Otago Exercises, Square Stepping Exercises, Elderly, Fear of Falling

Pamukkale University

Status: Completed

Conditions: Balance Disorders; Fall

Treatments: Behavioral: Square Stepping Exercise Training; Behavioral: Otago Exercise Training

Study type: Interventional

Funder types: Other

Identifiers

NCT06390813

10.185.1.79

Details and patient eligibility

About

The study was conducted to investigate the effects of Otago Exercise Training and Square Stepping Exercise Training on balance and fear of falling in geriarthric individuals and the superiority of the two exercise training for these parameters. The volunteer individuals participating in the study were randomly divided into 3 groups as otago exercise group, square stepping exercise group and control group with equal number of men and women.

The individuals who participated in study had a homogeneous distribution in terms of age, gender, BMI, height, weight and occupational status in all three groups. However, the number of female individuals was higher in all three groups. In the study, individuals in the exercise training groups received square stepping and otago exercise training 3 days a week for 6 weeks, while individuals in the control group did not receive any training. All three groups were evaluated before and six weeks after the training.

Enrollment: 105 patients

Sex: All

Ages: 65 to 75 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 65-75 years old
• Education level at least literate
• Able to walk independently
• Standardized Mini Mental Test Score ≥ 24
• No neurological or lower extremity disease
• Healthy geriatric individuals who agreed to participate in the study

Exclusion criteria

• Taking 3 or more medications that may affect cognitive status
• Individuals continuing any exercise/rehabilitation program
• Underwent any surgery for the lower extremities
• Having any neurological-orthopedic problem that may affect gait and balance

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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105 participants in 2 patient groups

Square Stepping Exercise

Experimental group

Description:

It is performed on a thin exercise mat divided into 40 small squares of 250 cm x 100 cm. Individuals are basically required to step in the direction of the length without stepping on the lines forming the squares. Before the CAE training, there will be a 5 minutes warm-up and then a minute cool down period. A total of 18 stepping patterns are planned to be used (6 beginner, 6 intermediate, 6 advanced). Basically, a pattern will be repeated 3-5 times and then the mirror image pattern will be repeated the same number of times. However, if the participant has difficulty in practicing the pattern, it will be repeated until he/she learns it, and after practicing the pattern 3 times without any errors, the next pattern will be used.

Treatment:

Behavioral: Square Stepping Exercise Training

Otago Exercise Training

Experimental group

Description:

The exercises were performed 3 days a week for 6 weeks and 18 sessions of 60 minutes in total, including warm-up and cool-down periods of 5 minutes each session. It consists of a total of 22 exercises, including 5 warm-up movements, 5 strengthening exercises and 12 balance exercises.

Treatment:

Behavioral: Otago Exercise Training