Graded Motor Imagery and Fall Risk in Older Adults

Balance Clinical Trial

— GMI  

Official title:

Graded Motor Imagery and Fall Risk in Older Adults: An Exploratory Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05715112
• Other study ID #: StAmbroseU GMI fall risk
• Status: Completed
• Start date: August 17, 2022
• Est. completion date: August 18, 2022

Study information

• Verified date: May 2023
• Source: St. Ambrose University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

To determine if there is any carry over effect of sensation training for the feet, officially called Graded Motor Imagery (GMI), will impact balance and fall risk factors in older individuals. This will be looked at to see if there is a difference in balance and sensation before and right after the training.

Description:

In order to increase acuity of body maps, various tactile and movement-based strategies have been recommended and supported for research focusing on sensory discrimination. Current evidence, specific to painful conditions related to altered cortical mapping, have shown growing evidence in reducing pain and disability. In regards to it's ability to alter foot pain in older adults and decreasing fall risk, prior conference case study and case series presentations have suggested potential clinical benefit, but it has not been formally studied. The aim of this study is to determine if a sensory discrimination training for feet in older adults can alleviate pain, improve sensory discrimination, and also decrease fall risk. Specifically, does a 20 minute training session improve pain, balance (Brief-BEST test), and sensory discrimination in individuals over 65 years of age. Secondary analysis may exam characteristics that best identify those who benefit from this training.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 42
• Est. completion date: August 18, 2022
• Est. primary completion date: August 18, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Be able to read and understand English
• Be over the age of 65
• Be independent with ambulation (with or without an assistive device)
• Not have any skin condition or injury to the plantar or dorsal part of the foot
• Have the visual ability to view images on a tablet to partake in a test

Exclusion Criteria:

• No existing skin conditions on the bottom of the foot that would impair sensation
• No current injury to the plantar or dorsal side of the foot
• No prior surgery or major injury to the plantar or dorsal side of the foot
• Lacking sensation in the foot
• Unable to read and understand English
• Lacking ability to view images on a tablet to partake in a test
• Unable to ambulate (with or without an assistive device)

Related Conditions & MeSH terms

• Balance
• Fall Risk

Intervention

Procedure:
• Graded Motor Imagery
GMI consisting of education, sensory integration of the foot using contact, flooring samples, immersion, and two point discrimination.

Locations

Country	Name	City	State
United States	St. Ambrose University	Davenport	Iowa

Sponsors (1)

Lead Sponsor	Collaborator
St. Ambrose University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Lower extremity pain rating	Change (from before treatment to immediately after treatment) in pain for the lower extremity using the numeric pain rating scale (NPRS - 0 to 10 where 0 = no pain and 10 + maximum pain)	self-reported, change from before to immediately after treatment
Primary	Laterality Speed	Change (from before treatment to immediately after treatment) in speed of foot recognition using Recognize (TM) (speed in seconds to recognize each of 40 images as right or left foot)	tested for 60 seconds before and immediately after treatment
Primary	Laterality Accuracy	Change (from before treatment to immediately after treatment) in accuracy of foot recognition using Recognize (TM) (percent accurately correctly identified as right or left foot of those 40 images)	tested for 60 seconds before and immediately after treatment
Primary	Balance / fall risk	Change (from before treatment to immediately after treatment) in Brief-BESTest (6 task subsets to assess static and dynamic balance) (0 - 15 scale where 0 - lowest score / unstable and 15 = highest / no balance issues)	Assessed before and immediately after treatment
Primary	Nerve Sensitivity Dorsum of dominant hand	Change (from before treatment to immediately after treatment) in Pain Pressure Threshold (PPT) on dorsum of web space of dominant hand (in pounds)	Assessed before and immediately after treatment
Primary	Nerve Sensitivity Dorsum of Right Foot	Change (from before treatment to immediately after treatment) in Pain Pressure Threshold (PPT) on dorsum of right foot (in pounds)	Assessed before and immediately after treatment
Primary	Nerve Sensitivity Dorsum of Left Foot	Change (from before treatment to immediately after treatment) in Pain Pressure Threshold (PPT) on dorsum of left foot (in pounds)	Assessed before and immediately after treatment