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Effects of Feet and Ankle Mobilization on Balance of Older Adults (FEET_BALANCE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03092869
Recruitment Status : Completed
First Posted : March 28, 2017
Last Update Posted : June 8, 2018
Sponsor:
Information provided by (Responsible Party):
David Hernández, University of Valencia

Brief Summary:

This study aims to assess whether mobilization of the ankle and foot produces significant improvements in the balance of the elderly.

To this end, a randomized study was designed with a control group that performs proprioception exercises and an experimental group that also performs a mobilization of the ankle and foot joints.


Condition or disease Intervention/treatment Phase
Aging Problems Other: Feet and Ankle Mobilization Other: Proprioceptive Training Not Applicable

Detailed Description:

Aging leads to a decrease in physical activity and a reduction of postural control, which implies a loss of balance control, both static and dynamic, thus compromising the autonomy of the elderly and increasing the risk of suffering a fall. It has been observed that the balance degenerates in an accelerated way from 60 years of age. Basically appears a natural physiological degeneration of the organism, which affects strength, range of mobility, reduces vestibular function, there is loss vision and lower cardiopulmonary capacity.

In the older adult who suffers falls, in relation to the one who does not suffer, a series of differences or determinants have been observed. In this group, a series of characteristics such as the lower flexibility of the ankle joint and the muscle-tendon complex are present, hallux valgus appears, lower foot tenderness or a decrease in the strength in the first plantar flexor finger. They appear to have poorer balance and have less force in the flexors of the soles accompanied by less mobility of the foot inversion-eversion.

One of the causes that seems to contribute in the decrease of the balance in the older adult are the alterations in the ankle and foot, besides supposing a worse capacity of adaptation to the possible environmental changes. Before a deficit of this type, the subject tends to compensate for his position with compensatory strategies in other joints of the lower limb. It has also been shown that as we grow older, there is an increase in the demand for articulation of the other joints, such as the hip and knee, secondary to a decrease in joint range of ankle and foot or weakness of the dorsal flexors of the foot.

It follows that there is a relationship between alterations in the ankle and foot and the balance in the elderly, all related to the forces that suffer the ankle in the gait and to the low normal activity. Any alteration in this joint could predetermine an alteration of its function in maintaining stability in the elderly.


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 29 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Effects of Feet and Ankle Mobilization on Balance of Older Adults
Actual Study Start Date : April 3, 2017
Actual Primary Completion Date : July 1, 2017
Actual Study Completion Date : September 2, 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Foot Health

Arm Intervention/treatment
Experimental: Experimental Group
Feet and Ankle Mobilization
Other: Feet and Ankle Mobilization
A set of manual therapy mobilization in feet and ankle joints

Other: Proprioceptive Training
A set of proprioceptive exercises oriented to improve balance abilities

Active Comparator: Control Group
Proprioceptive Training
Other: Proprioceptive Training
A set of proprioceptive exercises oriented to improve balance abilities




Primary Outcome Measures :
  1. Berg Balance Scale [ Time Frame: Change from baseline to end of intervention (one month) ]
    This is a 14 item scale used to assess the overall state of balance of the oder adult


Secondary Outcome Measures :
  1. Test Up and Go [ Time Frame: Change from baseline to end of intervention (one month) ]
    It uses the time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down.

  2. Pressure Platform Outcome [ Time Frame: Change from baseline to end of intervention (one month) ]
    Romberg test. Static balance when standing in the platform in a static position without moving the feet during 30 seconds

  3. Range of Movement [ Time Frame: Change from baseline to end of intervention (one month) ]
    Flexion-extension range of movement of the ankle joint



Information from the National Library of Medicine

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Ages Eligible for Study:   60 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Old adults over 60 years

Exclusion Criteria:

  • Subjects with balance disorders whether vestibular or central.
  • Subjects with lower limb prosthesis.

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): NCT03092869


Locations
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Spain
Universidad de Valencia
Valencia, Spain, 46010
University of Valencia
Valencia, Spain, 46010
Sponsors and Collaborators
University of Valencia
Investigators
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Principal Investigator: David Hernández, PT University of Valencia

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Responsible Party: David Hernández, Principal Investigator, University of Valencia
ClinicalTrials.gov Identifier: NCT03092869     History of Changes
Other Study ID Numbers: DHG01
First Posted: March 28, 2017    Key Record Dates
Last Update Posted: June 8, 2018
Last Verified: June 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by David Hernández, University of Valencia:
Feet
Ankle
Balance
Manual Therapy
Older Adult