is a term used to reflect the balance and gait manoeuvres used in everyday life (e.g., getting in and out of a chair, walking, turning).7 Because activity restriction is associated with numerous consequences related to physical de-conÂditioning and reduced levels of social participation, mobility is intimately linked to health status and quality of life (Groessl et al., 2007; Metz, 2000; Yeom, Fleury, & Keller, 2008).

It has been shown task specific circuit training is effective in many neurological conditions like stroke and multiple sclerosis.Circuit training is a technique in which exercises are performed in successive stations with either a predetermined number of repetitions or for a set duration. Exercise intervention in form of task-oriented exercise programme is now recognised as a new strategy to improve functional status of chronic stroke individuals.10 But none of the studies have investigated the effect of task-oriented circuit training on balance, gait speed and functional ability of community dwelling elderly. Keeping this in view the study was designed to see the effects of task-oriented circuit training on balance, gait speed and functional ability in community dwelling elderly and to establish the feasibility of task-oriented circuit training in elderly.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 60

Inclusion Criteria

1.Community dwelling elderly and not institutionalized or hospitalized.
2.Age: Above and equal to 65 years (Male/Female).
3.Subjects having Mini Mental State Exam score of greater than and equal to 24.
4.Activities specific balance confidence scale score greater than 67%.
5.Subjects who were able to ambulate independently without assistive devices.
subjects willing to give signed consent form.

Exclusion Criteria

1.Subjects with musculoskeletal diseases /deformities of lower limbs.
2.Subjects with neurological disorders like stroke, traumatic brain injury, Parkinsonâ€™s disease, etc.
3.History of unstable cardiac disease / pathologies, history of cardiac surgery.
4.Subjects having moderate to severe depressive subjects (Geriatric Depression Scale Score >8).
5.Subjects who had a recent fall within six months.
6.Uncorrected hearing and visual impairments.
7.Receiving physical therapy or any other exercise programme at the same time.
8.Subjects who has an unstable medical condition / illness that may interfere with the exercise program.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Berg Balance Scale	Berg Balance Scale - 45 BASE POINT \| 10 Metre Walk Test - TO CALCULATE GAIT SPEED 1m/sec \| Timed Up and Go Test - 5sec
10 Metre Walk Test	Berg Balance Scale - 45 BASE POINT \| 10 Metre Walk Test - TO CALCULATE GAIT SPEED 1m/sec \| Timed Up and Go Test - 5sec
Timed Up and Go Test	Berg Balance Scale - 45 BASE POINT \| 10 Metre Walk Test - TO CALCULATE GAIT SPEED 1m/sec \| Timed Up and Go Test - 5sec

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): Indian Spinal Injuries Centre - Institute of Rehabilitation Sciences
🇮🇳
South, DELHI, India
Indian Spinal Injuries Centre - Institute of Rehabilitation Sciences
🇮🇳South, DELHI, India
Sandeep Pandita
Principal investigator
08130368049
drsandeep.045@gmail.com