Effects of Action Observation Therapy With Otago Exercises on Balance and Quality of Life in Older Adults

Balance; Distorted Clinical Trial

Official title:

Effects of Action Observation Therapy With Otago Exercises on Balance and Quality of Life in Older Adults

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06008665
• Other study ID #: 01345
• Status: Recruiting
• Phase: N/A
• Start date: July 12, 2023
• Est. completion date: November 30, 2023

Study information

• Verified date: August 2023
• Source: Riphah International University
• Contact: Waqar Ahmed Awan, PhD
• Phone: +923335348846
• Email: waqar.ahmed[@]riphah.edu.pk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study is to determine to see the effect of action observation therapy with otago exercise on Balance and Quality Of Life.

Description:

This study is designed to reduce the Fall and balance problems and increase the quality of life in older adults. Balance, which declines with aging, is a complex sensory-motor process in which the visual, vestibular, and musculoskeletal systems work cooperatively to produce postural stability and loss of balance control causes falls, resulting in severe injuries, such as fractures, causing longstanding pain, lower quality of life, disability, and even death.

Interventions include balance and postural control that can help older people to avoid falling, through tai chi methods, gait training, strengthening exercises, and balance training programs.

The Otago Exercise Program comprises muscle strength exercises, balance training, and walking. The Otago workout program is based on individual tolerance, consisting of strengthening, balance, walking, and aerobic activities, and can be done at home environment Action observation is a cognitive intervention training strategy that involves observing other people's performance in order to promote motor learning.

Participants were instructed to watch a video on a screen while comfortably seated in a chair with armrests. They were not allowed to follow along or engage in any movement while watching the video. After the watching video of each component of otago exercises the exercises performed by participant based on the content of the video.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 54
• Est. completion date: November 30, 2023
• Est. primary completion date: October 30, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 60 Years to 80 Years

Eligibility

Inclusion Criteria:

• Both genders

• Participant experience fall > one time in last 6 months.

• Participants having Berg Balance score between 20 to 40

Exclusion Criteria:

• ?Abnormalities in visual, auditory, or vestibular system

• Limb defects

• History of recent fractures

• Participants with Cardiovascular, Cerebrovascular disease or traumatic brain injury and Epilepsy

Related Conditions & MeSH terms

• Balance; Distorted

Intervention

Other:
• Action Observation Therapy and Otago Exercises
Strength Training Component:Knee Flexor, Knee Extensor, Hip Adductors, Ankle Planter Flexors, Ankle Dorsi Flexors Balance Training Component: Activities include: Walking backwards, Walking in a figure of eight, Heel-toe walking, Standing on one leg, Walking on the heels, Walking on the toes, Heel-toe walking backwards, Standing up from a sitting position, Walking up stairs. Training Frequency and Guidance: Exercises conducted three times a week,Guidance provided by a therapist. Training Session Duration: Each session lasts for 35-40 minutes. Warm-up and Cool-down:5-minute warm-up before each session and 5-minute cool-down after each session.
• Otago Exercises
Strength Training Component:Knee Flexor, Knee Extensor, Hip Adductors, Ankle Planter Flexors, Ankle Dorsi Flexors Balance Training Component: Activities include: Walking backwards, Walking in a figure of eight, Heel-toe walking, Standing on one leg, Walking on the heels, Walking on the toes, Heel-toe walking backwards, Standing up from a sitting position, Walking up stairs.

Locations

Country	Name	City	State
Pakistan	Waqar Awan Awan	Islamabad

Sponsors (2)

Lead Sponsor	Collaborator
Riphah International University	Health Education Research Foundation (HERF)

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Berg Balance Scale	The Berg Balance Scale is a testing tool with high validity and reliability used to measure balance. A five-point ordinal scale, ranging from 0-4. "0" indicates the lowest level of function and "4" the highest level of function. Total Score = 56. Score 0-20(High Risk of Fall), 21-40(Moderate Risk of Fall) and 41-54(Low Rosk of Fall)	Baseline to 12th week
Primary	Time Up and Go test	The Timed Up and Go test is to identify mobility and balance impairments in older adults. Score =12 seconds (Risk of Fall)	Baseline to 12th week
Primary	Functional Reach Test	The Functional Reach Test is a single item test developed as a quick screen for balance problems in older adults. Score >6 inches (High Risk of Fall), 6-10 inches (Risk of Fall)	Baseline to 12th week
Secondary	Short Form 36	The SF 36 is use to measure the Quality of Life	Baseline to 12th week