Otago Exercise Program Applied By Telerehabilitation (OEPABT)

Efficiency Of Otago Exercise Program Applied By Telerehabilitation Method In Older Persons Individuals With A Fall Story

The aim of this study is to examine the effects of Otago Exercise Program (OEP) on pain, walking speed, lower extremity muscle strength, fear of falling, anxiety, quality of life and balance with the telerehabilitation method in individuals with a history of falling, which is frequently seen in elderly individuals due to aging.

45 people between the ages of 65 and 78 participated in the study. They were randomly divided into 3 groups as control, telerehabilitation otago exercise program (TOEG) and face-to-face otago exercise program (FOEG). 45 minutes of OEP was applied 3 times a week for 8 weeks. Pain, walking speed, lower extremity muscle strength, fear of falling, anxiety, quality of life, and balance were evaluated before the Otago Exercise Program, at the 4th week, at the 8th week, and 4 weeks after the end of the exercise program. Significance was evaluated at the p<0.05 level in the study.

Study Overview

• Status: Recruiting
• Conditions: Balance; Distorted; Falling; Older People--Abuse of
• Intervention / Treatment: Other: telerehabilitation otago exercise program; Other: face to face otago exercise program

Detailed Description

Those using a randomized controlled clinical trial model that includes assessment methods over four different time periods. Detailed information about the procedure to be applied was given to each participant who would participate in the study. After the information, mini mental state test was applied to the participants who signed the consent form. Gender, age, weight, height, number of falls in the last 1 year, body mass indexes were calculated and recorded, including demographic information of the participants who met the inclusion criteria. Participants were randomly divided into 3 groups. The groups are; telerehabilitation otago exercise program (TOEG) (n=15, 8 males, 7 females), face-to-face otago exercise program (FOEG) (n=15, 8 males, 7 females), Control Group (CG) (n=15) , 8 men, 7 women).

• Study Type: Interventional
• Enrollment (Estimated): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Sefa Haktan HATIK, PhD; Phone Number: 00905058761533; Email: haktanhtk@gmail.com

Study Locations

• Turkey
  • Istanbul, Turkey
    • Recruiting
    • Bahçeşehir University research application center
    • Contact: Sefa Haktan Hatık, PhD; Email: haktanhtk@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Presence of the ability to walk without assistance
• Living independently at home
• Having a history of at least one fall in the last 12 months

Exclusion Criteria:

• Having a score below 24 on the Mini Mental State Test
• Using a walking aid
• Having a history of uncontrolled epileptic seizures
• Having a history of surgery within the last six months

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Telerehabilitation Otago Exercise Group (TOEG); The use of Otago Exercise Program in the home environment using the telerehabilitation method. Telerehabilitation was performed with video and audio interviews 3 times a week for 45 minutes. The study will take 12 weeks. An 8-week treatment protocol will be applied. 4 weeks after the treatment protocol, the last measurement will be made and the study will be terminated.	Other: telerehabilitation otago exercise program; telerehabilitation otago exercise program
Experimental: Face to face Otago Exercise Group (FOEG); Otago Exercise Program was applied in a face-to-face clinical setting. Interviews were held 3 times a week for 45 minutes. The study will take 12 weeks. An 8-week treatment protocol will be applied. 4 weeks after the treatment protocol, the last measurement will be made and the study will be terminated.	Other: face to face otago exercise program; face to face otago exercise program

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numerical Pain Scale	Numerical pain scale is used to classify pain from 1 to 10. 1 represents the lowest and 10 represents the highest pain value.	within 10 minutes after intervention
Walking Speed	Walking Speed	within 10 minutes after intervention
lower extremity muscle strength	lower extremity muscle strength measurement; It is used to determine the strength rate of lower extremity muscles. Muscles are classified from 0 to 5 according to the resistance applied against them and the counter force they show. While 0 indicates the lowest muscle strength, 5 indicates the highest muscle strength.	within 10 minutes after intervention
Fall effectiveness scale	There are 10 questions asked to the participant that are relevant to daily life at home. Each of the questions is answered numerically with a score between 1 and 10. The sum of the answers gives the total result of the test. If the result is higher than 70 points, the individual's fear of falling is high. As the fear of falling increases, the score of the test increases.	within 10 minutes after intervention
Beck anxiety scale	This scale asks about situations related to the person's body that are indicative of anxiety, such as sweating, shaking, fear, and discomfort in various areas. There are a total of 21 questions and 4 verbal answers that can be given to each question. Each verbal response has 4 different numerical scores between 0 and 3. At the end of the test, the numerical scores of the answers are added up. The total score gives the result of the test. If it is less than 21 points, the anxiety is low, between 22 and 35 points, the anxiety is moderate, and if it is 36 and above, it is said that there is severe anxiety.	within 10 minutes after intervention
Tinetti balance and walking test	It examines balance and walking status in 2 categories. There are 9 balance questions, followed by 7 questions about walking. There are 16 questions in total. A simple standard chair, a timer and a distance of about 15 meters is sufficient. Each question has 3 answers and each answer has numerical values of 0, 1, 2. The total score is calculated by adding the total score of the balance questions and the total score of the walking questions. The maximum score that balance questions can receive is 26, and the maximum score that walking questions can receive is 9. Total test score can be maximum 35. If the total test score is less than 18, it indicates a high risk of falling, if it is between 19-24, it indicates a slight risk, and if it is 24 and above, it indicates a low risk of falling.	within 10 minutes after intervention
World Health Organization Quality of Life Scale:	This scale, developed for scientific research and clinical studies on the elderly, consists of 24 questions. It aims to measure the quality of life of the elderly individual. Each question has 5 verbal answers and each verbal answer has a numerical value between 1 and 5. At the end of the test, the numerical values of all answers are summed. The total score gives the result of the test. As the score of the test increases, the quality of life of the elderly participant also increases.	within 10 minutes after intervention

Collaborators and Investigators

• Sponsor: Sinop University
• Investigators: Study Chair: SEFA HAKTAN HATIK, PhD, Sinop University

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2023
• Primary Completion (Estimated): March 1, 2024
• Study Completion (Estimated): March 1, 2024

Study Registration Dates

• First Submitted: July 12, 2023
• First Submitted That Met QC Criteria: February 26, 2024
• First Posted (Estimated): March 4, 2024

Study Record Updates

• Last Update Posted (Estimated): March 4, 2024
• Last Update Submitted That Met QC Criteria: February 26, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Keywords: Balance; Telerehabilitation; Fear of Falling; Otago Exercise; Older Persons
• Other Study ID Numbers: FTR001

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No