Gait Training For Reducing Risk Of Fall in the Elderly
Condition: Fall
Study type: Interventional

Summary: 
      Falling is considered one of the major problems that may affect the elderly, which may lead
      to bad consequences. Safe walking needs the older adult to anticipate and respond quickly to
      external demands and sudden environmental changes.Many studies have shown that treadmill
      training is effective in improving the elderly person's ability to walk and avoid falls. The
      C-Mill treadmill is an innovative device that recently used for the training of impaired gait
      and balance.Therefore, this study will aim to evaluate the efficacy of gait training with a
      virtual reality treadmill on the risk of fall in the elderly.
    

Detailed description: 
      Fall injuries produce serious threats to elderly people. Fall hazards are many, they include
      physical, psychological, social, and economic consequences. Many studies have shown that
      walking and balance exercises effectively contribute to enhancing walking performance,
      improving obstacle avoidance, and reducing the incidence of falls in the elderly. Therefore,
      the practice of complex and challenging situations of the usual daily walking is very
      important to prevent falls. Many studies have shown that treadmill training is effective in
      improving the elderly person's ability to walk and avoid falls. The C-Mill treadmill is
      recently used for the training of impaired gait and balance. C-Mill applies a virtual reality
      environment, obstacle avoidance games, and a variety of balance challenges in a safe and
      controlled environment to increase walking adaptability and improve performance in everyday
      life.Fall injuries produce serious consequences. The management of these injuries is costly
      and has a negative impact on healthcare entities. Therefore, prevention programs for
      preventing and reducing falls among the elderly are very important for reducing these serious
      consequences. Therefore, this study will compare the efficacy of gait training with a virtual
      reality treadmill and the conventional physical therapy training program on the risk of fall
      in the elderly.
    

Intervention name(s): The C-Mill virtual reality treadmill; Conventional Physical Therapy Program
Intervention type(s): Device; Other
Intervention description(s): The C-Mill treadmill is an innovative device used for the training of impaired gait and balance. The C-Mill is an instrumented treadmill with interactive virtual reality games and applications.The instrument is supplied with a safety frame, body weight support, treadmill force plates, treadmill belt, adjustable handrails, cameras, user operating system, interactive visual screen and augmented reality projection.; The Conventional Physical Therapy Program include the following:
Postural reactions exercises. (using balance board, balance beam, and manual balance perturbations)
Indoor open environment gait training exercises (over ground gait training exercises.). (using obstacles,cones , stepper, balance board , and uneven surfaces) (either between or outside the parallel bar)
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: The Elderly; Fall Risk; Virtual Reality; Treadmill