Ving Tsun Martial Exercise for Older Adults

NCT03318289 | Unknown DMC

• 1 other identifier: 1602061
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives: To evaluate the effects of a Ving Tsun (VT) reactive balance training programme on reactive balance control, muscle strength, balance confidence and falls in community-dwelling older adults. Hypothesis: The VT group subjects will have improved post-training reactive balance control, muscle strength, balance confidence and fall incidence outcomes than the active controls. Design and subjects: In this prospective, randomised, single-blinded controlled trial, approximately 114 healthy seniors (55-70 years old) will be randomly assigned to either the VT group (n\~57) or control group (n\~57). Interventions: Subjects in the VT group will receive VT reactive balance training (3 hours/week) for 3 months, whereas subjects in the control group will receive no VT training but will jog 3 hours/week during the intervention period. Study instruments and outcomes: Primary outcome measures: reactive balance control, as indicated by lower extremity muscle activation onset latency; hip and ankle strategies and centre of pressure movements will be measured by electromyography, electrogoniometry and a force platform, respectively. Secondary outcome measures: knee muscle strength, balance confidence and fall history will be assessed by an isokinetic dynamometer, Activities-specific Balance Confidence Scale (Chinese) and interviews, respectively (pre-, post- and follow-up measurements). Data analysis: Data will be analysed using repeated-measures analysis of (co)variance followed by post-hoc tests, as appropriate (alpha = 0.05).

Conditions

Old Age; Atrophy

Outcome Measures

Primary Outcomes (2)

• Lower extremity muscle activation onset latency

  Lower extremity muscle activation onset latency in response to postural preturbation will be measured using surface electromyography.

  3 months

• Centre of pressure movement in standing

  Centre of pressure movement in standing will be measured using a force platform.

  3 months

Secondary Outcomes (3)

• Knee maximum muscle strength

  3 months

• Balance confidence

  3 months

• Fall history

  3 months

Study Arms (2)

Ving Tsun (VT) group

EXPERIMENTAL

Participants in the VT group will receive VT exercise intervention for 12 weeks.

Behavioral: Ving Tsun

Control group

NO INTERVENTION

No intervention but can continue daily activities.

Interventions

Ving Tsun BEHAVIORAL

The VT training regimen is designed to improve reactive balance control, lower extremity muscle strength and balance confidence in the elderly. It comprises 9 VT sticking-hand drills that must be practised with a partner. Participants will be trained to respond rapidly to upper body perturbations and to maintain body balance. Those joined the VT training group will attend a one-hour supervised VT training session at an elderly community centre 2 times per week for 12 weeks.

Ving Tsun (VT) group

Eligibility Criteria

• Age: 55 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• aged between 55 and 70 years,
• able to ambulate independently,
• an Abbreviated Mental Test (Hong Kong version) score \> 7 and
• able to follow commands and communicate with others.

You may not qualify if:

• unstable medical condition (e.g. uncontrolled hypertension),
• recent injury that may affect test performance,
• history of fragility fractures,
• significant musculoskeletal disorder (e.g. frozen shoulder),
• sensorimotor disorder that may affect balance performance,
• significant neurological disorder (e.g. stroke),
• cardiopulmonary disease (e.g. chronic obstructive pulmonary disease),
• cognitive disorders,
• regular engagement in sports or martial arts training (e.g. Tai Chi) and
• too frail to participate in VT intervention.

Sponsors & Collaborators

• The University of Hong Kong: lead

Study Sites (1)

University of Hong Kong

Hong Kong, Hong Kong

Location

Related Publications (1)

• Fong SSM, Chung LMY, Yam TTT, Chung JWY, Bae YH, Gao Y, Chan JSM, Wang HK. Effects of Ving Tsun sticking-hand training on lower limb sensorimotor performance among community-dwelling middle-aged and older adults: a randomized controlled trial. Trials. 2023 Feb 25;24(1):143. doi: 10.1186/s13063-023-07133-2.

  PMID: 36841770 DERIVED

MeSH Terms

Conditions

Atrophy

Condition Hierarchy (Ancestors)

Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Study Officials

• Shirley Fong, PhD

  The University of Hong Kong

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Shirley Fong, PhD

CONTACT

85228315260; smfong@hku.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 9, 2017
• First Posted: October 23, 2017
• Study Start: November 1, 2017
• Primary Completion: October 9, 2020
• Study Completion: October 9, 2020
• Last Updated: October 23, 2017

Record last verified: 2017-10

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)