Comparison of Effects of Vestibular Visual Cues and Proprioception To Improve Postural Control in Elderly

Study Overview
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Brief Summary
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Background/Objective: The aim of this study was to compare the effects of vestibular visual cues and propriception to improve postural control in elderly.

Detailed Description
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RCT study was conducted. Fourty four healthy elderly volunteers aged from 65 years to 75 years were assigned to a group 1 (n=22) engaging in vestibular visual cues exercises and group 2 (n=22) engaging in proprioception exercises. Training sessions ( 30 minutes each) occurred twice a week for consecutive six weeks. The following parameters were analyzed before and after training for both groups: Berg balance scale (BBS) and Clinical test of sensory organization and balance (CTSIB).

Official Title
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Comparison of Effects of Vestibular Visual Cues and Proprioception To Improve Postural Control in Elderly

Conditions
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Older Adults

Intervention / Treatment
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* Other: vestibular visual cues therapy
* Other: propriocetion exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Ability to walk without any device or need of continuous physical assistance to support body weight or maintain balance. Able to follow simple directions, for example, left, right, up, or down. Either using visual aids. Fakuda test for screening. VOR reflex for screening Exclusion Criteria: • Presence of orthopedic problems. Neurological disorders. Psychological problems. Cognitive issues. People with severe visual issues Participants with other medical complications.

Ages Eligible for Study
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Minimum Age: 55 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: vestibular visual cues therapy<br>Pelvic rolling to right and left with head movement and stop first on right side for 3 minutes. Do this exercise in front of the mirror.Anterior, posterior, left, and right rectilinear stimulation activities on a therapeutic ball. Anterior, posterior, left and right rectilinear movements were performed for five minutes | Other: vestibular visual cues therapy<br>* Pelvic rolling to right and left with head movement and stop first on right side for 3 minutes. Do this exercise in front of the mirrorAnterior, posterior, left, and right rectilinear stimulation activities on a therapeutic ball. Anterior, posterior, left and right rectilinear<br>|
| Active Comparator: propriocetion therapy<br>Alternate knee flexion-extension with extended trunk posture using both hands for support. Hip and knee flexion-extension with swiss ball between the back and wall. Hip aises lying with their back on the floor with both legs on the swiss ball. Upper limbs leaning on the floor to help with the exercises. then perform all exercise on gym ball | Other: propriocetion exercise<br>* Alternate knee flexion-extension with extended trunk posture using both hands for support. Hip and knee flexion-extension with swiss ball between the back and wall. Hip raises lying with their back on the floor with both legs on the swiss ball. Upper limbs leaning on the floor to help with the exercises. then all exercise are perfomed on gym ball<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Berg balance scale | The Berg Balance Scale (or BBS) is a widely used clinical test of a person's static and dynamic balance abilities, named after Katherine Berg, one of the developers. For functional balance tests, the BBS is generally considered to be the gold standard.[3] The test takes 15-20 minutes and comprises a set of 14 simple balance related tasks, ranging from standing up from a sitting position, to standing on one foot. The degree of success in achieving each task is given a score of zero (unable) to four (independent), and the final measure is the sum of all of the scores | 2 months | 
| Clinical test of sensory organization and balance (CTSIB | nical Test of Sensory Interaction and Balance (CTSIB) is a tool that assesses a person's ability to use sensory inputs for balance. The original test included 6 conditions: (1) standing with eyes open on a firm surface, (2) standing with eyes closed on a firm surface, (3) standing with a visual conflict dome on a firm surface, (4) | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Postural control, Proprioception, Vestibular, Elderly, BBS, CTSIB