EFFICACY OF AN EXERCISE PROPRIOCEPTIVE PROGRAM IN INSTITUTIONALIZED ELDERLY

Study Overview
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Brief Summary
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Knowing the effects of proprioceptive exercise program in improving balance, gait and risk of falls in institutionalized elderly.

Detailed Description
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The aim of this study will be to determine the effects of proprioceptive exercise program in improving balance and gait as well as reducing the risk of falls in institutionalized elderly in a healthcare center. To evaluate this effect, a total of 45 subjects will participate in a longitudinal and controlled trial. Inclusion criteria will be over 65 years olds, be institutionalized in the center and have ability to read and write. Thereafter, participants will be separated into two different groups (experimental and control). Randomization was performed using sealed envelopes with different numbers of intervention inside. Both groups will be evaluated both at the start of the first session and in the last working session. The control group performed a geriatric revitalization program as the experimental group. Besides this one, experimental group performed a program of proprioceptive exercises. The intervention rate will 2 weekly sessions for 12 weeks for both groups (24 sessions), lasting 55 minutes. The variables analyzed were: the questionnaire risk of falls in hospital (MORSE), Tinetti scale, the test Timed Up and Go (TUG), the time of one leg and the Cooper test running 12 minutes. The data analysis will perform using the Statistical Package for the Social Sciences (SPSS statistical software), version 19.0 for Windows, Chicago. To determine the normal distribution of the data the Shapiro-Wilks test and comparison by ANOVA was performed. The values obtained in the pretest and posttest assessment for each variable will be compared by Student t test for related samples or by the Wilcoxon rank test.

Official Title
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EFFICACY OF AN EXERCISE PROPRIOCEPTIVE PROGRAM ON PREDICTORS OF RISK OF FALLS IN INSTITUTIONALIZED ELDERLY

Conditions
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Accidental Falls

Intervention / Treatment
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* Other: propioceptive program
* Other: No propioceptive program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being institutionalized, own ability to read and write, and access the study voluntarily. Exclusion Criteria: Significant degree of cognitive impairment; intolerance moderate physical activity, caused by cardiovascular or respiratory disease, as well as those who did not complete 90% of the sessions.

Ages Eligible for Study
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Minimum Age: 65 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Cotrol<br>No propioceptive program. | Other: No propioceptive program<br>* The control group continued to perform their daily activities without changing any habit. Geriatric revitalization program without proprioceptive exercises.<br>|
| Experimental: Experimental<br>Propioceptive program | Other: propioceptive program<br>* The training program has 6 specific proprioceptive exercises, each five minutes long, which will conducted in static and dynamic positions for a period of 30 minutes. Each exercise session will include 55 minutes (15 minutes of warm-up with slow walk, mobility and stretching exercise, followed by 30 minutes of a propioceptive exercises program, and finishing with 10 minutes of cool down through stretching and relaxation exercises)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time Up and Go (TUG) test | Evaluates mobility testing both static balance and the dynamic by measuring the time taken to perform a task. | Participants will be followed an expected average of 5 weeks. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tinnetti scale | It consists of two subscales, gait and balance, where less than 19 points overall results indicate a high risk of falling | Participants will be followed an expected average of 5 weeks. | 
| Questionnaire risk of falls in hospital (Morse) | This questionnaire has 6 items with a total range of 0-125. | Participants will be followed an expected average of 5 weeks. | 
| Cooper test | Walking for 12 minutes around cones along the floor. | Participants will be followed an expected average of 5 weeks. | 
| Support time monopodal | Postural control is valued. | Participants will be followed an expected average of 5 weeks. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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falls prevention, proprioception, physical condition