Effect of Proprioceptive Neuromuscular Facilitation Techniques on Elderly People with Scapular Disposition

NCT05893303 | Completed

• 1 other identifier: BAYEK022.04
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

Proprioceptive neuromuscular facilitation (PNF) has been defined as a comprehensive rehabilitation approach focusing on a motor learning effect, especially in the elderly. Therefore, PNF can be an effective treatment method for our purpose which is to analyze if PNF techniques improve balance and gait characteristics in elderly with scapular disposition and to determine the difference when used with the gait education

Conditions

Geriatric Rehabilitation; Scapular Dyskinesis

Keywords

Geriatric Rehabilitation; Scapular Disposition; Balance; Posture; Gait

Outcome Measures

Primary Outcomes (10)

• Visual Scapular Disposition Test

  During the visual scapular disposition test, patients will be asked to perform bilateral shoulder elevation movements and scapular movements will be observed in order to determine scapular dyskinesia

  5 minutes

• Lateral Scapular Slide Test

  During the lateral scapular slide test, patients will be evaluated in 3 different arm positions while standing. at each position, special measurements of the scapula will be taken with measurement tape. If the difference between measurements in the same position is more than 1.5 centimeters (cm), the patient will be recorded as having scapular dyskinesia

  5 minutes

• Walking Speed

  Participants normal walking speed measurement will be taken by asking patient to walk a dedicated 15m line and normal walking speed will be measured after 3 repetitions average time calculated

  5 minutes

• Modified Dynamic Gait Index (mDGI)

  The DGI tests the ability of the participant to maintain walking balance while responding to different task demands, through various dynamic conditions.

  10 minutes

• Timed Up and Go Test

  The timed "get up and walk" test is the basic functional mobility test for the elderly which they will be asked to stand up from a regular chair, walk 3 meters, turn and walk back to the chair and sit.

  5 minutes

• Berg Balance Scale

  Berg Balance Scale (BDI) is generally used to measure balance performance in elderly patients. It is effective in assessing postural control and predicting fall risk.

  5 minutes

• Functional Reach Test

  Functional Reach Test (FRT) is a clinical outcome measure and assessment tool for assessing dynamic balance in one simple task. It will be done in the standing position, by measuring the distance between the length of an outstretched arm in a maximal forward reach, while maintaining a fixed base of support, and this information is correlated with the risk of falling

  5 minutes

• Falls Efficacy Scale

  The Falls Efficacy Scale is a short, easy to administer tool that measures the level of concern about falling during social and physical activities inside and outside the home whether or not the person actually does the activity.

  5 minutes

• PostureCO

  PostureCo, Inc. is a technology company focusing on posture and movement analysis, it takes the data for the posture and movements. A special posture application for mobile phones will be used to determine postural sway. Data will be collected by scanning each patient and analyzing the posture.

  5 minutes

• SF-36

  The 36-item Short Form (SF-36) is a commonly used questionnaire for measuring health-related quality of life. Each patient will be asked to answer the questions in order to get the results for the quality of life

  5 minutes

Study Arms (2)

PNF Technique Group

EXPERIMENTAL

Participants in this group will receive PNF techniques and gait training 3 times per week for 8 weeks

Other: 1st Group

Gait Training Group

ACTIVE COMPARATOR

Participants in this group will receive only gait training 3 times per week for 8 weeks

Other: 2nd Group

Interventions

1st Group OTHER

1st group is going to undergo scapula-oriented PNF techniques (diagonal) which are anterior elevation and posterior depression - posterior elevation and anterior depression with 20 repetitions with rhythmic initiation and repeated contractions facilitation techniques during all patterns. In addition to PNF techniques, gait training is going to be applied as standing with balance exercises (15 repetitions) as well as specific exercises for the stance and swing phases of the gait which are; stepping forward and sideways (15 repetitions), and gait education (walking 3 lapses within 2 meters parallel bar)

PNF Technique Group

2nd Group OTHER

2nd group is going to undergo only gait training and balance exercises (15 repetitions) as well as specific exercises for the stance and swing phases of the gait which are; stepping forward and sideways (15 repetitions), and gait education (walking 3 lapses within 2 meters parallel bar)

Gait Training Group

Eligibility Criteria

• Age: 65 Years - 74 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Having scapular disposition (Patients will be determined after the visual scapular disposition test and lateral scapular slide test)
• With no injuries
• Able to walk without any assistive devices
• To be able to read and write in Turkish

You may not qualify if:

• Having a musculoskeletal or neurological problem that causes issues with applying the intervention.
• Any orthopedic, neurological, cardiac, vestibular, visual, or psychiatric impairment which would not allow them to perform
• Had physiotherapy during the past 3 months

Sponsors & Collaborators

• European University of Lefke: lead

Study Sites (1)

Fizyomorfo Fizyoterapi Rehabilitasyon ve Saglikli Yasam Merkezi

Güzelyurt, TRNC, 99750, Turkey (Türkiye)

Location

Study Officials

• Beliz Belgen Kaygisiz, PT, PhD

  European University of Lefke

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 30, 2023
• First Posted: June 7, 2023
• Study Start: May 31, 2023
• Primary Completion: July 31, 2024
• Study Completion: July 31, 2024
• Last Updated: October 4, 2024

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)