- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05333562
Motor Control Exercises and Neural Mobilization in Posture of Older Adults
April 11, 2022 updated by: Riphah International University
Effects of Motor Control Exercises With and Without Neural Mobilization on Postural Control of Older Adults
The aim of this research is to find and compare the effect of Motor control exercises with and without neural mobilization on postural control of older adults.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Randomized controlled trials done at Bilqees Eidhi and Afiyat old age home Lahore.The sample size was 40.
The subjects were divided in two groups, 20 subjects in Motor control exercise group and 20 in Motor control exercise with neural gliding group.
Study duration was of 6 months.
Sampling technique applied was purposive non probability sampling technique.
Only 65-80 years of older adults included in study.
Tools used in the study are time up and go test(TUG), Gait speed, Static balance and Quality of life(OPQOL35).
Data was analyzed through SPSS 21.
Study Type
Interventional
Enrollment (Actual)
40
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Punjab
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Lahore, Punjab, Pakistan, 54000
- Binash afzal
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
60 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria
- Both male and female were included
- Older adults having age range from 60-80 years or older
- Adults whose score is more than 24 on mini mental state examination.
- Ambulate independently with or without a walking aid
- Adults who had permission from the institution's doctor to participate in exercise classes.
Exclusion Criteria:
- Patients with altered conscious level
- Adults who cannot ambulate (bed ridden patients)
- Patient with any neurological condition like stroke, multiple sclerosis and TBI
- Patients with severe orthopedic condition like fractures and rheumatoid arthritis
- Patient having any cardiac condition
- Adults walking with walking aids like sick and crutches
- Adults having vertigo or vestibular problems.
- Adults having history of recurrent falls.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Motor control exercise
Motor control exercise was given with total of 8 sessions for 30 min for 4 weeks twice a day.
Each exercise was performed 10 repetitions for 10 sec.
|
Motor control exercise was given with total of 8 sessions for 30 min for 4 weeks twice a day.
Each exercise was performed 10 repetitions for 10 sec.
|
Active Comparator: Motor control exercise with neural mobilization
this was given motor control exercise for 30 min, 4 weeks twice a day plus neural gliding applied for 3 sets of 10 repetitions on each session.
Neural gliding applied 5 min before motor control exercise.
Total 8 sessions were given
|
this was given motor control exercise for 30 min, 4 weeks twice a day plus neural gliding applied for 3 sets of 10 repetitions on each session.
Neural gliding applied 5 min before motor control exercise.
Total 8 sessions were given
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Static balance test
Time Frame: first reading at 0 week
|
Balance will be assessed using the Tandem stance (TS) test for static balance.
The intraobserver reliability of the test is good with an ICC of 0.80.
|
first reading at 0 week
|
Static balance test
Time Frame: final reading at end of 4 week
|
Balance will be assessed using the Tandem stance (TS) test for static balance.
The intraobserver reliability of the test is good with an ICC of 0.80.
|
final reading at end of 4 week
|
Gait speed test
Time Frame: first reading at 0 week
|
The 4-m gait speed test will use, and the beginning and the end of the test will mark on the floor.
The intra-observer reliability of the gait speed test is excellent with an ICC of 0.91, a standard error of measurement of 0.06 m/s, and a minimum detectable difference (MDD) of 0.17 m/s.
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first reading at 0 week
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Gait speed test
Time Frame: final reading at end of 4 week
|
The 4-m gait speed test will use, and the beginning and the end of the test will mark on the floor.
The intra-observer reliability of the gait speed test is excellent with an ICC of 0.91, a standard error of measurement of 0.06 m/s, and a minimum detectable difference (MDD) of 0.17 m/s.
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final reading at end of 4 week
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Timed Up and Go test
Time Frame: first reading at 0 week
|
Timing began when participants initiate standing and end when they sat down.
The mean of the measurements will be use for statistical purposes.
The inter-observer reliability is good with an ICC of 0.89, a standard error of measurement of 3.99 seconds, and an MDD of 11.06 seconds.
|
first reading at 0 week
|
Timed Up and Go test
Time Frame: final reading at 4 week
|
Timing began when participants initiate standing and end when they sat down.
The mean of the measurements will be use for statistical purposes.
The inter-observer reliability is good with an ICC of 0.89, a standard error of measurement of 3.99 seconds, and an MDD of 11.06 seconds.
|
final reading at 4 week
|
Quality of life: (OPQOL 35)
Time Frame: first reading at 0 week
|
OPQOL questionnaire, has been validated in a multiethnic community-dwelling older population in England.
Cronbach's alpha coefficient for the Italian outpatient population enrolled in this study was found to be 0.78, i.e. above the 0.70 threshold of acceptability for internal consistency.
|
first reading at 0 week
|
Quality of life: (OPQOL 35)
Time Frame: final reading at 4 week
|
OPQOL questionnaire, has been validated in a multiethnic community-dwelling older population in England.
Cronbach's alpha coefficient for the Italian outpatient population enrolled in this study was found to be 0.78, i.e. above the 0.70 threshold of acceptability for internal consistency.
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final reading at 4 week
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Plaza-Manzano G, Cancela-Cilleruelo I, Fernandez-de-Las-Penas C, Cleland JA, Arias-Buria JL, Thoomes-de-Graaf M, Ortega-Santiago R. Effects of Adding a Neurodynamic Mobilization to Motor Control Training in Patients With Lumbar Radiculopathy Due to Disc Herniation: A Randomized Clinical Trial. Am J Phys Med Rehabil. 2020 Feb;99(2):124-132. doi: 10.1097/PHM.0000000000001295.
- Forrester LW, Roy A, Krywonis A, Kehs G, Krebs HI, Macko RF. Modular ankle robotics training in early subacute stroke: a randomized controlled pilot study. Neurorehabil Neural Repair. 2014 Sep;28(7):678-87. doi: 10.1177/1545968314521004. Epub 2014 Feb 10.
- Stozek J, Rudzinska M, Pustulka-Piwnik U, Szczudlik A. The effect of the rehabilitation program on balance, gait, physical performance and trunk rotation in Parkinson's disease. Aging Clin Exp Res. 2016 Dec;28(6):1169-1177. doi: 10.1007/s40520-015-0506-1. Epub 2015 Dec 10.
- Prasertsakul T, Kaimuk P, Chinjenpradit W, Limroongreungrat W, Charoensuk W. The effect of virtual reality-based balance training on motor learning and postural control in healthy adults: a randomized preliminary study. Biomed Eng Online. 2018 Sep 18;17(1):124. doi: 10.1186/s12938-018-0550-0.
- Aasa B, Berglund L, Michaelson P, Aasa U. Individualized low-load motor control exercises and education versus a high-load lifting exercise and education to improve activity, pain intensity, and physical performance in patients with low back pain: a randomized controlled trial. J Orthop Sports Phys Ther. 2015 Feb;45(2):77-85, B1-4. doi: 10.2519/jospt.2015.5021.
- Gurpinar B, Kara B, Idiman E. Effects of aquatic exercises on postural control and hand function in Multiple Sclerosis: Halliwick versus Aquatic Plyometric Exercises: a randomised trial. J Musculoskelet Neuronal Interact. 2020 Jun 1;20(2):249-255.
- Silva-Batista C, Corcos DM, Kanegusuku H, Piemonte MEP, Gobbi LTB, de Lima-Pardini AC, de Mello MT, Forjaz CLM, Ugrinowitsch C. Balance and fear of falling in subjects with Parkinson's disease is improved after exercises with motor complexity. Gait Posture. 2018 Mar;61:90-97. doi: 10.1016/j.gaitpost.2017.12.027. Epub 2017 Dec 28.
- Halliday MH, Pappas E, Hancock MJ, Clare HA, Pinto RZ, Robertson G, Ferreira PH. A randomized clinical trial comparing the McKenzie method and motor control exercises in people with chronic low back pain and a directional preference: 1-year follow-up. Physiotherapy. 2019 Dec;105(4):442-445. doi: 10.1016/j.physio.2018.12.004. Epub 2018 Dec 21.
- Hamed A, Bohm S, Mersmann F, Arampatzis A. Exercises of dynamic stability under unstable conditions increase muscle strength and balance ability in the elderly. Scand J Med Sci Sports. 2018 Mar;28(3):961-971. doi: 10.1111/sms.13019. Epub 2018 Feb 6.
- Mateus A, Rebelo J, Silva AG. Effects of a Multimodal Exercise Program Plus Neural Gliding on Postural Control, Pain, and Flexibility of Institutionalized Older Adults: A Randomized, Parallel, and Double-Blind Study. J Geriatr Phys Ther. 2020 Jan/Mar;43(1):3-11. doi: 10.1519/JPT.0000000000000249.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
February 15, 2021
Primary Completion (Actual)
October 15, 2021
Study Completion (Actual)
December 15, 2021
Study Registration Dates
First Submitted
January 21, 2022
First Submitted That Met QC Criteria
April 11, 2022
First Posted (Actual)
April 19, 2022
Study Record Updates
Last Update Posted (Actual)
April 19, 2022
Last Update Submitted That Met QC Criteria
April 11, 2022
Last Verified
April 1, 2022
More Information
Terms related to this study
Other Study ID Numbers
- RiphahIU Raana Rubab
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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