Effects of Different Type Exercise Trainings on Functionality in Older Fallers

NCT04036383 | Completed

• 1 other identifier: FALL AND SQUARE STEP EXERCİSE
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

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

Conditions

Fall Patients

Outcome Measures

Primary Outcomes (4)

• Balance Function Assessment-Sensory Organization Test

  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.

  5 minutes

• Cognitive Function assessment

  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.

  10 minutes

• Gait Function assessment

  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.

  15 minutes

• Balance Function Assessment- Adaptation Test

  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.

  5 minutes

Study Arms (3)

vestibüler

ACTIVE COMPARATOR

vestibular exercise training

Other: vestibular exercise training; Other: Balance training with computerized balance system; Other: square step exercises

balance training

EXPERIMENTAL

vestibular exercise training+ balance training with computerized balance system

Other: vestibular exercise training; Other: Balance training with computerized balance system; Other: square step exercises

square-step

EXPERIMENTAL

vestibular exercise training+ square step exercise

Other: vestibular exercise training; Other: Balance training with computerized balance system; Other: square step exercises

Interventions

vestibular exercise training OTHER

The home exercise program consists of vestibulookular reflex stimulating exercises, lower extremity somatosensory system training, static and dynamic balance exercises

balance training; square-step; vestibüler

Balance training with computerized balance system OTHER

Thanks to the receivers under the Neurocom balance master platform, the data of the center of gravity is transferred to the system and visual feedback is provided. Qualitative information reflects progression during static and dynamic postural exercises of the patient. To correct the load distribution, it is necessary to move the cursor to the specified targets in the exercises. The degree of difficulty of training can be increased by increasing the distance between the targets, reducing the time required to reach the targets, changing foot positions or adding upper extremity activity.

balance training; square-step; vestibüler

square step exercises OTHER

Elderly individuals in the square step exercise group will perform step exercises on 2.5x1.0 m thin cushions divided into 40 equal parts. Square step exercises include exercises that include anterior, posterior, lateral and diagonal directions of increasing difficulty. The order of the training program is at four different levels and is organized according to small, basic, regular and advanced levels.

balance training; square-step; vestibüler

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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,

Sponsors & Collaborators

• Ayşe Abit Kocaman: lead

Study Sites (1)

Kırıkkale University

Kırıkkale, Turkey (Türkiye)

Location

Related Publications (5)

• Duque G, Boersma D, Loza-Diaz G, Hassan S, Suarez H, Geisinger D, Suriyaarachchi P, Sharma A, Demontiero O. Effects of balance training using a virtual-reality system in older fallers. Clin Interv Aging. 2013;8:257-63. doi: 10.2147/CIA.S41453. Epub 2013 Feb 28.

  PMID: 23467506 BACKGROUND

• Shigematsu R, Okura T, Nakagaichi M, Tanaka K, Sakai T, Kitazumi S, Rantanen T. Square-stepping exercise and fall risk factors in older adults: a single-blind, randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2008 Jan;63(1):76-82. doi: 10.1093/gerona/63.1.76.

  PMID: 18245764 BACKGROUND

• Shigematsu R, Okura T, Sakai T, Rantanen T. Square-stepping exercise versus strength and balance training for fall risk factors. Aging Clin Exp Res. 2008 Feb;20(1):19-24. doi: 10.1007/BF03324743.

  PMID: 18283224 BACKGROUND

• Fisseha B, Janakiraman B, Yitayeh A, Ravichandran H. Effect of square stepping exercise for older adults to prevent fall and injury related to fall: systematic review and meta-analysis of current evidences. J Exerc Rehabil. 2017 Feb 28;13(1):23-29. doi: 10.12965/jer.1734924.462. eCollection 2017 Feb.

  PMID: 28349029 BACKGROUND

• Moreira Bittar RS, Simoceli L, Bovino Pedalini ME, Bottino MA. The treatment of diseases related to balance disorders in the elderly and the effectiveness of vestibular rehabilitation. Braz J Otorhinolaryngol. 2007 May-Jun;73(3):295-8. doi: 10.1016/s1808-8694(15)30071-9.

  PMID: 17684648 BACKGROUND

Study Officials

• Ayşe ABİT KOCAMAN

  Kırıkkale University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: July 12, 2019
• First Posted: July 29, 2019
• Study Start: December 31, 2018
• Primary Completion: August 1, 2019
• Study Completion: January 1, 2020
• Last Updated: January 18, 2020

Record last verified: 2020-01

Locations

TU (1)