Comparative Effects of Modified Otago and Frenkel's Exercises in Geriatric Population

NCT06460337 | Recruiting

• 1 other identifier: REC/RCR &AHS/23/0277
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this randomized clinical trial is to compare the effects of modified Otago and Frenkel's exercises on balance, motor function, fear of fall and quality of life in the geriatric population. The main questions it aims to answer are:

• How modified Otago and Frenkel's exercises affect balance, motor function, fear of fall and quality of life in the geriatric population?
• Is there any difference between the effects of these two exercises? Researchers will compare the effects of modified Otago and Frenkel's exercises to see which kind of exercise has superior effects on the mentioned outcomes. Participants will be randomly divided into two groups who will perform their respective exercises for 45 minutes 3 days a week for 8 weeks. Outcomes will be evaluated at the baseline, 4th week and 8th week.

Conditions

Geriatrics

Keywords

Balance; Elderly; Frail older adults; Health-related quality of life; Exercise; Physical activity

Outcome Measures

Primary Outcomes (3)

• Mini-Best Test

  Mini-BESTest (Balance Evaluation Systems Test) is a brief yet comprehensive clinical assessment designed to evaluate balance, mobility, and fall risk in older adults. Consisting of 14 items, it covers a range of balance-related functions such as anticipatory and reactive postural adjustments, sensory orientation, and dynamic gait movements. Each item is scored from 0 to 2, with higher scores indicating better performance, and the maximum achievable score is 28 points

  8th week

• Falls Efficacy Scale- International

  The Falls Efficacy Scale-International (FES-I) is a 16-item self-report questionnaire designed to assess an individual's fear of falling during daily activities. Scores range from 16 to 64, with higher scores indicating greater fear of falling. Healthcare professionals commonly use the FES-I to identify individuals at risk of falling and to tailor interventions that improve confidence and reduce the fear of falling.

  8th week

• Older People's Quality of Life Questionnaire (OPQOL)

  The Older People's Quality of Life Questionnaire (OPQOL) is a self-report tool designed to assess the multidimensional aspects of well-being in older adults. Covering domains such as physical health, psychological well-being, social relationships, and overall life satisfaction, the OPQOL provides a comprehensive understanding of the quality of life for older individuals. It consists of 35 questions with answers on 5-point Likert scale. The total score can range from 35 to 175, with higher scores indicating better quality of life.

  8th week

Study Arms (2)

Modified Otago Exercises

EXPERIMENTAL

It is a series of 17 strength and balance exercises in addition to 30 minutes walk outside the home at the usual pace three times a week.

Other: Modified Otago exercises

Frenkel's Exercises

ACTIVE COMPARATOR

It consists of simple range of motion exercises performed in different positions, i.e., lying, sitting, stride-standing and standing. Exercises are performed slowly emphasizing coordination and precision.

Other: Frenkel's exercises

Interventions

Modified Otago exercises OTHER

Participants will engage in modified Otago exercise sessions, either individually or in groups, for 45 minutes, thrice weekly over an 8-week period. The program entails moderate-intensity strengthening exercises targeting various muscle groups such as hip extensors, abductors, knee flexors and extensors, inner range quadriceps, ankle plantar flexors, and dorsiflexors, performed at 10 repetitions maximum (RM) with ankle cuff weights ranging from 0.5 to 1 kg. Additionally, balance exercises will be conducted, initially with support and gradually progressing to without support, including knee bends, backwards walking, sideways walking, tandem stance and walk, one leg stance, heel and toe walking, sit-to-stand, stair climbing, stepping over objects, and bending to pick up objects from the floor. Participants are also encouraged to walk outdoors at their usual pace for 30 minutes at least three times weekly.

Modified Otago Exercises

Frenkel's exercises OTHER

Frenkel's exercise regimen comprises a series of movements performed in lying, sitting, stride standing, and standing positions aimed at improving coordination and motor control. In the lying position, exercises include alternating hip and knee flexion/extensions, hip abduction/adduction, pedaling the lower limbs, and simultaneous movements of hips and knees. These are executed slowly to enhance coordination. In sitting, exercises involve leg stretching, hip flexion with knees flexed or straightened, and transitions from sitting to standing and back. Stride standing exercises focus on weight transfer and sideways walking, while standing exercises encompass walking on marked paths, trunk rotations, 360-degree turns, smaller arcs of hip abduction/adduction and flexion/extension, straight-line walking, and directional changes to simulate real-life obstacles. 3 sets comprising 10 repetitions are performed for each exercise, aiming for motor skill improvement and balance enhancement

Frenkel's Exercises

Eligibility Criteria

• Age: 65 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Community-dwelling adults of both genders who have experienced a fall at least once in the previous year
• Minimum Berg Balance score of \>40
• Able to independently walk and perform everyday activities without any walking aid

You may not qualify if:

• Unable to walk independently.
• Previous surgeries related to knee or hip joint replacement.
• Severe comorbidities such as stroke, unstable coronary artery disease, Parkinson's disease, and epilepsy.
• Patients with mental illness such as schizophrenia, dementia, and Alzheimer's disease
• Uncorrected visual, auditory, or vestibular impairments
• Having limb defects or any physical disability that prevents performing the exercises

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Wahla Family Hospital

Pindi Bhattian, Punjab Province, 52180, Pakistan

RECRUITING

Related Publications (2)

• Jahanpeyma P, Kayhan Kocak FO, Yildirim Y, Sahin S, Senuzun Aykar F. Effects of the Otago exercise program on falls, balance, and physical performance in older nursing home residents with high fall risk: a randomized controlled trial. Eur Geriatr Med. 2021 Feb;12(1):107-115. doi: 10.1007/s41999-020-00403-1. Epub 2020 Nov 25.

  PMID: 33237565 BACKGROUND

• Manko G, Pieniazek M, Tim S, Jekielek M. The Effect of Frankel's Stabilization Exercises and Stabilometric Platform in the Balance in Elderly Patients: A Randomized Clinical Trial. Medicina (Kaunas). 2019 Sep 11;55(9):583. doi: 10.3390/medicina55090583.

  PMID: 31514453 BACKGROUND

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Wajiha Shahid, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PhD

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: It is a single-blinded study, where the researcher who will assess outcomes, will be masked to group allocation.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: It will be a randomized clinical trial. Through the computerized table generator method of randomization, the selected individuals will be evenly divided into two groups, one undergoing Frenkel's exercises and the other modified Otago exercises.

Study Record Dates

• First Submitted: June 11, 2024
• First Posted: June 14, 2024
• Study Start: March 20, 2024
• Primary Completion: September 20, 2024
• Study Completion: November 1, 2024
• Last Updated: June 14, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)