Effects of Postural Balance Exercises in Patients With Heart Failure

Giresun University

Status: Completed

Conditions: Diastolic Heart Failure; Systolic Heart Failure; Heart Failure

Treatments: Behavioral: Core stabilization group(CSG); Behavioral: Wobble board group (WBG)

Study type: Interventional

Funder types: Other

Identifiers

NCT04937790

Wobble board

Details and patient eligibility

About

In this study, the effects of core stabilization and computerized wobble board exercise training programs on postural balance and functional exercise capacity in patients over 60 years of age with heart failure will be investigated.

Full description

This study will consist of core stabilization group (CSG), wobble board group (WBG) and control group. In CSG, exercises that focus basically on the abdominal, pelvic floor, trunk extensor and diaphragm muscles and comply with core stabilization criteria will be applied. In WBG, balance exercises which focus primarily lower limb and trunk muscles, will be performed on computerized wobble board with visual feed-back provided by computerized wobble board. In control group, no exercise will be performed, only the evaluation procedure will be applied at the beginning and 8 weeks later. It was planned to include in total of 36 patients and will be randomized them into three groups with 12 patients. Following the initial assessment, each patient will participate in a one-session patient education program. After that, patients in CSG and WBG will participate in their exercise training program which supervised by physiotherapist, 3 days a week for 8 weeks.When the exercise training programs for 8 weeks were completed, initial evaluations will be re-applied. Collected data will be analyzed with SPSS 22.0 (IBM Corp., Armonk, NY, USA) program. The differences between pre- and post-treatment evaluations will be analyzed with "paired t test" and/ or " wilcoxon test".The differences between three groups will be analyzed with one-way analysis of variance and/ or Kruskal-Wallis test.

Enrollment: 42 patients

Sex: All

Ages: 60+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 60 years and older
• Patients with heart failure who diagnosed by cardiologist
• Patients have stable drug therapy and to be clinically stable at least last three months
• Patients who signed the informed consent form

Exclusion criteria

• History of myocardial infarction in the last 6 months
• Acute coronary syndrome
• Un-controlled diabetes and/ or hypertension
• Severe valvular heart disease and/ or arrhythmia
• Having a pacemaker
• Severe cognitive disorder
• Severe orthopedic and/ or neurological problem
• Visual or auditory impairment
• Walking with device

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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42 participants in 3 patient groups

Core stabilization group (CSG)

Experimental group

Description:

This arm consists core stabilization exercises including abdominal hallowing, supine bride, bride dog, side plank, curl-up and modified push up exercise. Each session is going to begin with warm-up training which consist of stretching exercise for upper-limb, lower-limb and trunk muscles, and complete with cool down exercise (same with warm-up training). Patients are going to attend one session of patient education before the first session.

Treatment:

Behavioral: Core stabilization group(CSG)

Wobble board group ( WBG)

Experimental group

Description:

This arm consists balance training exercises which performed on computerized wobble board for primarily lower limb and anti- gravity muscle. Each session is going to begin with warm-up training which consist of stretching exercise for upper-limb, lower-limb and trunk muscles, and complete with cool down exercise (same with warm-up training). Patients are going to attend one session of patient education before the first session.

Treatment:

Behavioral: Wobble board group (WBG)

Control group (CG)

No Intervention group

Description:

This arm was planned as a control group. Therefore, any intervention will not be performed. Patients in this arm going to participate only one session of patient education at the beginning of the program