Effect of Plantar Sensory Exercises on Balance and Fall Risk in Nursing Home Elderly

NCT04477408 | Completed

• 1 other identifier: IstanbulMUH - 2
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The most important cause of mortality and morbidity with the geriatric population is loss of balance and the consequent falls, which is seen very often. The goal of our study is to examine the effects of plantar sensation education-based exercises on balance and falls.Materials and methods: 16 healthy, voluntary nursing home residents with the average age 77.50±5.5. Individuals had plantar sensory exercises 40 min sessions for 3 days/week during eight weeks. The study was planned as a self-controlled prospective study. Functional balance was evaluated using Berg Balance Scale, dynamic balance was evaluated using 30 Second Chair Stand Test, static balance and fall risk were assessed using Biodex Balance System.

Conditions

Balance; Distorted; Plantar; Falling; Elderly; Sensitivity

Keywords

plantar sensation, balance, fall, elderly

Outcome Measures

Primary Outcomes (6)

• Biodex Balance System - Static Balance

  The device calculates a score of stability or loss of balance in the anteroposterior and mediolateral direction. It also calculates an average stability index by taking the average of these two scores. The general balance index score was used which was obtained according to the protocol in the guide manual of the device. The measurement of static balance was repeated 3 times on the 8th level mode with a test duration of 30 seconds, with 15 seconds of rest periods and the best result was taken into evaluation. A high score indicates that the loss of postural control and balance is high.

  0 week

• Biodex Balance System - Static Balance

  The device calculates a score of stability or loss of balance in the anteroposterior and mediolateral direction. It also calculates an average stability index by taking the average of these two scores. The general balance index score was used which was obtained according to the protocol in the guide manual of the device. The measurement of static balance was repeated 3 times on the 8th level mode with a test duration of 30 seconds, with 15 seconds of rest periods and the best result was taken into evaluation. A high score indicates that the loss of postural control and balance is high.

  4 week

• Biodex Balance System - Static Balance

  The device calculates a score of stability or loss of balance in the anteroposterior and mediolateral direction. It also calculates an average stability index by taking the average of these two scores. The general balance index score was used which was obtained according to the protocol in the guide manual of the device. The measurement of static balance was repeated 3 times on the 8th level mode with a test duration of 30 seconds, with 15 seconds of rest periods and the best result was taken into evaluation. A high score indicates that the loss of postural control and balance is high.

  12 week

• Biodex Balance System - Fall Risk

  For evaluate to fall risk the device was used as stated in the guide manual. The test was run gradually by moving from an unstable surface to a stable surface for 20 seconds in three sets. Between each set, the participants rested for 10 seconds. A high score indicates that the fall risk is high.

  0 week

• Biodex Balance System - Fall Risk

  For evaluate to fall risk the device was used as stated in the guide manual. The test was run gradually by moving from an unstable surface to a stable surface for 20 seconds in three sets. Between each set, the participants rested for 10 seconds. A high score indicates that the fall risk is high.

  4 week

• Biodex Balance System - Fall Risk

  For evaluate to fall risk the device was used as stated in the guide manual. The test was run gradually by moving from an unstable surface to a stable surface for 20 seconds in three sets. Between each set, the participants rested for 10 seconds. A high score indicates that the fall risk is high.

  12 week

Secondary Outcomes (6)

• Berg Balance Scale

  0 week

• Berg Balance Scale

  4 week

• Berg Balance Scale

  12 week

• 30 Second Chair Stand Test

  0 week

• 30 Second Chair Stand Test

  4 week

Study Arms (1)

plantar exercise group

OTHER

plantar sensitive exercises Plantar sensitive exercises: 30 minutes / 3 days per week / 8 weeks Walking on different 4 different textured floors and hot floor (15 minute) Trying to recognize small objects with the soles of the feet (5min) Seated work with barbed ball and balance pad (5min) Massage to the sole of the foot with different textured fabrics (5min)

Other: plantar sensory exercise group

Interventions

plantar sensory exercise group OTHER

plantar sensitive exercises Plantar sensitive exercises: 30 minutes / 3 days per week / 8 weeks Walking on different 4 different textured floors and hot floor (15 minute) Trying to recognize small objects with the soles of the feet (5min) Seated work with barbed ball and balance pad (5min) Massage to the sole of the foot with different textured fabrics (5min)

plantar exercise group

Eligibility Criteria

• Age: 70 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Being above 70 years of age
• Scoring at least 22 points on the Mini Mental Test
• Not being bound to a wheelchair
• Being able to walk 20 meters independently
• That the sensation of the foot sole is at least on the decreased protective level compare to Semmes Weinstein Monofilamnet test.

You may not qualify if:

• Serious loss of eyesight
• Mental retardation
• A schizophrenic background
• Having walking disorder
• Inconvenient in walking

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

İstanbul Medipol University

Istanbul, Kavacık, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Hypersensitivity

Condition Hierarchy (Ancestors)

Immune System Diseases

Study Officials

• Müyesser Cavlak

  İstanbul Medipol University

  STUDY CHAIR

• Candan Algun, Prof

  İstanbul Medipol University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chief Researcher

Model Details: self controlled prospective study

Study Record Dates

• First Submitted: July 14, 2020
• First Posted: July 20, 2020
• Study Start: May 1, 2019
• Primary Completion: November 1, 2019
• Study Completion: April 1, 2020
• Last Updated: March 12, 2024

Record last verified: 2020-07

Locations

TU (1)