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The Influence of Balance Training on Postural Control in Elderly

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ClinicalTrials.gov Identifier: NCT02836587
Recruitment Status : Completed
First Posted : July 19, 2016
Last Update Posted : September 20, 2017
Sponsor:
Information provided by (Responsible Party):
Zdenek Svoboda, Palacky University

Brief Summary:
Fall related injuries are major health problem which effect especially elderly population. After experiencing a fall, most of the elderly are unable to resume their previous mobility and the fear of future falls affects their daily life. Falls in elderly population are often related to balance or gait problems. The aim of this study is to assess the influence of balance training on postural and motor control of healthy elderly participants. The study is designed as a parallel interventional study with experimental and control group (allocation ratio 1:1). Participants' general health, balance abilities, fear of falling and gait stability and variability will be assessed on the baseline measurement, right after and 2 months after the completion of the training programme. Experimental group will undergo training focused on development of balance abilities and strength twice a week (60 minutes in length each) for 8 weeks. Participants will receive individualized exercises which will be focused on the main 4 types - stance exercises, gait and transition exercises and strength exercises especially focused on muscle strength of lower extremities.

Condition or disease Intervention/treatment Phase
Accidental Falls Behavioral: Balance training Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 44 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Prevention
Official Title: The Influence of Balance Training on Postural Control in Elderly
Study Start Date : September 2016
Actual Primary Completion Date : July 16, 2017
Actual Study Completion Date : September 19, 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Falls

Arm Intervention/treatment
Experimental: interventional
Experimental group will undergo balance training for 8 weeks.
Behavioral: Balance training
The interventional program will last 8 weeks with the intensity of two 60-minutes lectures a week. Training sessions will be delivered by a physiotherapist to small groups of patients (3-5). Participants will receive individualized exercises which will be focused on main 4 types - stance exercises, gait and transition exercises and strength exercises especially focused on muscle strength of the lower extremities. The difficulty level will be increased progressively after participant's ability to complete each exercise independently (e.g. eyes closed, exercises on balance equipment - wobble board, foam etc., addition of a secondary cognitive task). The training session will consist of a ten-minute warm-up followed by five-minute stretching, 30 minutes of balance training and 15 minutes of stretching and relaxation.

No Intervention: control
Control group will have no assigned intervention.



Primary Outcome Measures :
  1. Change from baseline Berg balance scale score after completing intervention [ Time Frame: 2 months ]
  2. Change from baseline mean velocity of centre of pressure during quiet stance after completing intervention [ Time Frame: 2 months ]
  3. Change from baseline stride time variability after completing intervention [ Time Frame: 2 months ]

Secondary Outcome Measures :
  1. Change from baseline Falls efficacy scale - International score after completing intervention [ Time Frame: 2 months ]
  2. Change from baseline gait velocity after completing intervention [ Time Frame: 2 months ]
  3. Change from baseline short-term Lyapunov exponents after completing intervention [ Time Frame: 2 months ]


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Ages Eligible for Study:   60 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • age 60+
  • ability to stand and walk without aid or support
  • participation in the institutional program "Falls risk and balance assessment" with successful completion of one year of observation for falls

Exclusion Criteria:

  • neuromuscular or orthopaedic impairments that severely limit mobility and balance
  • surgery or injury on the musculoskeletal system less than 2 years before baseline measurement
  • any acute illness

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02836587


Locations
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Czechia
Faculty of Physical Culture, Palacky University Olomouc
Olomouc, Czechia, 77111
Sponsors and Collaborators
Palacky University
Investigators
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Principal Investigator: Zdenek Svoboda, Ph.D. Faculty of Physical Culture, Palacky University Olomouc
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Responsible Party: Zdenek Svoboda, Ph.D., Palacky University
ClinicalTrials.gov Identifier: NCT02836587    
Other Study ID Numbers: UPOL_FTK_001
First Posted: July 19, 2016    Key Record Dates
Last Update Posted: September 20, 2017
Last Verified: September 2017