Graded Motor Imagery and Fall Risk in Older Adults

NCT05715112 | Completed

• 1 other identifier: StAmbroseU GMI fall risk
• Study Type: observational
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

To determine if there is any carry over effect of sensation training for the feet, officially called Graded Motor Imagery (GMI), will impact balance and fall risk factors in older individuals. This will be looked at to see if there is a difference in balance and sensation before and right after the training.

Conditions

Balance; Fall Risk

Keywords

Graded Motor Imagery; Balance; Fall Risk; Elderly

Outcome Measures

Primary Outcomes (7)

• Lower extremity pain rating

  Change (from before treatment to immediately after treatment) in pain for the lower extremity using the numeric pain rating scale (NPRS - 0 to 10 where 0 = no pain and 10 + maximum pain)

  self-reported, change from before to immediately after treatment

• Laterality Speed

  Change (from before treatment to immediately after treatment) in speed of foot recognition using Recognize (TM) (speed in seconds to recognize each of 40 images as right or left foot)

  tested for 60 seconds before and immediately after treatment

• Laterality Accuracy

  Change (from before treatment to immediately after treatment) in accuracy of foot recognition using Recognize (TM) (percent accurately correctly identified as right or left foot of those 40 images)

  tested for 60 seconds before and immediately after treatment

• Balance / fall risk

  Change (from before treatment to immediately after treatment) in Brief-BESTest (6 task subsets to assess static and dynamic balance) (0 - 15 scale where 0 - lowest score / unstable and 15 = highest / no balance issues)

  Assessed before and immediately after treatment

• Nerve Sensitivity Dorsum of dominant hand

  Change (from before treatment to immediately after treatment) in Pain Pressure Threshold (PPT) on dorsum of web space of dominant hand (in pounds)

  Assessed before and immediately after treatment

• Nerve Sensitivity Dorsum of Right Foot

  Change (from before treatment to immediately after treatment) in Pain Pressure Threshold (PPT) on dorsum of right foot (in pounds)

  Assessed before and immediately after treatment

• Nerve Sensitivity Dorsum of Left Foot

  Change (from before treatment to immediately after treatment) in Pain Pressure Threshold (PPT) on dorsum of left foot (in pounds)

  Assessed before and immediately after treatment

Study Arms (1)

Experimental group

A convenience sample of older adults (65 and older).

Procedure: Graded Motor Imagery

Interventions

Graded Motor Imagery PROCEDURE

GMI consisting of education, sensory integration of the foot using contact, flooring samples, immersion, and two point discrimination.

Also known as: GMI

Experimental group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

A convenience sample of older adults (65 and older) will be recruited for the study.

You may qualify if:

• Be able to read and understand English
• Be over the age of 65
• Be independent with ambulation (with or without an assistive device)
• Not have any skin condition or injury to the plantar or dorsal part of the foot
• Have the visual ability to view images on a tablet to partake in a test

You may not qualify if:

• No existing skin conditions on the bottom of the foot that would impair sensation
• No current injury to the plantar or dorsal side of the foot
• No prior surgery or major injury to the plantar or dorsal side of the foot
• Lacking sensation in the foot
• Unable to read and understand English
• Lacking ability to view images on a tablet to partake in a test
• Unable to ambulate (with or without an assistive device)

Sponsors & Collaborators

• St. Ambrose University: lead

Study Sites (1)

St. Ambrose University

Davenport, Iowa, 52803, United States

Location

Study Officials

• Kevin Farrell, PT, PhD

  St. Ambrose University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor Emeritus / Principal Investigator

Study Record Dates

• First Submitted: January 13, 2023
• First Posted: February 6, 2023
• Study Start: August 17, 2022
• Primary Completion: August 18, 2022
• Study Completion: August 18, 2022
• Last Updated: May 10, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)