Clinical trial NCT04036383: Effects of Different Type Exercise Trainings on Functionality in Older Fallers
Official title: Effects of Different Type Exercise Trainings on Functionality in Older Fallers
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Fall Patients
Lead sponsor: Kırıkkale University
Sponsor class: OTHER
First posted: 2019-07-29
Enrollment: 30
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SEQUENTIAL
Primary purpose: TREATMENT

Brief summary: The aim of this study to examine the effectiveness of different types of exercise trainings on functionality in older faller

Detailed description: Individuals participating in the study will be blinded and 30 elderly individuals will be included. Sociodemographic information of individuals, Mini Mental State Test, Fall Efficacy Scale, Dynamic Gait Index, Montreal Cognitive Assessment Scale, Daily Life Activities Scale for Vestibular Disorders, World Health Organization Quality of Life Scale-Elderly Module test results will be recorded. Hip flexors and abductors, m.quadriceps femoris and m.tibialis anterior muscle strength will be measured by manual muscle dynamometer. In balance assessments; sensory organization test and adaptation test of computerized dynamic posturography will be recorded. Individuals will be divided into 3 groups by blocking and stratification randomization method. All individuals in the group will perform vestibular exercise training twice a day for 8 weeks as a home exercise program. In the first group, vestibular exercise training will be used as a home program, in the second group, individual rehabilitation program will be applied to the computerized balance system and in the third group, square step exercises will be applied. Exercise training will be held 3 times a week for 8 weeks.

Eligibility criteria: Inclusion Criteria:

* 65 years and older individuals,
* Mini Mental State Examination Test score above 24,
* At least two falls in the last year
* Independent individuals in mobilization without walking aid

Exclusion Criteria:

* Cardiac diseases
* Pulmonary embolism and deep vein thrombosis in the last three months,
* A history of cerebral aneurysm or intracranial hemorrhage,
* Acute retinal hemorrhage or previous ophthalmic surgery,
* Active infection,
* Multiple organ failure,
* Terminal disease status,
* A history of fractures in the lower and upper extremities within the last three months,
* Severe hearing and vision loss,
* Patients with Alzheimer's disease, Parkinson's disease, dementia
* Patients diagnosed with Benign Paroxysmal Positional Vertigo,
* Those who have received exercise training in the last 6 months,

Primary outcomes:
measure: Balance Function Assessment-Sensory Organization Test
timeFrame: 5 minutes
measure: Cognitive Function assessment
timeFrame: 10 minutes
measure: Gait Function assessment
timeFrame: 15 minutes
measure: Balance Function Assessment- Adaptation Test
timeFrame: 5 minutes
Secondary outcomes:
Other outcomes:
Locations:
city: Kırıkkale
country: Turkey
facility: Kırıkkale University
Study officials:
affiliation: Kırıkkale University
name: Ayşe ABİT KOCAMAN
role: PRINCIPAL_INVESTIGATOR
References:
citation: Duque G, Boersma D, Loza-Diaz G, Hassan S, Suarez H, Geisinger D, Suriyaarachchi P, Sharma A, Demontiero O. Effects of balance training using a virtual-reality system in older fallers. Clin Interv Aging. 2013;8:257-63. doi: 10.2147/CIA.S41453. Epub 2013 Feb 28.
citation: Shigematsu R, Okura T, Nakagaichi M, Tanaka K, Sakai T, Kitazumi S, Rantanen T. Square-stepping exercise and fall risk factors in older adults: a single-blind, randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2008 Jan;63(1):76-82. doi: 10.1093/gerona/63.1.76.
citation: Shigematsu R, Okura T, Sakai T, Rantanen T. Square-stepping exercise versus strength and balance training for fall risk factors. Aging Clin Exp Res. 2008 Feb;20(1):19-24. doi: 10.1007/BF03324743.
citation: Fisseha B, Janakiraman B, Yitayeh A, Ravichandran H. Effect of square stepping exercise for older adults to prevent fall and injury related to fall: systematic review and meta-analysis of current evidences. J Exerc Rehabil. 2017 Feb 28;13(1):23-29. doi: 10.12965/jer.1734924.462. eCollection 2017 Feb.
citation: Moreira Bittar RS, Simoceli L, Bovino Pedalini ME, Bottino MA. The treatment of diseases related to balance disorders in the elderly and the effectiveness of vestibular rehabilitation. Braz J Otorhinolaryngol. 2007 May-Jun;73(3):295-8. doi: 10.1016/s1808-8694(15)30071-9.