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Effects of Combined Cervical and Oculomotor Exercises on Dynamic Balance in Elderly

20 mai 2026 mis à jour par: Foundation University Islamabad

This study focuses on improving balance in elderly individuals (aged 60-80 years) who may experience dizziness or instability while walking or performing daily activities. Poor balance increases the risk of falls, which can lead to serious injuries and loss of independence.

The study compares two types of exercise programs:

One group performs combined cervical (neck) exercises + eye (oculomotor) exercises + Otago balance exercises The other group performs eye (oculomotor) exercises + Otago balance exercises only These exercises are done 3 times per week for 6 weeks, with each session lasting 30-45 minutes.

The goal is to determine whether combining neck and eye exercises improves balance more effectively than eye exercises alone.

This research may help:

Reduce fall risk in elderly people Improve mobility and independence Provide better rehabilitation programs for physiotherapists

Aperçu de l'étude

Statut

Complété

Les conditions

Intervention / Traitement

Description détaillée

Falls are a major health concern among older adults, frequently leading to serious injuries , and diminished participation in daily activities, which negatively affect overall quality of life. Therefore, designing effective, accessible, and evidence-based strategies to improve balance and prevent falls is essential for promoting healthy aging.because it introduces a novel approach that combines cervical proprioceptive exercises and oculomotor exercises alongside the Otago exercise program. While previous research has demonstrated that both cervical and oculomotor exercises independently enhance balance and reduce fall risk, their combined effects, particularly when integrated into a structured balance program like Otago, remain largely unexplored. By addressing this gap, the present study offers an innovative strategy that targets multiple systems involved in maintaining postural control., the combined intervention is designed to be practical, cost-effective, and easily implemented in various settings, including clinics, community centers, and at home., the study has the potential to guide physiotherapists and rehabilitation professionals toward adopting more holistic balance training protocols. Ultimately, the findings may contribute to reducing fall rates, promoting independence, and enhancing the overall quality of life in the elderly population.

Type d'étude

Interventionnel

Inscription (Réel)

48

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

  • Pakistan
      • Islamabad, Pakistan, 44000
        • Foundation University College of Physical Therapy

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Oui

La description

Inclusion Criteria:

  • Male and female participants aged 60-80 years.
  • DHI-mild score(0-30)
  • Ability to follow instructions and participate in exercises.
  • BBS moderate (21-40)
  • Normal to corrected vision
  • Negative Dix Hallpike

Exclusion Criteria:

  • Diagnosed vestibular disorders
  • Neurological or musculoskeletal conditions affecting balance.
  • Patients with VBI

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Non randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Comparateur actif: occulomotor exercises with otago exercises group B

Frequency: 3 sessions/week | Duration: 30-45 min

* Week 1-2: Eye exercises 10-12 reps, VOR x1 (30-40 sec), basic balance training, walking 5-12 min

* Week 3-4: Eye exercises 12-15 reps, VOR x1→x2 (1 min), moderate balance training, walking 12-15 min

* Week 5-6: Eye exercises 15-20 reps, VOR x1+x2 (1-2 min), advanced balance training, walking 15-20 min
Procédure: occulomotor with otago exercises

Smooth pursuit exercises, where the eyes follow a moving target horizontally, vertically, and diagonally while keeping the head still.

Saccadic eye movements, involving quick shifts of gaze between two stationary targets.

Gaze stability (VOR x1 and VOR x2) exercises, involving head movements while maintaining focus on a target, and moving the head and target in opposite directions.

All participants will perform the Otago exercise program, a well-established, evidence-based fall prevention program focusing on lower limb strengthening and dynamic balance. It includes:

  • Strengthening exercises (e.g., knee extensions, hip abduction, calf raises).
  • Static and dynamic balance exercises (e.g., tandem stance, backward walking, sit-to-stand without using hands).
  • A progressive walking plan to improve endurance and confidence during ambulation.
Expérimental: Group A (Cervical + Oculomotor + Otago)
  • Frequency: 3 sessions/week | Duration: 30-45 min
  • Week 1-2:

Cervical ROM 10-12 reps, chin tuck 5-7 sec ×10, isometrics 5-6 sec ×5-6, eye exercises 10-12 reps, VOR x1 (30-40 sec), walking 5-12 min * Week 3-4: Cervical ROM 12-15 reps, chin tuck 8-10 sec ×12, isometrics 7-8 sec ×8-10, eye exercises 12-15 reps, VOR x1→x2 (1 min), walking 12-15 min

* Week 5-6: Cervical ROM 15-20 reps, chin tuck 10-12 sec ×15, isometrics 10 sec ×10-12, eye exercises 15-20 reps, VOR x1+x2 (1-2 min), walking 15-20 min
Procédure: Combined Cervical and Oculomotor Exercises with Otago Exercises

Cervical range of motion exercises in flexion, extension, rotation, and side bending (gentle, controlled movements).

Chin tuck exercises in supine or sitting positions to activate deep cervical flexors.

Isometric neck strengthening exercises (flexion, extension, lateral flexion), focusing on controlled, static holds.

Occulomotor Exercises:

Smooth pursuit exercises, where the eyes follow a moving target horizontally, vertically, and diagonally while keeping the head still.

Saccadic eye movements, involving quick shifts of gaze between two stationary targets.

Gaze stability (VOR x1 and VOR x2) exercises, involving head movements while maintaining focus on a target, and moving the head in opposite direction Otago exercises Strengthening exercises (e.g., knee extensions, hip abduction, calf raises). Static and dynamic balance exercises (e.g., tandem stance, backward walking, sit-to-stand without using hands).

A progressive walking plan to improve endurance and confidence during ambulation.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Dynamic Balance
Délai: 6 weeks
Berg Balance Scale (BBS) was used Cut-off Values Greater than 45 → Increased risk of falls 21-40 → Moderate balance impairment Outcome Interpretation Higher score = Better balance
6 weeks
Functional Mobility
Délai: 6 weeks

The Timed Up and Go Test (TUG) was used

Cut-off Values:

less than 10 seconds → Normal mobility 10-19 seconds → Good mobility 20-29 seconds → Mild impairment

  • 30 seconds → Severe impairment > 13.5 seconds → Increased risk of falls (important clinical cutoff)

Interpretation:

Lower time indicates better performance
6 weeks
Dynamic Balance
Délai: 6 weeks

Four Square Step Test was used to evaluate dynamic balance

Cut-off Values:

< 15 seconds → Normal performance > 15 seconds → Increased risk of falls

Interpretation:

Lower time indicates better balance
6 weeks
Dizziness related disability
Délai: 6 weeks

4. Dizziness Handicap was used

Cut-off Values:

0-30 → Mild handicap (used in inclusion criteria) 31-60 → Moderate handicap 61-100 → Severe handicap

Interpretation:

Higher score indicates greater dizziness-related disability
6 weeks

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Foundation University Islamabad

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

18 novembre 2025

Achèvement primaire (Réel)

10 mai 2026

Achèvement de l'étude (Réel)

10 mai 2026

Dates d'inscription aux études

Première soumission

18 mai 2026

Première soumission répondant aux critères de contrôle qualité

20 mai 2026

Première publication (Réel)

27 mai 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

27 mai 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

20 mai 2026

Dernière vérification

1 mai 2026

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • FUI/FUCP/CTR/Neuro/AmnaMalik

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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