Effects of Different Type Exercise Trainings on Functionality in Older Fallers

Not Applicable

Completed

• Conditions: Fall Patients
• Interventions: Other: vestibular exercise training; Other: Balance training with computerized balance system; Other: square step exercises

• Registration Number: NCT04036383
• Lead Sponsor: Ayşe Abit Kocaman

Brief Summary

The aim of this study to examine the effectiveness of different types of exercise trainings on functionality in older faller

Detailed Description

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.

Study Timeline

• Study Start: 2018-12-31
• Study First Submitted: 2019-07-12
• Study First Submitted QC: 2019-07-26
• Study First Posted: 2019-07-29
• Primary Completion: 2019-08-01
• Status Verified: 2020-01
• Study Completion: 2020-01-01
• Last Update Submitted: 2020-01-14
• Last Update Posted: 2020-01-18

Recruitment & Eligibility

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

Inclusion Criteria

• 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

Exclusion Criteria

• 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,

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
square-step	vestibular exercise training	vestibular exercise training+ square step exercise
balance training	Balance training with computerized balance system	vestibular exercise training+ balance training with computerized balance system
square-step	Balance training with computerized balance system	vestibular exercise training+ square step exercise
vestibüler	vestibular exercise training	vestibular exercise training
vestibüler	square step exercises	vestibular exercise training
square-step	square step exercises	vestibular exercise training+ square step exercise
balance training	vestibular exercise training	vestibular exercise training+ balance training with computerized balance system
vestibüler	Balance training with computerized balance system	vestibular exercise training
balance training	square step exercises	vestibular exercise training+ balance training with computerized balance system

Primary Outcome Measures

Name	Time	Method
Gait Function assessment	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	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	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	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.

Trial Locations

Locations (1)

Kırıkkale University; 🇹🇷 Kırıkkale, Turkey