Clinical trial NCT05767541: Pilates Exercises Versus Resistance Exercises Among Geriatric Population With Sarcopenia
Official title: Comparative Effects of Pilates Exercises Versus Resistance Exercises on Measures of Physical Functioning Among Geriatric Population With Sarcopenia. a Randomized Clinical Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Sarcopenia
Keywords: Sarcopenia
Resistance training
Exercise Movement Techniques
Lead sponsor: Dow University of Health Sciences
Sponsor class: OTHER
First posted: 2023-03-14
Enrollment: 70
Sex: ALL
Minimum age (years): 60
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The goal of this clinical trial is to compare the effectiveness of two exercises to improve physical functioning of older adults with sarcopenia. the primary aim of this RCT is:

To measure the influence of pilates exercises versus resistance training in elderly with sarcopenia.

To introduce an affordable, effective and safe exercise care program, which prioritizes to make geriatric population independent.

Participants will be assessed for all outcome measures change at baseline and after 3 weeks following an exercise intervention. Participants enrolled in pilates exercise group will receive total of 9 exercises and participants enrolled in resistance exercise group will receive total of 8 exercises.

Detailed description: A total sample of 70 of geriatric population with sarcopenia will be collected from Dow University Hospital Ojha. Non-probability purposive sampling technique will be used. Participants will be screened and referred from medicine, family medicine and neurology OPD to physiotherapy OPD. Outcome measure assessment will be performed in all patients at two time points: baseline and follow up at the end of last session.

Outcome measures include short physical performance battery assessment tool (SPPB). Strength and gait are first evaluated by the ability to perform the tasks of getting up and sitting on a chair five consecutive times and performing the walking speed test (3 meters), Time up and go test, sit and reach test, and 2-minute step test as a measure of physical functioning.

After complete assessment at baseline all participants will be randomized to different treatment groups using 70 opaque sealed envelopes containing notes written with "new treatment" or "Standard treatment" on (n= 35 of each). The envelops will be scrambled before each participant allow to draw an envelope and thus find out in which group they will be allocated. Treatment will be provided to both groups. Group 1 will be provided with pilates exercises and group 2 will be provided with resistance exercises. Both groups will perform generalized warm up for up to 10 minutes at the beginning and 10 minutes of relaxation exercises at the end of treatment session.

Eligibility criteria: Inclusion Criteria:

* Referred and screened patients with sarcopenia from medicine, family medicine and neurology OPD at Dow University Hospital Ojha Campus, Karachi.
* Patients from 60 to 70 years of age
* Both male and female.
* Patients who consent to participate

Exclusion Criteria:

* Being bedridden
* Implanted pacemaker
* Recent history of any fracture
* Patients with cognitive \& neurological impairment
* Already enrolled in any exercise intervention program
* Known case of patients with malignancy
* Patients on steroids

Primary outcomes:
measure: Short physical performance battery assessment tool.
timeFrame: 3 weeks, change from baseline
Secondary outcomes:
measure: Time up and go test
timeFrame: 3 weeks, change from baseline
measure: sit and reach test
timeFrame: 3 weeks, change from baseline
measure: 2-minute step test
timeFrame: 3 weeks, change from baseline
Other outcomes:
Locations:
city: Karachi
country: Pakistan
facility: Dow University of Health and Sciences
state: Sindh
city: Karachi
country: Pakistan
facility: Dow University of Health and Sciences
Study officials:
affiliation: Dow University of Heath Sciences
name: Syeda Ariba Shoaib
role: PRINCIPAL_INVESTIGATOR
References:
citation: Mueller D, Redkva PE, Fernando de Borba E, Barbosa SC, Krause MP, Gregorio da Silva S. Effect of mat vs. apparatus pilates training on the functional capacity of elderly women. J Bodyw Mov Ther. 2021 Jan;25:80-86. doi: 10.1016/j.jbmt.2020.11.012. Epub 2020 Nov 16.