THE EFFECT OF PROPRIOCEPTIVE EXERCISE TRAINING ON CERVICAL PROPRIOCEPTION, KINESIOPHOBIA, AND PAIN CATASTROPHIZING LEVELS IN SARCOPENIC GERIATRIC INDIVIDUALS RESIDING IN NURSING HOMES

NCT07253714 | Completed

• 1 other identifier: Beyza-ftr-02
• Study Type: interventional
• Target: 31
• Locations: 1 country
• Sites: 1

Brief Summary

This study investigated the effects of cervical proprioceptive exercise training on cervical proprioception, kinesiophobia and pain catastrophising in sarcopenic nursing home residents. In this randomized controlled study, 63 nursing home residents were screened for sarcopenia based on the EWGSOP2 criteria, which include assessments of handgrip strength (Jamar dynamometer), physical performance (4-meter walking test), and muscle mass evaluated by Bioelectrical Impedance Analysis. Thirty-one residents diagnosed with sarcopenia were randomly assigned to either a control group (n = 17), which completed 12 supervised sessions of conventional exercises (postural, cervical range of motion, and isometric exercises) over six weeks, or an experimental group (n = 14), which received an additional 12 sessions of cervical proprioceptive exercises. Both groups were evaluated before and after the intervention. Cervical joint position sense, kinesiophobia, pain catastrophizing, were assessed using the Joint Position Error Test; the Tampa Scale of Kinesiophobia; the Pain Catastrophizing Scale.

Conditions

Sarcopenia in Elderly

Keywords

sarcopenia; balance; kinesiophobia; proprioception; pain catastrophizing

Outcome Measures

Primary Outcomes (1)

• Assessment of cervical proprioception

  Cervical proprioception was assessed using joint position error test. While seated, the participant faced a board positioned 90 cm away at head level, consisting of concentric circles (40 cm diameter, 1-cm increments), and wore a cap with a mounted laser pointer The participant first aligned the laser with the central point to establish the neutral position, then-with eyes open-was guided through flexion, extension, right/left rotation, and right/left lateral flexion, returning to neutral after each movement. The same six movements were then actively performed with eyes closed . Six repetitions were completed for each direction, and the point at which the laser stopped was marked on the board after every trial . The mean of these points was calculated, and angular deviation from the target was determined using the arctan method based on the fixed distance to the board. A deviation of more than 4 degrees was considered to indicate impaired proprioception.

  10 months

Secondary Outcomes (2)

• Assessment of kinesiophobia

  10 months

• Assessment of pain catastrophizing

  10 months

Study Arms (2)

Experimental group

EXPERIMENTAL

Cervical proprioceptive exercise and classic exercise were applied.

Other: Classic exercises; Other: Proprioceptive exercise training

Control Group

ACTIVE COMPARATOR

Classic exercise (Cervical range of motion exercise+posture exercise+isometric exercises) were applied only.

Other: Classic exercises

Interventions

Classic exercises OTHER

Participants in the control group received classical exercise training for 6 weeks.

Control Group; Experimental group

Proprioceptive exercise training OTHER

Participants in the experimental group received cervical proprioception exercises in addition to classical exercise training for 6 weeks.

Experimental group

Eligibility Criteria

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

You may qualify if:

• Being 65 years of age or older,
• Being diagnosed with sarcopenia,
• Having at least 91 points or more according to the Barthel daily living activities index (being mildly dependent or completely independent),
• Having 24 points or more according to the mini mental assessment, which is considered mentally healthy.

You may not qualify if:

• Having a disability (such as limb, vision, hearing loss),
• Having a serious neurological, orthopedic or rheumatological disorder that may affect proprioception,
• Having uncontrolled hypertension/diabetes,
• Having pain in the spine and/or extremities,
• Having a psychiatric disease diagnosis.

Sponsors & Collaborators

• Atılım University: lead

Study Sites (1)

Nevia Oran Nursing Home

Ankara, çankaya, 06530, Turkey (Türkiye)

Location

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MeSH Terms

Conditions

Sarcopenia; Kinesiophobia

Condition Hierarchy (Ancestors)

Muscular Atrophy; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Atrophy; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Phobic Disorders; Anxiety Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: pyhsiotherapist

Study Record Dates

• First Submitted: January 15, 2025
• First Posted: November 28, 2025
• Study Start: April 23, 2024
• Primary Completion: December 23, 2024
• Study Completion: December 30, 2024
• Last Updated: November 28, 2025

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will share

Locations

TU (1)