High Velocity Resistance Training Versus Otago Exercise Training on Falling Risk in Elderly

N/ARecruitingNCT07204808

Beni-Suef University40 enrolled

Overview

The study aim is to find out the difference between applying the otago exercise training versus high velocity resisted training on risk of fall in elderly. There will be no significant difference between the effect of otago exercise program versus high velocity resisted training on risk of fall in elderly . 40 Old aged persons of both sex their age \>65 years and have risk of falling will be recruited in this study.

Type of study : Randomized trail This prospective interventional study that will be conducted on 40 case of both sex their age above 65 They randomly assigned into 2 equal groups: Study group (A) 20 patients will receive otago exercise program and will do their normal activity of daily living. Study group (B) 20 patients will receive high velocity resisted training and will do their normal activity of daily living

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Falling Risk

Interventions

High velocity resistance training + Otago Exercise ProgramDEVICE

Participants who will be randomized to the HVRT will receive an exercise program targeting the lower limbs, to be performed twice a week for 8 weeks. Participants will be instructed to perform the exercises in a rapid and explosive manner such that all repetitions for each shortening phase will be performed as quickly as possible while the lengthening phase of the muscle will be controlled over 2-3 s The exercise will be done (bilateral leg press, step up, sit to stand, calf raise). The 8 weeks will be divided in three phases . OEP consists of strengthening and balance exercises. Strengthening of ankle plantar and dorsiflexors, knee extensors and flexors, and hip abductors will be focused in this program. Ankle weight cuffs (1-3 kg) provide resistance for hip and knee exercises. The ankle plantar and dorsiflexors will be strengthened by performing heel and toe raise . plantar and dorsiflexors will be strengthened by performing heel and toe

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age \>65 years old. * Both sex. * Have limited their activity level due to concern about falling (with or without falling) score by short -FES \> 7 and by * fall risk check list ≥ 4. * Participants will be independently ambulating Exclusion Criteria: * Any uncontrolled non musculoskeletal conditions that would make testing difficult and uncomfortable such as chronic obstructive airways disease and/or congestive heart failure. * A pre-existing neurological condition that affects lower-limb strength, balance and or ambulation (e.g., polio, stroke). * Any uncontrolled musculoskeletal or orthopedic conditions that may affect ambulation (e.g. rheumatoid arthritis). * Severe cerebrovascular or peripheral venous insufficiency. * History of surgery within the past 6 weeks. * Sensory impairments (vision, hearing, etc.) that affect communication * Previous diagnosis of dementia. * Hypotension (systolic blood pressure \<90 mmHg, diastolic blood pressure \<60 mmHg

Locations (1)

Beni-suef University

Cairo, Cairo Governorate, Egypt

RECRUITING

Outcomes

Primary Outcomes

Berg balance scale

The scale will evaluate an individual's ability to maintain their balance while performing functional activities. It includes 14 items and each section is scored between 0 (worst) and 4 (best), and measures level of dependence/independence in positions such as standing from sitting, standing with feet together, standing in full balance position, balancing on one leg, as well as ability to change positions. High BBS score will indicate good balance. Participants will be classified based on BBS score as high fall risk, balance disorder (0-20 points), moderate fall risk, acceptable balance (21-40 points), and low fall risk, good balance (41-56 points)