Progressive Resistance Exercise Versus Functional Training in Elderly With Risk of Fall.

NCT07359378 | Not Yet Recruiting DMC

• 1 other identifier: Ethical review Board (IREB025)
• Study Type: interventional
• Target: 39
• Locations: 0 countries
• Sites: N/A

Brief Summary

Study Design: Randomized Clinical Trial Objective: To find the effects of Progressive Resistance Exercises for balance and risk of falls in elderly population. To find the effects of Functional Training for balance and risk of falls in elderly population. To compare the effects of Progressive Resistance Exercises and Functional Training for balance and risk of falls in elderly population. Inclusion Criteria: Both Males and Female Patients Patients Age 65 years or above Participants with intact cognitive function or mild cognitive impairment who can follow instructions and provide informed consent Individuals medically cleared by their physician to engage in moderate-intensity physical activities, with no unstable medical conditions that could impede participation Participants willing to commit to an 8-week intervention program (3 sessions per week) and attend follow-ups as required. Exclusion Criteria: Elderly individuals who are non-ambulatory or unable to perform basic mobility tasks, such as standing or walking independently, even with assistive devices. Uncontrolled medical conditions such as uncontrolled hypertension, unstable angina, or severe arrhythmias. Participants with severe musculoskeletal conditions that significantly limit mobility or exercise participation (e.g., severe arthritis, recent fractures, or joint replacements within the last 6 months). Presence of acute pain or injury that may worsen with physical activity. Individuals with progressive neurological conditions such as Parkinson's disease, stroke with severe residual deficits, or multiple sclerosis that impede safe participation in physical activities. Group 1: Progressive Resistance Exercises Participants in the Progressive Resistance Training (PRT) group will engage in a structured exercise program designed to progressively increase muscle strength, balance, and overall physical function. Group 2: Functional Training Participants in the Functional Training (FT) group will engage in exercises that mimic daily activities to improve balance, strength, mobility, and functional independence.

Conditions

Elderly

Keywords

fall; progressive resistive; functional training

Outcome Measures

Primary Outcomes (1)

• Berg Balance Scale (BBS)

  The BBS will evaluate static and dynamic balance through 14 functional tasks, such as standing, reaching, turning, and stepping. Each task is scored on a 5-point ordinal scale (0-4), with a total score of 56. A score of ≤45 will indicate an increased risk of falls, providing a comprehensive measure of postural stability and balance control.

  from enrollment to the end of treatment at 8 weeks

Secondary Outcomes (2)

• Timed Up and Go Test

  from enrollment till the end of treatment at 8 weeks

• Falls Risk Assessment Tool FRAT

  From enrollment the end of treatment at 8 weeks

Study Arms (2)

Group 1

EXPERIMENTAL

Progressive Resistance Training

Other: Progressive Resistance Training

Group 2

EXPERIMENTAL

Functional Training

Other: Functional Training

Interventions

Progressive Resistance Training OTHER

Intervention Protocol 1. Warm-Up (5 minutes) Gentle aerobic activities (marching in place, arm swings). Dynamic stretching to prepare muscles for resistance exercises. 2. Main Phase (35 minutes) Progressive resistance exercises targeting major muscle groups, applying the progressive overload principle (increasing resistance or repetitions biweekly). Exercises will include: o Lower body: Squats, seated leg press. o Upper body: Bicep curls, tricep extensions using dumbbells or resistance bands. o Core strengthening: Bridges. Focus on controlled movements and proper form to minimize injury risk. 19 3. Cooldown (5 minutes) Static stretching for major muscle groups to improve flexibility and promote recovery. (Coleman et al., 2021)

Group 1

Functional Training OTHER

1\. Warm-Up (5 minutes) Light walking in place, arm swings, and shoulder rolls to prepare the body. Dynamic stretching focusing on key muscle groups. 2. Main Phase (35 minutes) Exercises designed to enhance functional movements for daily activities: Sit-to-Stand (Chair Squats) - Strengthens legs and mimics standing up from a chair. Step-Ups - Improves leg strength and balance for climbing stairs. Heel-to-Toe Walk - Enhances balance and gait stability. Wall Push-Ups - Strengthens upper body for pushing movements. Bicep Curls with Resistance Bands - Improves arm strength for carrying objects. Ankle Circles - Enhances ankle mobility and balance. Progressive difficulty will be applied by increasing repetitions, reducing support, or adding light resistance. 3. Cooldown (5 minutes) 20 21 Gentle static stretching for major muscle groups. Breathing exercises for relaxation. (Ritterfeld et al., 2010)

Group 2

Eligibility Criteria

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

You may qualify if:

• Both Males and Female Patients
• Patients Age 65 years or above
• Participants with intact cognitive function or mild cognitive impairment who can follow instructions and provide informed consent
• Individuals medically cleared by their physician to engage in moderate-intensity physical activities, with no unstable medical conditions that could impede participation
• Participants willing to commit to an 8-week intervention program (3 sessions per week) and attend follow-ups as required.

You may not qualify if:

• Elderly individuals who are non-ambulatory or unable to perform basic mobility tasks, such as standing or walking independently, even with assistive devices.
• Uncontrolled medical conditions such as uncontrolled hypertension, unstable angina, or severe arrhythmias.
• Participants with severe musculoskeletal conditions that significantly limit mobility or exercise participation (e.g., severe arthritis, recent fractures, or joint replacements within the last 6 months).
• Presence of acute pain or injury that may worsen with physical activity. Individuals with progressive neurological conditions such as Parkinson's disease, 15 stroke with severe residual deficits, or multiple sclerosis that impede safe participation in physical activities.

Sponsors & Collaborators

• University of Lahore: lead

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The study will implement single-blinding, where outcome assessors will remain unaware of group assignments to reduce assessment bias. Participants and session supervisors will not be blinded due to the nature of the interventions.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr.

Study Record Dates

• First Submitted: December 26, 2025
• First Posted: January 22, 2026
• Study Start: January 1, 2026
• Primary Completion: March 3, 2026
• Study Completion: March 10, 2026
• Last Updated: January 30, 2026

Record last verified: 2026-01