Motor Control Exercises and Neural Mobilization in Posture of Older Adults

Study Overview
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Brief Summary
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The aim of this research is to find and compare the effect of Motor control exercises with and without neural mobilization on postural control of older adults.

Detailed Description
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Randomized controlled trials done at Bilqees Eidhi and Afiyat old age home Lahore.The sample size was 40. The subjects were divided in two groups, 20 subjects in Motor control exercise group and 20 in Motor control exercise with neural gliding group. Study duration was of 6 months. Sampling technique applied was purposive non probability sampling technique. Only 65-80 years of older adults included in study. Tools used in the study are time up and go test(TUG), Gait speed, Static balance and Quality of life(OPQOL35). Data was analyzed through SPSS 21.

Official Title
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Effects of Motor Control Exercises With and Without Neural Mobilization on Postural Control of Older Adults

Conditions
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Postural Control

Intervention / Treatment
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* Other: Motor control exercise
* Other: Motor control exercise with mobilization


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria Both male and female were included Older adults having age range from 60-80 years or older Adults whose score is more than 24 on mini mental state examination. Ambulate independently with or without a walking aid Adults who had permission from the institution's doctor to participate in exercise classes. Exclusion Criteria: Patients with altered conscious level Adults who cannot ambulate (bed ridden patients) Patient with any neurological condition like stroke, multiple sclerosis and TBI Patients with severe orthopedic condition like fractures and rheumatoid arthritis Patient having any cardiac condition Adults walking with walking aids like sick and crutches Adults having vertigo or vestibular problems. Adults having history of recurrent falls.

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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Motor control exercise<br>Motor control exercise was given with total of 8 sessions for 30 min for 4 weeks twice a day. Each exercise was performed 10 repetitions for 10 sec. | Other: Motor control exercise<br>* Motor control exercise was given with total of 8 sessions for 30 min for 4 weeks twice a day. Each exercise was performed 10 repetitions for 10 sec.<br>|
| Active Comparator: Motor control exercise with neural mobilization<br>this was given motor control exercise for 30 min, 4 weeks twice a day plus neural gliding applied for 3 sets of 10 repetitions on each session. Neural gliding applied 5 min before motor control exercise. Total 8 sessions were given | Other: Motor control exercise with mobilization<br>* this was given motor control exercise for 30 min, 4 weeks twice a day plus neural gliding applied for 3 sets of 10 repetitions on each session. Neural gliding applied 5 min before motor control exercise. Total 8 sessions were given<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Static balance test | Balance will be assessed using the Tandem stance (TS) test for static balance. The intraobserver reliability of the test is good with an ICC of 0.80. | first reading at 0 week | 
| Static balance test | Balance will be assessed using the Tandem stance (TS) test for static balance. The intraobserver reliability of the test is good with an ICC of 0.80. | final reading at end of 4 week | 
| Gait speed test | The 4-m gait speed test will use, and the beginning and the end of the test will mark on the floor. The intra-observer reliability of the gait speed test is excellent with an ICC of 0.91, a standard error of measurement of 0.06 m/s, and a minimum detectable difference (MDD) of 0.17 m/s. | first reading at 0 week | 
| Gait speed test | The 4-m gait speed test will use, and the beginning and the end of the test will mark on the floor. The intra-observer reliability of the gait speed test is excellent with an ICC of 0.91, a standard error of measurement of 0.06 m/s, and a minimum detectable difference (MDD) of 0.17 m/s. | final reading at end of 4 week | 
| Timed Up and Go test | Timing began when participants initiate standing and end when they sat down. The mean of the measurements will be use for statistical purposes. The inter-observer reliability is good with an ICC of 0.89, a standard error of measurement of 3.99 seconds, and an MDD of 11.06 seconds. | first reading at 0 week | 
| Timed Up and Go test | Timing began when participants initiate standing and end when they sat down. The mean of the measurements will be use for statistical purposes. The inter-observer reliability is good with an ICC of 0.89, a standard error of measurement of 3.99 seconds, and an MDD of 11.06 seconds. | final reading at 4 week | 
| Quality of life: (OPQOL 35) | OPQOL questionnaire, has been validated in a multiethnic community-dwelling older population in England. Cronbach's alpha coefficient for the Italian outpatient population enrolled in this study was found to be 0.78, i.e. above the 0.70 threshold of acceptability for internal consistency. | first reading at 0 week | 
| Quality of life: (OPQOL 35) | OPQOL questionnaire, has been validated in a multiethnic community-dwelling older population in England. Cronbach's alpha coefficient for the Italian outpatient population enrolled in this study was found to be 0.78, i.e. above the 0.70 threshold of acceptability for internal consistency. | final reading at 4 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Motor control exercise, Neural mobilization, postural control