Innovative Training Program for Elderly in Need of Care Individuals

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 and strength 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.. The participants will be recruited in Canton Bern - Switzerland 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, Muscle Weakness

Intervention / Treatment
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* Device: SR-WBV
* Device: Virtual Games (VG)
* Other: SR-WBV
* Device: Aktiv Tramp (Swiss Frei AG, Switzerland)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: RAI (Resident Assessment Instrument) >0 live in canton Bern 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: Single


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 & virtual games) - 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: Virtual Games (VG)<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 (Swiss Frei AG, Switzerland)<br>* Participants will undergo a training program set from the 5 to 8 week, three times a week with 1Hz.<br>* Other names: Mechanically controlled trampoline.;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical performance | 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. | after 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Isometric maximum voluntary contraction (IMVC) | It will be evaluated by isometric MCV at 90 degree angle in the knee joint. | after 8 weeks | 
| Submaximal maximum voluntary contraction (subIMVC) | It will be evaluated by isometric RFD at 90 degree angle in the knee joint. | after 8 weeks | 
| Isometric rate of force development (IRFD) | It will be evaluated by isometric RFD at 90 degree angle in the knee joint. | after 8 weeks |