Dynamic and Static Balance and the Speed of Reaction in the Elderly

NCT05442944 | Completed

• 1 other identifier: 9/KRN/2011
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

The balance of the body in the elderly is disturbed for various reasons and relatively often. The aim of our research was to analyze the effect of five simple physiotherapeutic procedures on the reaction speed as well as static and dynamic balance in the elderly. 60 people (women and men diagnosed with degenerative changes of the spine, chronic period of the disease) aged 65-95 years were analyzed. Patients were randomly assigned to the study group (30 people - participating in the three-week physiotherapy program) and the control group (30 people - not participating in the program). The test consisted in checking the state of static (postural stability) and dynamic (risk of falls) balance on the Biodex SD dynamic platform and the assessment of speed in the Timed Up-and-Go (TUG) test. The results of our research showed that five simple physiotherapy treatments can significantly improve the reaction speed and the dynamic and static balance in the sagittal plane in the elderly.

Conditions

Spondyloarthritis

Keywords

elderly,; physiotherapy,; static balance,; dynamic balance,; reaction speed,; risk of falls

Outcome Measures

Primary Outcomes (7)

• Postural stability - static balance on Biodex SD dynamic platform.

  Postural stability was investigated by forward deflections in the sagittal plane.

  Before therapy

• Postural stability - static balance on Biodex SD dynamic platform.

  Postural stability was investigated by backward deflections in the sagittal plane.

  Before therapy

• Postural stability - static balance on Biodex SD dynamic platform.

  Postural stability was investigated sideways, in the frontal plane.

  Before therapy

• Postural stability - static balance on Biodex SD dynamic platform.

  Postural stability was investigated by inward deflections in the frontal plane.

  Before therapy

• Risk of falls - dynamic balance on Biodex SD dynamic platform.

  The evaluation of the dynamic equilibrium was carried out by measuring the mean deviations of the center of gravity of the subject (overall) on an unstable substrate, the lability of which varied with time, from a more stable state to unstable ground. The Biodex SD platform has a twelve-point instability scale, where level 12 corresponds to a rigid and stable setting and level 1 to a hypermobility setting. For the purposes of the study, levels from 8 to 4 were used.

  Before therapy

• Speed of reaction as measured by the functional Timed Up and Go (TUG) test.

  The task of the subject during the test was, on the command "start" given by the examiner, to perform the following activities as soon as possible: get up from the chair, walk three meters straight, go around the cone, return the same way to the place, and sit on the chair again. The investigator measured the time of all performed motor tasks from giving the command and starting them until returning to the chair.

  Before therapy

• Postural stability - static balance on Biodex SD dynamic platform.

  Percent of the time spent by the center of body mass in individual quadrants of the platform.

  Before therapy

Secondary Outcomes (7)

• Postural stability - static balance on Biodex SD dynamic platform.

  After 3 weeks of therapy

• Postural stability- static balance on Biodex SD dynamic platform

  3 weeks after therapy

• Postural stability - static balance on Biodex SD dynamic platform.

  3 weeks after therapy

• Postural stability - static balance on Biodex SD dynamic platform.

  3 weeks after therapy

• Risk of falls - dynamic balance on Biodex SD dynamic platform.

  3 weeks after therapy

Study Arms (2)

A study group with physiotherapeutic intervention.

EXPERIMENTAL

The study group - 30 people - participated in the three-week physiotherapy program.

Procedure: Physiotherapeutic procedures

A Control group without physiotherapeutic intervention

NO INTERVENTION

The control group - 30 people - did not participate in the program.

Interventions

Physiotherapeutic procedures PROCEDURE

As part of the rehabilitation program, the patients performed two exercises in the Universal Therapeutic Rehabilitation Room (UTRR) system. The patient's task was to perform simultaneous abduction and adduction of the upper and lower limbs. The duration of the procedure was 10 minutes, the patient performed the exercises at a comfortable pace. In the second exercise - the patient's task was to alternately bend and straighten the opposite lower and upper limbs. The duration of the exercise was 10 minutes. The combined duration of both procedures used was 20 minutes. In addition, each patient underwent three physical therapy treatments. The procedures were carried out 5 days a week (Monday to Friday) for three weeks.

A study group with physiotherapeutic intervention.

Eligibility Criteria

• Age: 65 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• \) age over 65, 2) generalized degenerative disease, 3) osteoarthritis of the lumbar spine, 4) possibility of walking at least 6 meters without orthopedic support, 5) ability to stand up and sit on a chair independently.

You may not qualify if:

• \) other than the required disease entity, 2) neurological diseases, labyrinth diseases, vascular imbalances, 3) use of psychotropic drugs, 4) cognitive disorders, 5) people who do not meet the requirements of the equipment used for measurements (weight over 136 kg, height under 130 cm, height over 178 cm), 6) high, low blood pressure, dizziness, malaise.

Sponsors & Collaborators

• Anna Olczak: lead

MeSH Terms

Conditions

Spondylarthritis

Condition Hierarchy (Ancestors)

Spondylitis; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Arthritis; Joint Diseases

Study Officials

• Anna Olczak, PhD

  Rehabilitation Clinic, Military Institute of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 22, 2022
• First Posted: July 5, 2022
• Study Start: March 2, 2011
• Primary Completion: December 15, 2011
• Study Completion: March 14, 2012
• Last Updated: January 27, 2026

Record last verified: 2022-06