Effect of Osteopathic Manipulation on Postural Stability in the Elderly

Study Overview
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Brief Summary
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Postural stability and balance are defined as the body's ability to return the body back to its equilibrium point when exposed to a perturbation. This exploratory project is based on the hypotheses that decreased balance (increased sway as measured by the center of pressure of the body during quiet standing) causes an increased risk of falls and osteopathic manipulative treatment can improve postural balance. To test these hypotheses, the investigators will investigate the kinematics (study of the way the body moves) of postural balance in two cohorts of healthy elders, those receiving manipulation and those not receiving manipulation. We hypothesize that OMT is effective to increase postural stability, balance.

Detailed Description
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Postural stability and balance are defined as the body's ability to return the body back to its equilibrium point when exposed to a perturbation. This exploratory project is based on the hypotheses that decreased balance(increased sway as measured by the center of pressure of the body during quiet standing) causes an increased risk of falls and osteopathic manipulative treatment can improve postural balance. To test these ideas, the investigators will investigate the kinematics(study of the way the body moves)of postural balance in two cohorts of healthy elders, those receiving manipulation and those not receiving manipulation. We hypothesize that OMT is effective to increase postural stability, balance. Specific Aims Aim 1: To measure balance in a cohort of healthy elders(age 65 and over)using a force plate to measure center of pressure in the Anterior/posterior and medial-lateral directions during quiet standing with the eyes open, with the eyes closed and during a Romberg test. Aim 2: To evaluate the effectiveness of OMT to improve balance in a healthy elderly population. We will observe the progression of improvement in balance in one group who will receive OMT for four weeks compared to the other who will not receive OMT. Aim 3: To examine any potential impact and efficacy of OMT on cardiac and circulatory responses by measuring blood flow and circulation.

Official Title
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Effect of Osteopathic Manipulation on Postural Stability in the Elderly

Conditions
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Balance Control in Elderly

Intervention / Treatment
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* Other: Osteopathic Manipulative Treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 65 years ofage and older Healthy Male and Female Exclusion Criteria: Self report of a condition that could impair balance, such as otoneurologic, musculoskeletal or neurological diseases. Under the age of 65

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

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: Basic Science
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control Group<br>Control group no intervention | |
| Experimental: Osteopathic Manipulative Treatment<br>Osteopathic Manipulative medicine group | Other: Osteopathic Manipulative Treatment<br>* Osteopathic manipulation to determine balance and stability in elderly<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Balance | Center of Pressure | 30 seconds |