Additional Effects of Otago Exercises With Exer-gaming on Balance, Physical Performance and Gait Among the Elderly Population
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Berg balance scale
研究概览
简要总结
Study aims to investigate the profound impact of exer gaming on normal aged individuals within our society. Additionally, to compare the effects of exer gaming-based exercises and Otago exercises on crucial aspects such as balance, physical performance, and gait pattern among the normal aged population. This study holds immense significance as it has the potential to greatly improve the health and wellbeing of the elderly population. By identifying an efficacious physical therapy intervention to address the complications associated with balance, physical performance, and gait pattern, we can effectively mitigate further dysfunctions in this demographic.
详细描述
Aging is a complex process characterized by the gradual loss of physiological reserves. In Portugal, the percentage of adults over 65 years old has increased from 16% in 2001 to 21.5% in 2017, with 13.4% of that 21.5% being above 85 years old. The United Nations estimates that about 13% of the world's population was aged 60 years and older in 2015. This aging population poses a complex challenge that needs to be addressed in a structured manner.
Aging is generally accompanied by a deterioration in physical function, including decreased mobility, imbalance, and impaired muscle function, which can directly lead to increased dependency and decreased quality of life among older adults. Balance declines with age, a complex sensory-motor process involving the visual, vestibular, and musculoskeletal systems working together to produce postural stability. Skeletal muscular changes may contribute to poor balance control in older adults.
Gait is an integral part of one's personality and strongly affects a person's social and personal life. Prevalence for gait and balance disorders increases with age, with 10% for age 60-69 and more than 60% for >80 years. Physical exercise is considered the main method of improving older adults' physical conditions. One of the exercise interventions that can be used is The Otago Exercise Program (OEP), which is home-based and consists of balance and strengthening exercises adjusted to one's needs. Studies have shown that the OEP can help improve physical function in older community groups through balance and strength training and reduce the incidence of falls and fall injuries by 35%.
However, adherence to exercise programs in older adults is often low due to barriers such as lack of motivation, enjoyment, and fatigue. Over the last few decades, virtual reality has been incorporated into exercise programs to help improve adherence and reduce the risk of falls and falls injuries in older adults.
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
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 55 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both genders
- •Age > 55 Years
- •Berg balance scale score 21-40
- •Moca >24
- •Urinary bowel continence
排除标准
- •Having history of other neurological conditions (i.e. Dementia, Parkinson's disease)
- •Having contagious or inflammatory conditions.
- •Having orthopedic limitations such as fractures
- •Unable to comply with the training or currently participating in another interfering therapy
- •With Vision problems
- •Having uncontrolled cardiac conditions such as uncontrolled hypertension
结局指标
主要结局
Berg balance scale
时间窗: 4th week
Consists of 14 tasks and total score of 56.score of 0-20 indicates severe fall risk, 20-45 includes moderate risk of fall and 45-60 illustrates thr functional balances state.
次要结局
- Time Up and Go (TUG)(4th week)
- dynamic gait index(4th week)
- 10 Meter Walk Test (10MWT)(4th week)
- Montreal Cognitive Assessment(4th week)