Efficacy of Vestibular Physiotherapy Against Multi-component Exercise in Functional Improvement in the Elderly

U

University of Seville

Status

Completed

Conditions

Exercise Therapy

Sports Physical Therapy

Gait

Physical Therapy

Treatments

Procedure: MULTICOMPONENT EXERCISE

Procedure: Experimental: VESTIBULAR EXERCISE

Study type

Interventional

Funder types

Other

Identifiers

NCT04690777

2410-N-19

Details and patient eligibility

About

Loss of vestibular function occurs normally with healthy aging but can produce symptoms that reduce motor skills and cause falls. vestibular physical therapy (VPH) exercises are a specific approach to reducing imbalances. The multicomponent therapeutic physical exercise (ME) is an effective non-pharmacological strategy for the improvement of physical condition.

Objective: to determine the efficacy of ME versus VPH for gait improvement. Material and method: a randomized clinical trial was carried out with two intervention groups , applying it to one VPH group and the other ME.

The participants were residents of Geriatric Centers in the province of Seville, Spain with a score between 4 and 9 points according to the "Short Physical Performance Battery" scale (SPPB).

Full description

This pilot study is a controlled and randomized clinical trial (simple ER) with two groups in parallel, comparing the combination of a multi-component therapeutic exercise protocol (ME) versus vestibular exercises (VPH) in over 70 years. The trial was approved by the Ethics Committee on Research with code 2410-N-19 and the study was conducted in accordance with the Helsinki Declaration.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

40 participants in 4 patient groups

VESTIBULAR EXERCISE at home telerehabilitation

Experimental group

Description:

1. The vestibular exercises were performed with the indications of a physical therapist, in sessions of about 20 minutes with 5 times per week (Monday to Friday) consisting of 5 repetitions ensuring the following were not overworked: 1. Head and eye movements while sitting. 2. Head and body movements while sitting. 3. Paused exercises. 4. Combined exercises of modifications on rungs, unstable surfaces and walking exercises.

Treatment:

Procedure: Experimental: VESTIBULAR EXERCISE

MULTICOMPONENT EXERCISE at home telerehabilitaion

Experimental group

Description:

1. A 6-week multi-component therapeutic physical exercise program was carried out. The ministerial guide and the "Vivifrail" consensus was followed (25, 26). There were 5 daily sessions per week (Monday to Friday), each lasting approximately 45 minutes. These sessions were conducted following the instructions of a physical therapist. VIVIFRAIL exercises are intended to be used over a progression period of up to 12 weeks, with combined exercises by days in cardiovascular aerobic balance strength and flexibility.

Treatment:

Procedure: MULTICOMPONENT EXERCISE

VESTIBULAR EXERCISE in clinic

Experimental group

Description:

1. The vestibular exercises were performed with the indications of a physical therapist, in sessions of about 20 minutes with 5 times per week (Monday to Friday) consisting of 5 repetitions ensuring the following were not overworked: 1. Head and eye movements while sitting. 2. Head and body movements while sitting. 3. Paused exercises. 4. Combined exercises of modifications on rungs, unstable surfaces and walking exercises.

Treatment:

Procedure: Experimental: VESTIBULAR EXERCISE

multi component exercise in clinic

Experimental group

Description:

1. A 6-week multi-component therapeutic physical exercise program was carried out. The ministerial guide and the "Vivifrail" consensus was followed (25, 26). There were 5 daily sessions per week (Monday to Friday), each lasting approximately 45 minutes. These sessions were conducted following the instructions of a physical therapist. VIVIFRAIL exercises are intended to be used over a progression period of up to 12 weeks, with combined exercises by days in cardiovascular aerobic balance strength and flexibility.

Treatment:

Procedure: MULTICOMPONENT EXERCISE

Trial contacts and locations

1

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