Effects of Balance Exercises With and Without Clamshell Exercises After Menopause
Effects of Balance Exercises With and Without Clamshell Exercises on Physical Performanace and Balance After Menopause
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Imran Amjad, PhD
- Phone Number: 03324390125
- Email: imran.amjad@riphah.edu.pk
Study Contact Backup
- Name: iqbal Tariq, phd
- Phone Number: 03338236752
- Email: iqbal.tariq@riphah.edu.pk
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- age 65 years or older;
- having significant concerns about their balance
- participants to be living independently in the community
- Berg's Balance Scale scores more than 41/56 indicating minimal fall risk were included in the study
Exclusion Criteria:
Participants were excluded from the study if their vision was compromised so that they were unable to see objects on the floor or recognize the instructor's movements
- progressive neurologic disease which could impair balance
- hypertensive
- unable to understand, speak, or hear
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Balance exercises with clamshell
balance was assessed by the Berg's Balance Scale exercise.
Participants were instructed to walk (step) from one end of the mat to the other according to the step pattern provided.
When reached the end of the mat, instructed to return to their starting position by walking normally off the mat and starting the next stepping.
repeat every sequence five times and then started a new pattern.
Duration would be 30 min.
clamshell exercises a Participants were instructed to lie on their side with the weaker limb facing upwards.
Both hips were flexed at 45 degrees, knees flexed at 90 degrees, and neither the feet nor the back were in contact with the wall.
While keeping both heels and the first metatarsal head together, participants were instructed to separate their knees and rotate the weaker limb upward.
They were advised not to tilt the limb backwards and to maintain a neutral pelvic position 3,5 sets for 10 repetations twice a week for 12 weeks
|
balance was assessed by the Berg's Balance Scale exercise.
Participants were instructed to walk (step) from one end of the mat to the other according to the step pattern provided.
When reached the end of the mat, instructed to return to their starting position by walking normally off the mat and starting the next stepping.
repeat every sequence five times and then started a new pattern.
Duration would be 30 min.
clamshell exercises a Participants were instructed to lie on their side with the weaker limb facing upwards.
Both hips were flexed at 45 degrees, knees flexed at 90 degrees, and neither the feet nor the back were in contact with the wall.
While keeping both heels and the first metatarsal head together, participants were instructed to separate their knees and rotate the weaker limb upward.
They were advised not to tilt the limb backwards and to maintain a neutral pelvic position 3,5 sets for 10 repetations twice a week for 12 weeks
Participants were instructed to lie on their side with the weaker limb facing upwards.
Both hips were flexed at 45 degrees, the knees were flexed at 90 degrees, and neither the feet nor the back were in contact with the wall.
While keeping both heels and the first metatarsal head together, participants were instructed to separate their knees and rotate the weaker limb upward.
They were advised not to tilt the limb backwards and to maintain a neutral pelvic position 3,5 sets for 10 repetations twice a week for 12 weeks
|
|
Active Comparator: balance exercise
Group B will be recieve balance exercises balance was assessed by the Berg's Balance Scale exercise include square stepping exercises The SSE comprised a progression of forward, in reverse, sidelong, and inclining steps.
Participants were instructed to walk (step) from one end of the mat to the other according to the step pattern provided.
When they reached the end of the mat, they were instructed to return to their starting position by walking normally off the mat and starting the next stepping.
Each participant repeated every sequence five times and then started a new pattern.
Duration of exercise would be 30 min
|
Participants were instructed to lie on their side with the weaker limb facing upwards.
Both hips were flexed at 45 degrees, the knees were flexed at 90 degrees, and neither the feet nor the back were in contact with the wall.
While keeping both heels and the first metatarsal head together, participants were instructed to separate their knees and rotate the weaker limb upward.
They were advised not to tilt the limb backwards and to maintain a neutral pelvic position 3,5 sets for 10 repetations twice a week for 12 weeks
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time shuttle run
Time Frame: baseline and fourth week
|
A maximal multistage 20 m shuttle run test was designed to determine the maximal aerobic power of menopausal females Subjects run back and forth on a 20 m course and must touch the 20 m line; at the same time The reliability of the interval shuttle run test (ISRT) as a submaximal and maximal field test to measure intermittent endurance capacity was examined.
ISRT.
Relative reliability was high (intraclass correlation coefficient ≥ 0.86).
A maximal multistage 20 m shuttle run test was designed to determine the maximal aerobic power of menopausal females Subjects run back and forth on a 20 m course and must touch the 20 m line; at the same time.
The reliability of the interval shuttle run test (ISRT) as a submaximal and maximal field test to measure intermittent endurance capacity was examined.
ISRT.
|
baseline and fourth week
|
|
Time up and go
Time Frame: baseline and fourth week
|
TUG measures the time a person needs to get up out of a chair, walk three meters and return to the chair.
This is measured in seconds with a handheld stopwatch.
Patients performed the TUG two times and for each patient, the mean of the two time measurements would be a score of less than or equal to 20 seconds on the TUG was considered a normal score
|
baseline and fourth week
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Rabiya Noor, PhD, Riphah International University
Publications and helpful links
General Publications
- Shubert TE, McCulloch K, Hartman M, Giuliani CA. The effect of an exercise-based balance intervention on physical and cognitive performance for older adults: a pilot study. J Geriatr Phys Ther. 2010 Oct-Dec;33(4):157-64.
- Walsh GS, Delextrat A, Bibbey A. The comparative effect of exercise interventions on balance in perimenopausal and early postmenopausal women: A systematic review and network meta-analysis of randomised, controlled trials. Maturitas. 2023 Sep;175:107790. doi: 10.1016/j.maturitas.2023.107790. Epub 2023 Jun 16.
- Shojaa M, Von Stengel S, Schoene D, Kohl M, Barone G, Bragonzoni L, Dallolio L, Marini S, Murphy MH, Stephenson A, Manty M, Julin M, Risto T, Kemmler W. Effect of Exercise Training on Bone Mineral Density in Post-menopausal Women: A Systematic Review and Meta-Analysis of Intervention Studies. Front Physiol. 2020 Jun 23;11:652. doi: 10.3389/fphys.2020.00652. eCollection 2020.
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- REC/RCR & AHS/24/0521
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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