Innovative Training Program for Elderly in Need of Care

Study Overview
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Brief Summary
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The goal of this randomized controlled study was to examine the effects of a 8 weeks innovative training regime (stochastic resonance whole-body vibration [SR-WBV] and virtual virtual games [VG]) in the skilling up phase on physical performance, cognition and falls in elderly in need of care population.

Detailed Description
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Sensorimotor and strength exercise are methods to increase strength & power in the field of geriatrics. The question that arise what exercises are best suited to and most effective for elderly in need of care individuals. Such populations are advised first to enter a skilling up program before more traditional forms of training exercises are implemented. Goals in the skilling up phase: improvement in neuromuscular control, postural control and strengthening of large muscle groups of the lower extremity. The aim of the study in the skilling up phase: Study the effect on physical performance Study the effects on muscle strength. Study the effects on cognition. The participants will be recruited in Canton Zurich, Swizerland and will be randomly allocated to an intervention group or sham group

Official Title
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Skilling-up Exercise for Elderly in Need of Care

Conditions
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Poor Performance Status, Cognition - Other

Intervention / Treatment
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* Device: SR-WBV
* Device: Exergame
* Other: SR-WBV
* Device: Aktiv Tramp


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: RAI (Resident Assessment Instrument) >0 live in canton Zurich in terms of training load be resistant. Exclusion Criteria: acut joint disease, acut thrombosis, acute fractures, acute infections, acute tissue damage, or acute surgical scars seniors with prosthesis. alcoholic acute joint disease, activated osteoarthritis, rheumatoid arthritis, acute lower limb acute inflammation or infection tumors fresh surgical wounds severe migraine epilepsy acute severe pain

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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>T0 - intervention over 4 weeks with stochastic resonance whole-body vibration (SR-WBV) (start with 3 up to 6 Hz, noise 4) T1 - intervention 4 weeks (SR-WBV (start with 3 up to 6Hz, noise 4 & Exergame) - T2 | Device: SR-WBV<br>* Participants will undergo a training program set over eight weeks, three times a week with 3 to 6 Hz, Noise 4.<br>* Other names: SRT Zeptor® med;Device: Exergame<br>* Participants will undergo a training program set from week 5 to 8, three times a week over 20 minutes.<br>* Other names: Virtual game board;|
| Sham Comparator: Sham Comparator<br>T0 - intervention 4 weeks (SR-WBV 1 Hz, noise 1) - T1 - intervention 4 weeks (SR-WBV 1 Hz, noise 1 & Aktiv Tramp) - T2 | Other: SR-WBV<br>* Participants will undergo a training program set over eight weeks three times a week with 1 Hz, Noise 1<br>* Other names: SRT Zeptor® med;Device: Aktiv Tramp<br>* Participants will undergo a training program set from the 5 to 8 week, three times a week over 4 minutes.<br>* Other names: Trampoline;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Short physical performance battery (SPBB) | The SPBB examines 3 areas of lower extremity function: standing balance (semi-tandem stand, side-by-side stand, full tandem stand), usual walking speed and ability to stand from a chair. These areas represent essential tasks important for independent living. | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cognition | The trail-making test is a neuropsychological test of visual attention and task switching. The task requires a subject to 'connect-the-dots' of 25 consecutive targets on a sheet of paper. Two versions are available: A, in which the targets are all numbers (1,2,3, etc.), and B, in which the subject alternates between numbers and letters (1, A, 2, B, etc.). The goal of the subject is to finish the test as quickly as possible, and the time taken to complete the test is used as the primary performance metric. | 8 weeks | 
| The falls efficacy scale-international (FES-I) | The shortened version of the falls efficacy scale-international (FES-I): assess fear of falling. | 8 weeks |