Effects of Different Type Exercise Trainings on Functionality in Older Fallers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Gait Function assessment
研究概览
简要总结
The aim of this study to examine the effectiveness of different types of exercise trainings on functionality in older faller
详细描述
Individuals participating in the study will be blinded and 30 elderly individuals will be included. Sociodemographic information of individuals, Mini Mental State Test, Fall Efficacy Scale, Dynamic Gait Index, Montreal Cognitive Assessment Scale, Daily Life Activities Scale for Vestibular Disorders, World Health Organization Quality of Life Scale-Elderly Module test results will be recorded. Hip flexors and abductors, m.quadriceps femoris and m.tibialis anterior muscle strength will be measured by manual muscle dynamometer. In balance assessments; sensory organization test and adaptation test of computerized dynamic posturography will be recorded. Individuals will be divided into 3 groups by blocking and stratification randomization method. All individuals in the group will perform vestibular exercise training twice a day for 8 weeks as a home exercise program. In the first group, vestibular exercise training will be used as a home program, in the second group, individual rehabilitation program will be applied to the computerized balance system and in the third group, square step exercises will be applied. Exercise training will be held 3 times a week for 8 weeks.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •65 years and older individuals,
- •Mini Mental State Examination Test score above 24,
- •At least two falls in the last year
- •Independent individuals in mobilization without walking aid
排除标准
- •Cardiac diseases
- •Pulmonary embolism and deep vein thrombosis in the last three months,
- •A history of cerebral aneurysm or intracranial hemorrhage,
- •Acute retinal hemorrhage or previous ophthalmic surgery,
- •Active infection,
- •Multiple organ failure,
- •Terminal disease status,
- •A history of fractures in the lower and upper extremities within the last three months,
- •Severe hearing and vision loss,
- •Patients with Alzheimer's disease, Parkinson's disease, dementia
- •Patients diagnosed with Benign Paroxysmal Positional Vertigo,
- •Those who have received exercise training in the last 6 months,
研究组 & 干预措施
vestibüler
vestibular exercise training
干预措施: vestibular exercise training (Other)
square-step
vestibular exercise training+ square step exercise
干预措施: vestibular exercise training (Other)
vestibüler
vestibular exercise training
干预措施: Balance training with computerized balance system (Other)
vestibüler
vestibular exercise training
干预措施: square step exercises (Other)
balance training
vestibular exercise training+ balance training with computerized balance system
干预措施: vestibular exercise training (Other)
balance training
vestibular exercise training+ balance training with computerized balance system
干预措施: Balance training with computerized balance system (Other)
balance training
vestibular exercise training+ balance training with computerized balance system
干预措施: square step exercises (Other)
square-step
vestibular exercise training+ square step exercise
干预措施: Balance training with computerized balance system (Other)
square-step
vestibular exercise training+ square step exercise
干预措施: square step exercises (Other)
结局指标
主要结局
Gait Function assessment
时间窗: 15 minutes
Dynamic Gait Index will be used to evaluate the adaptations during the patient's gait. It evaluates activities such as slow walking, fast walking, walking with head movements, turning, stepping up, jumping obstacles, 0 points are weak and 3 points are successful. Low scores from the scale are indicative of disorders that may cause falls.A total of 8 parameters are evaluated over 24 points.
Balance Function Assessment- Adaptation Test
时间窗: 5 minutes
Adaptation Test (ADT):This test evaluates the patient's response to sudden changes and irregularities in the ground and the ability to reduce oscillations. The oscillation energy score is obtained by measuring the force applied to the force platform for recovery. Scores between 0 and 200.Since the maximum score given by the device is 200, the score of that test is considered as 200 in case of a fall. The oscillation energy score is close to 0, indicating better postural adaptation.
Balance Function Assessment-Sensory Organization Test
时间窗: 5 minutes
Sensory Organization Test (SOT): This is a six-part test that objectively identifies abnormalities in somatosensory, visual, and vestibular systems that provide postural control. The result is a ratio between 0-100 and 100 means perfect stability.
Cognitive Function assessment
时间窗: 10 minutes
Cognitive function will be assessed with "Montreal Cognitive Assessment Scale(MoCA)"The MoCA is a screening instrument that evaluates cognitive domains on a single page and scores range from 0 to 30."0" points indicate poor cognitive functions, "30" points indicate good cognitive functions. Increase in scores indicates better cognitive functions.
次要结局
未报告次要终点
研究者
Ayşe Abit Kocaman
Research Assistant
Kırıkkale University