Group-based and Dual-task Focused Otago Exercises in Geriatric Individuals With Kinesiophobia

Investigation of the Effects of Group-Based and Dual-Task Focused Otago Exercises on Kinesiophobia, Musculoskeletal System and Psychosocial Status in Geriatric Individuals With Kinesiophobia

The aim of our study was to investigate the effects of group-based and dual-task focused otago exercises on kinesiophobia, musculoskeletal system and psychosocial status in geriatric individuals with kinesiophobia. In the study : 1. Do group-based and dual-task focused otago exercises have an effect on kinesiophobia in geriatric individuals with kinesiophobia? 2. Do group-based and dual-task focused otago exercises have an effect on the musculoskeletal system in geriatric individuals with kinesiophobia? 3. Do group-based and dual-task focused otago exercises have an effect on the psychosocial status of geriatric individuals with kinesiophobia? 4. Do group-based and dual-task focused otago exercises have an effect on cognitive function in geriatric individuals with kinesiophobia? The questions were answered.

Study Overview

• Status: Completed
• Conditions: Geriatric İndividual Health
• Intervention / Treatment: Other: Otago Exercise; Other: Dual Task Focused Otago Exercise

Detailed Description

Our study was conducted as a cross-controlled study on 20 geriatric individuals. The study lasted 12 weeks. The participants in the study were given group otago exercises for 4 weeks, face to face once a week for 30 minutes, and remotely monitored twice a week with handouts containing the exercises. They were asked to walk normally for 30 minutes on 2 days a week. Then, they entered a 4-week washout period. After the washout period, the participants in the study were given group otago exercises for 4 weeks, face to face for 30 minutes, and remotely monitored twice a week with handouts containing the exercises. They were asked to walk normally for 30 minutes on 2 days a week. Before starting the study, participants were given a demographic information form, Tampa Kinesiophobia Scale for kinesiophobia, Berg Balance Scale for balance assessment, Short Form Geriatric Depression Scale for psychosocial status, 5-times sit-to-stand test to assess fall risk and lower extremity muscle strength, Timed Up and Go test to assess mobility, and Mini Mental State Test and Montreal Cognitive Assessment Test to assess cognitive function. These tests were repeated at the end of the first 4 sessions and the last 4 sessions, and pre- and post-test values were measured.

• Study Type: Interventional
• Enrollment (Actual): 20
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Istanbul, Turkey
    • Amine Ataç

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Individuals aged 65 and over
• Participants who can read and write in Turkish
• Participants who scored 38 or higher on the Tampa Kinesiophobia Scale
• Participants who received 24 points or more from the Mini Mental State Test
• Participating in the study voluntarily
• Individuals who do not have any disability such as vision, hearing, limb loss, etc.
• Participants who can walk independently

Exclusion Criteria:

• Medication status that increases the risk of falls (determined based on information from nursing home nurses and physiotherapists).
• Individuals who are bedridden or wheelchair bound
• Individuals with diagnosed mental or psychological problems (The individual's inability to perceive the scales to be applied)
• Individuals with diagnosed serious neurological or orthopedic problems
• Individuals with diagnosed serious pulmonary or cardiac disease
• Individuals with uncontrolled hypertension or diabetes
• Those with a history of syncope or vertigo attacks in the last 4 weeks

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Non-Randomized
• Interventional Model: Crossover Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Otago Exercise Group; Participants in the study were given group otago exercises for 4 weeks, face to face, once a week for 30 minutes. They were also given brochures containing otago exercises twice a week and followed up remotely. They were asked to walk normally for 30 minutes, 2 days a week. Then they entered a 4-week cleansing period.	Other: Otago Exercise; Group-based otago exercises were performed for 4 weeks. They were also given a brochure containing otago exercises twice a week and applied individually and followed remotely. They were asked to walk normally for 30 minutes twice a week. They then entered a 4-week washout period.
Experimental: Dual Task Focused Otago Exercise Group; After a 4-week washout period, participants in the study were given group-based otago exercises and dual-task exercises once a week for 4 weeks. They were given a brochure containing otago exercises including dual-task exercises twice a week and were applied individually and monitored remotely. They were asked to walk normally 2 days a week.	Other: Dual Task Focused Otago Exercise; After a 4-week washout period, face-to-face group-based and dual-task focused otago exercises were applied once a week for 4 weeks. Participants were given a brochure containing otago exercises including dual-task exercises twice a week and applied individually and monitored remotely. They were asked to walk normally for 30 minutes twice a week.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Tampa Kinesiophobia Scale	It is a 17-question scale measuring fear of movement/re-injury.	Duration of change in 4 week
Berg Balance Scale	It is a scale that includes 14 different types of activities aimed at questioning dynamic and static balance.	Duration of change in 4 week
Geriatric Depression Scale Short Form	It is a scale consisting of 15 questions that determines the level of depression in geriatric individuals.	Duration of change in 4 week
5 times sit and stand test	Used to assess fall risk and lower extremity muscle strength.	Duration of change in 4 week
Mini Mental Status Test	It is a scale used to assess cognitive function.	Duration of change in 4 week
Montreal Cognitive Assessment Test	It is a scale used to identify individuals with mild cognitive impairment and to distinguish them from healthy geriatric individuals.	Duration of change in 4 week
Timed Up and Go Test	It is a scale used to assess mobility in geriatric individuals.	Duration of change in 4 week

Collaborators and Investigators

• Sponsor: Istanbul Medipol University Hospital
• Collaborators: Istanbul Gedik University

Publications and helpful links

General Publications

• Yang Y, Wang K, Liu H, Qu J, Wang Y, Chen P, Zhang T, Luo J. The impact of Otago exercise programme on the prevention of falls in older adult: A systematic review. Front Public Health. 2022 Oct 20;10:953593. doi: 10.3389/fpubh.2022.953593. eCollection 2022.

Study record dates

Study Major Dates

• Study Start (Actual): April 15, 2024
• Primary Completion (Actual): July 3, 2024
• Study Completion (Actual): August 8, 2024

Study Registration Dates

• First Submitted: August 27, 2024
• First Submitted That Met QC Criteria: August 27, 2024
• First Posted (Actual): August 29, 2024

Study Record Updates

• Last Update Posted (Actual): August 29, 2024
• Last Update Submitted That Met QC Criteria: August 27, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Keywords: geriatrics; kinesiophobia; dual task; Otago exercises
• Additional Relevant MeSH Terms: Mental Disorders; Anxiety Disorders; Phobic Disorders; Kinesiophobia
• Other Study ID Numbers: GroupDualTaskOtagoExercise

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: It will be evaluated if the researchers are contacted via their e-mail addresses.

Drug and device information, study documents

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