- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05893303
Effect of Proprioceptive Neuromuscular Facilitation Techniques on Elderly People With Scapular Disposition
July 15, 2023 updated by: European University of Lefke
Effect of Proprioceptive Neuromuscular Facilitation (PNF) Techniques on Balance and Gait Characteristics of Elderly People With Scapular Disposition: A Randomized Controlled Trial
Proprioceptive neuromuscular facilitation (PNF) has been defined as a comprehensive rehabilitation approach focusing on a motor learning effect, especially in the elderly.
Therefore, PNF can be an effective treatment method for our purpose which is to analyze if PNF techniques improve balance and gait characteristics in elderly with scapular disposition and to determine the difference when used with the gait education
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Participants will be randomly divided into 2 groups.
Scapular PNF techniques in addition to gait training will be applied to the 1st group for 8 weeks, and only gait training exercises will be applied to the 2nd group for 8 weeks.
Individuals will be evaluated in detail at the beginning, and end of the study, and after 3 months as a follow-up evaluation.
For the assessment of scapular disposition, the Visual Scapular Disposition Test and Lateral Scapular Slide Test will be applied.
Walking Speed will be evaluated with a dedicated area by measuring the distance.
The Modified Dynamic Gait Index will be used for measuring the ability of the participant to maintain walking balance while responding to different task demands.
For fall risks and functional mobility Timed Up and Go Test and Falls Efficacy Scale will be used.
For balance assessment Berg Balance Scale and Functional Reach Test.
For assessment of the quality of life, SF-36 will be used.
Posture will be assessed with a dedicated application called PostureCo
Study Type
Interventional
Enrollment (Estimated)
48
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 Contact
- Name: Hasan Cellatoglu, PT, MSc
- Phone Number: 00905428774661
- Email: hasancellatoglu96@gmail.com
Study Contact Backup
- Name: Beliz Belgen Kaygisiz, PT, PhD
- Phone Number: 00905338648787
- Email: bkaygisiz@eul.edu.tr
Study Locations
-
-
Trnc
-
Guzelyurt, Trnc, Turkey, 99750
- Recruiting
- Fizyomorfo Fizyoterapi Rehabilitasyon ve Saglikli Yasam Merkezi
-
Contact:
- Hasan Cellatoglu
- Phone Number: 0090 5428774661
- Email: hasancellatoglu96@gmail.com
-
-
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
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Having scapular disposition (Patients will be determined after the visual scapular disposition test and lateral scapular slide test)
- With no injuries
- Able to walk without any assistive devices
- To be able to read and write in Turkish
Exclusion Criteria:
- Having a musculoskeletal or neurological problem that causes issues with applying the intervention.
- Any orthopedic, neurological, cardiac, vestibular, visual, or psychiatric impairment which would not allow them to perform
- Had physiotherapy during the past 3 months
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: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: PNF Technique Group
Participants in this group will receive PNF techniques and gait training 3 times per week for 8 weeks
|
1st group is going to undergo scapula-oriented PNF techniques (diagonal) which are anterior elevation and posterior depression - posterior elevation and anterior depression with 20 repetitions with rhythmic initiation and repeated contractions facilitation techniques during all patterns.
In addition to PNF techniques, gait training is going to be applied as standing with balance exercises (15 repetitions) as well as specific exercises for the stance and swing phases of the gait which are; stepping forward and sideways (15 repetitions), and gait education (walking 3 lapses within 2 meters parallel bar)
|
Active Comparator: Gait Training Group
Participants in this group will receive only gait training 3 times per week for 8 weeks
|
2nd group is going to undergo only gait training and balance exercises (15 repetitions) as well as specific exercises for the stance and swing phases of the gait which are; stepping forward and sideways (15 repetitions), and gait education (walking 3 lapses within 2 meters parallel bar)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Visual Scapular Disposition Test
Time Frame: 5 minutes
|
During the visual scapular disposition test, patients will be asked to perform bilateral shoulder elevation movements and scapular movements will be observed in order to determine scapular dyskinesia
|
5 minutes
|
Lateral Scapular Slide Test
Time Frame: 5 minutes
|
During the lateral scapular slide test, patients will be evaluated in 3 different arm positions while standing.
at each position, special measurements of the scapula will be taken with measurement tape.
If the difference between measurements in the same position is more than 1.5 centimeters (cm), the patient will be recorded as having scapular dyskinesia
|
5 minutes
|
Walking Speed
Time Frame: 5 minutes
|
Participants normal walking speed measurement will be taken by asking patient to walk a dedicated 15m line and normal walking speed will be measured after 3 repetitions average time calculated
|
5 minutes
|
Modified Dynamic Gait Index (mDGI)
Time Frame: 10 minutes
|
The DGI tests the ability of the participant to maintain walking balance while responding to different task demands, through various dynamic conditions.
|
10 minutes
|
Timed Up and Go Test
Time Frame: 5 minutes
|
The timed "get up and walk" test is the basic functional mobility test for the elderly which they will be asked to stand up from a regular chair, walk 3 meters, turn and walk back to the chair and sit.
|
5 minutes
|
Berg Balance Scale
Time Frame: 5 minutes
|
Berg Balance Scale (BDI) is generally used to measure balance performance in elderly patients.
It is effective in assessing postural control and predicting fall risk.
|
5 minutes
|
Functional Reach Test
Time Frame: 5 minutes
|
Functional Reach Test (FRT) is a clinical outcome measure and assessment tool for assessing dynamic balance in one simple task.
It will be done in the standing position, by measuring the distance between the length of an outstretched arm in a maximal forward reach, while maintaining a fixed base of support, and this information is correlated with the risk of falling
|
5 minutes
|
Falls Efficacy Scale
Time Frame: 5 minutes
|
The Falls Efficacy Scale is a short, easy to administer tool that measures the level of concern about falling during social and physical activities inside and outside the home whether or not the person actually does the activity.
|
5 minutes
|
PostureCO
Time Frame: 5 minutes
|
PostureCo, Inc. is a technology company focusing on posture and movement analysis, it takes the data for the posture and movements.
A special posture application for mobile phones will be used to determine postural sway.
Data will be collected by scanning each patient and analyzing the posture.
|
5 minutes
|
SF-36
Time Frame: 5 minutes
|
The 36-item Short Form (SF-36) is a commonly used questionnaire for measuring health-related quality of life.
Each patient will be asked to answer the questions in order to get the results for the quality of life
|
5 minutes
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Beliz Belgen Kaygisiz, PT, PhD, European University of Lefke
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)
May 31, 2023
Primary Completion (Estimated)
December 15, 2023
Study Completion (Estimated)
May 15, 2024
Study Registration Dates
First Submitted
May 30, 2023
First Submitted That Met QC Criteria
May 30, 2023
First Posted (Actual)
June 7, 2023
Study Record Updates
Last Update Posted (Actual)
July 18, 2023
Last Update Submitted That Met QC Criteria
July 15, 2023
Last Verified
July 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- BAYEK022.04
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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