Fall Clinical Trial
— NE-AEinGROfficial title:
Comparison of Neuromuscular and Aquatic Exercise Programs on Fall Risk and Physical Function in Geriatrics
Objective: The aim of this study is to compare neuromuscular and aquatic Exercise programs on fall risk and physical function in geriatrics. Methods: As a result of the power analysis (G-Power), 36 participants are planned to be included in this study Block randomization will be used to divide participants into 2 groups, each with at least 18 participants: Group 1 (NE Group) and Group 2 (AE Group) (Randomizer.org). NE (Neuromuscular Exercise) group will participate in a 12-week exercise program consisting of sensorimotor system training, postural stability and control, global and local joint stabilization, balance training, muscle strength, breathing, and functional movement patterns.AE (Aqıuatic Exercise) Group will participate in an aquatic exercise program, which includes warm-up, mobility and strength, stretching, and cooling exercises in a 140 cm deep pool with a water temperature of 32 °. Data will be collected using the International Physical Activity Survey Short Form (IPAQ-SF), Montreal Cognitive Assessment Scale (MoCA), Geriatric Pain Measure, Optojump-next (Microgate, Bolzano, Italy), 6-minute Walk Test, 30-second-Sit-to-Stand Test, Four Step Square Test, Berg Balance Scale, Fear of Falling Avoidance Behavior Questionnaire. Practice Implications: This current study will contribute to the understanding of how neuromuscular exercises affect falls and physical function in geriatrics.
Status | Recruiting |
Enrollment | 36 |
Est. completion date | October 30, 2024 |
Est. primary completion date | May 31, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 65 Years to 85 Years |
Eligibility | Inclusion Criteria: - Being able to speak and understand Turkish, - Getting a score at least 21 points on the Montreal Cognitive Assessment Scale (MoCA), - Being able to walk without using any assistive device, - Being able to adapt to the training program and wanting to participate in the study voluntarily Exclusion Criteria: - Presence of neurological, musculoskeletal, inner ear or eye diseases that will cause functional disability and impaired standing balance, - Those who have had changes in their medical treatments in the last 6 months, - Those with a history of lower extremity surgery as it may affect balance tests, - Volunteers who do not attend at least one of the training and evaluations for any reason. - Volunteers who want to leave the study voluntarily. - Volunteers who cannot continue working due to any additional disease that develops. |
Country | Name | City | State |
---|---|---|---|
Turkey | Alanya Alaaddin Keykubat University | Alanya | Antalya |
Lead Sponsor | Collaborator |
---|---|
Alanya Alaaddin Keykubat University | Pamukkale University |
Turkey,
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Pain | Change in Pain will be evaluated using Geriatric Pain Measure.Geriatric Pain Scale consists of 24 items. Scores range from 0-100, scores less than 0-30 indicate mild pain; Moderate pain between 30-69 points; A score of 70 points and above is considered severe pain. | Before exercise programs and immediately after 12 weeks. | |
Primary | Change in walking and reaction time | Change in walking and reaction time will be evaluated using Optojump-next (Microgate, Bolzano, Italy) | Before exercise programs and immediately after 12 weeks. | |
Primary | Change in aerobic capacity | Change in aerobic capacity will be evaluated using 6-minute Walk Test | Before exercise programs and immediately after 12 weeks. | |
Primary | Change in muscular fitness | Change in muscular fitness will be evaluated using 30-second-Sit-to-Stand Test | Before exercise programs and immediately after 12 weeks. | |
Primary | Change in s balance | Change in static balance will be evaluated using Berg Balance Scale | Before exercise programs and immediately after 12 weeks. | |
Primary | Change in dynamic balance | Change in static and dynamic balance will be evaluated using Four Step Square Test | Before exercise programs and immediately after 12 weeks. | |
Primary | Change in fear of falling | Change in fear of falling will be evaluated using Fear of Falling Avoidance Behavior Questionnaire. The scale consists of thirty items and ten sub-dimensions. Sub-scores and the total score are calculated by dividing the given score by the number of items on the scale scored according to a 4-point Likert scoring. A high score indicates a high risk of falling. | Before exercise programs and immediately after 12 weeks. | |
Secondary | Physical activity level | Physical activity level will be evaluated using International Physical Activity Survey Short Form (IPAQ-SF). As a result of the test, metabolic equivalent (met) is calculated. High met indicates high physical activity. | before 12-week exercise programs | |
Secondary | Level of cognition | Level of cognition will be evaluated using Montreal Cognitive Assessment Scale (MoCA). Scale scores range from 0-30. A score of 21 points and above indicates a normal level of cognition. | before 12-week exercise programs |
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