Ving Tsun Martial Exercise for Older Adults

NCT ID: NCT03318289

Last Updated: 2017-10-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-01

Study Completion Date

2020-10-09

Brief Summary

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Objectives: To evaluate the effects of a Ving Tsun (VT) reactive balance training programme on reactive balance control, muscle strength, balance confidence and falls in community-dwelling older adults.

Hypothesis: The VT group subjects will have improved post-training reactive balance control, muscle strength, balance confidence and fall incidence outcomes than the active controls.

Design and subjects: In this prospective, randomised, single-blinded controlled trial, approximately 114 healthy seniors (55-70 years old) will be randomly assigned to either the VT group (n\~57) or control group (n\~57). Interventions: Subjects in the VT group will receive VT reactive balance training (3 hours/week) for 3 months, whereas subjects in the control group will receive no VT training but will jog 3 hours/week during the intervention period.

Study instruments and outcomes: Primary outcome measures: reactive balance control, as indicated by lower extremity muscle activation onset latency; hip and ankle strategies and centre of pressure movements will be measured by electromyography, electrogoniometry and a force platform, respectively. Secondary outcome measures: knee muscle strength, balance confidence and fall history will be assessed by an isokinetic dynamometer, Activities-specific Balance Confidence Scale (Chinese) and interviews, respectively (pre-, post- and follow-up measurements).

Data analysis: Data will be analysed using repeated-measures analysis of (co)variance followed by post-hoc tests, as appropriate (alpha = 0.05).

Detailed Description

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Objectives:

To evaluate the effects of a Ving Tsun (VT) martial exercise programme on reactive balance control, lower limb muscle strength, balance confidence and falls in community-dwelling older adults.

Study design:

This will be a prospective, non-randomised and controlled intervention trial.

Subjects:

Approximately 40 healthy older adults will be recruited from elderly community centres by convenience sampling through poster advertising. Eligible subjects will be allocated to either the VT group (n ≈ 20) or control group (n ≈ 20).

Outcome measurements:

All subjects will be assessed before the intervention (baseline tests) and shortly after the 3-month intervention (post-tests). All subjects, regardless of group assignment, will undergo the following baseline tests and post-tests in random order.

Primary outcome measures Reactive balance control including lower extremity muscle activation onset latency and centre of pressure movement in standing.

Secondary outcome measures Lower extremity (knee) muscle strength, balance confidence and fall history.

Data analysis:

Data will be analysed using repeated-measures analysis of (co)variance followed by post-hoc tests, as appropriate (alpha = 0.05).

Conditions

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Old Age; Atrophy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Ving Tsun (VT) group

Participants in the VT group will receive VT exercise intervention for 12 weeks.

Group Type EXPERIMENTAL

Ving Tsun

Intervention Type BEHAVIORAL

The VT training regimen is designed to improve reactive balance control, lower extremity muscle strength and balance confidence in the elderly. It comprises 9 VT sticking-hand drills that must be practised with a partner. Participants will be trained to respond rapidly to upper body perturbations and to maintain body balance. Those joined the VT training group will attend a one-hour supervised VT training session at an elderly community centre 2 times per week for 12 weeks.

Control group

No intervention but can continue daily activities.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ving Tsun

The VT training regimen is designed to improve reactive balance control, lower extremity muscle strength and balance confidence in the elderly. It comprises 9 VT sticking-hand drills that must be practised with a partner. Participants will be trained to respond rapidly to upper body perturbations and to maintain body balance. Those joined the VT training group will attend a one-hour supervised VT training session at an elderly community centre 2 times per week for 12 weeks.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. aged between 55 and 70 years,
2. able to ambulate independently,
3. an Abbreviated Mental Test (Hong Kong version) score \> 7 and
4. able to follow commands and communicate with others.

Exclusion Criteria

1. unstable medical condition (e.g. uncontrolled hypertension),
2. recent injury that may affect test performance,
3. history of fragility fractures,
4. significant musculoskeletal disorder (e.g. frozen shoulder),
5. sensorimotor disorder that may affect balance performance,
6. significant neurological disorder (e.g. stroke),
7. cardiopulmonary disease (e.g. chronic obstructive pulmonary disease),
8. cognitive disorders,
9. regular engagement in sports or martial arts training (e.g. Tai Chi) and
10. too frail to participate in VT intervention.
Minimum Eligible Age

55 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Shirley S.M. Fong

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Shirley Fong, PhD

Role: PRINCIPAL_INVESTIGATOR

The University of Hong Kong

Locations

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University of Hong Kong

Hong Kong, , Hong Kong

Site Status

Countries

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Hong Kong

Central Contacts

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Shirley Fong, PhD

Role: CONTACT

Phone: 85228315260

Email: [email protected]

References

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Fong SSM, Chung LMY, Yam TTT, Chung JWY, Bae YH, Gao Y, Chan JSM, Wang HK. Effects of Ving Tsun sticking-hand training on lower limb sensorimotor performance among community-dwelling middle-aged and older adults: a randomized controlled trial. Trials. 2023 Feb 25;24(1):143. doi: 10.1186/s13063-023-07133-2.

Reference Type DERIVED
PMID: 36841770 (View on PubMed)

Other Identifiers

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1602061

Identifier Type: -

Identifier Source: org_study_id