Effects of Comprehensive Fall Prevention Protocol (CARE: Cognitive-Aerobic-Resistance-Exer-gaming) on Mobility Level in Elderly

Study Overview
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Brief Summary
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Lack of research oriented health care facilities especially rehabilitation department in Pakistan. 30-50 % of population of age 65 years and above have some problems with balance (3) and 75 % of people aging 70 years and above have poor balance which leads to fall related injuries (5). So fall and related injuries are major problem in this age group. All studies conducted so far addresses only one or two aspects of balance training not to all. This study will address all the aspects and develop a comprehensive balance training protocol and will try to contribute to this under research area.

Detailed Description
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Lack of research oriented health care facilities especially rehabilitation department in Pakistan. 30-50 % of population of age 65 years and above have some problems with balance (3) and 75 % of people aging 70 years and above have poor balance which leads to fall related injuries (5). So fall and related injuries are major problem in this age group. All studies conducted so far addresses only one or two aspects of balance training not to all. This study will address all the aspects and develop a comprehensive balance training protocol and will try to contribute to this under research area. Cost effective treatment for patients. To meet the expectation of patient to improve their quality of life and improvement of their satisfactory level. It will be interesting for patient to visualize the activity patient is performing and comparison of effectiveness of comprehensive fall prevention protocol with traditional balance training. It will reduce the occurrence of fall episodes and hence reduce the cost to treat these fall and fall related injuries. Older adult will be less dependent, and more mobile and contributing member of the community. Objectives The objectives of the study are: To compare the effect of comprehensive fall prevention protocol (CARE) on fall risk as compared to conventional training in elderly. To compare the effect of comprehensive fall prevention protocol (CARE) on Mobility Level as compared to conventional training in elderly. To compare the effect of comprehensive fall prevention protocol (CARE) on Wii Fit balance as compared to conventional training in elderly. To compare the effect of comprehensive fall prevention protocol (CARE) on Dynamic Balance as compared to conventional training in elderly. To compare the effect of comprehensive fall prevention protocol (CARE) on Quality of life as compared to conventional training in elderly.

Official Title
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Effects of Comprehensive Fall Prevention Protocol (CARE: Cognitive-Aerobic-Resistance-Exer-gaming) on Mobility Level in Elderly

Conditions
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Fall Injury, Fall Patients, Geriatric Fall, Physical Therapy, Balance Traiing

Intervention / Treatment
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* Other: electrotherapy treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Individuals of age 60 -80 years Either gender Berg balance score between 20-40 Exclusion Criteria: • Musculoskeletal conditions (fractures, severe arthritis) Neurological conditions like Epilepsy, Parkinson, Alzheimer's, Impaired cognition Other systemic diseases or co-morbidities

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 80 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
Interventional Model Description: Total 40 patients fulfilling the inclusion criteria will be included in this study. Treatment will be given 3 times a week for 24 weeks by researcher with each session lasting for 40 to 45 Minutes. Assessment will then be done at baseline, after 04, 08, 12 and 24 weeks.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1. Comprehensive fall prevention protocol group (CARE)<br>every week protocol change for every patient according to 1 repetition maximum | Other: electrotherapy treatment<br>* physical therapy management like EMS IFT<br>|
| Active Comparator: 2. Conventional balance training group<br>conventional protocol commonly used for rehabilitation | Other: electrotherapy treatment<br>* physical therapy management like EMS IFT<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Elderly mobility scale | questionaire used to evaluate condition of elders | 8 week | 
| Timed Up and go test (TUG) | questionaire used to evaluate mobility | 8 week | 
| Berg Balance Test | questionaire used to evaluate balance | 8 week | 
| Activities of Balance Confidence | questionaire used to evaluate balance | 8 week | 
| Fullerton Advanced Balance (FAB) Scale | questionaire used to evaluate function of balance in older adult | 8 week | 
| Functional reach test | This test measures the distance between the length of an outstretched arm in a maximal forward reach from a standing position,while maintaining a fixed base of support. | 8 week | 
| Dynamic gait index | The Dynamic Gait Index (DGI) was developed as a clinical tool to assess gait, balance and fall risk. | 8 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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geriatric, fall, balance training