Comparison of Effects of Vestibular Visual Cues and Proprioception To Improve Postural Control in Elderly

NCT ID: NCT04824196

Last Updated: 2021-04-01

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

COMPLETED

Clinical Phase

NA

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-15

Study Completion Date

2020-12-30

Brief Summary

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Background/Objective: The aim of this study was to compare the effects of vestibular visual cues and propriception to improve postural control in elderly.

Detailed Description

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RCT study was conducted. Fourty four healthy elderly volunteers aged from 65 years to 75 years were assigned to a group 1 (n=22) engaging in vestibular visual cues exercises and group 2 (n=22) engaging in proprioception exercises. Training sessions (\~30 minutes each) occurred twice a week for consecutive six weeks. The following parameters were analyzed before and after training for both groups: Berg balance scale (BBS) and Clinical test of sensory organization and balance (CTSIB).

Conditions

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Older Adults

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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vestibular visual cues therapy

Pelvic rolling to right and left with head movement and stop first on right side for 3 minutes. Do this exercise in front of the mirror.Anterior, posterior, left, and right rectilinear stimulation activities on a therapeutic ball. Anterior, posterior, left and right rectilinear movements were performed for five minutes

Group Type EXPERIMENTAL

vestibular visual cues therapy

Intervention Type OTHER

Pelvic rolling to right and left with head movement and stop first on right side for 3 minutes. Do this exercise in front of the mirrorAnterior, posterior, left, and right rectilinear stimulation activities on a therapeutic ball. Anterior, posterior, left and right rectilinear

propriocetion therapy

Alternate knee flexion-extension with extended trunk posture using both hands for support.

Hip and knee flexion-extension with swiss ball between the back and wall.

Hip aises lying with their back on the floor with both legs on the swiss ball. Upper limbs leaning on the floor to help with the exercises.

then perform all exercise on gym ball

Group Type ACTIVE_COMPARATOR

propriocetion exercise

Intervention Type OTHER

1. Alternate knee flexion-extension with extended trunk posture using both hands for support.
2. Hip and knee flexion-extension with swiss ball between the back and wall.
3. Hip raises lying with their back on the floor with both legs on the swiss ball. Upper limbs leaning on the floor to help with the exercises. then all exercise are perfomed on gym ball

Interventions

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vestibular visual cues therapy

Pelvic rolling to right and left with head movement and stop first on right side for 3 minutes. Do this exercise in front of the mirrorAnterior, posterior, left, and right rectilinear stimulation activities on a therapeutic ball. Anterior, posterior, left and right rectilinear

Intervention Type OTHER

propriocetion exercise

1. Alternate knee flexion-extension with extended trunk posture using both hands for support.
2. Hip and knee flexion-extension with swiss ball between the back and wall.
3. Hip raises lying with their back on the floor with both legs on the swiss ball. Upper limbs leaning on the floor to help with the exercises. then all exercise are perfomed on gym ball

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Ability to walk without any device or need of continuous physical assistance to support body weight or maintain balance.
* Able to follow simple directions, for example, left, right, up, or down.
* Either using visual aids.
* Fakuda test for screening.
* VOR reflex for screening

Exclusion Criteria

* • Presence of orthopedic problems.

* Neurological disorders.
* Psychological problems.
* Cognitive issues.
* People with severe visual issues
* Participants with other medical complications.
Minimum Eligible Age

55 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Binash Afzal, PHD*

Role: PRINCIPAL_INVESTIGATOR

Riphah international university lahore campus

Locations

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Binash afzal

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Martins E Silva DC, Bastos VH, de Oliveira Sanchez M, Nunes MK, Orsini M, Ribeiro P, Velasques B, Teixeira SS. Effects of vestibular rehabilitation in the elderly: a systematic review. Aging Clin Exp Res. 2016 Aug;28(4):599-606. doi: 10.1007/s40520-015-0479-0. Epub 2015 Oct 28.

Reference Type BACKGROUND
PMID: 26511625 (View on PubMed)

Kleffelgaard I, Soberg HL, Tamber AL, Bruusgaard KA, Pripp AH, Sandhaug M, Langhammer B. The effects of vestibular rehabilitation on dizziness and balance problems in patients after traumatic brain injury: a randomized controlled trial. Clin Rehabil. 2019 Jan;33(1):74-84. doi: 10.1177/0269215518791274. Epub 2018 Jul 30.

Reference Type BACKGROUND
PMID: 30056743 (View on PubMed)

Ribeiro KM, Freitas RV, Ferreira LM, Deshpande N, Guerra RO. Effects of balance Vestibular Rehabilitation Therapy in elderly with Benign Paroxysmal Positional Vertigo: a randomized controlled trial. Disabil Rehabil. 2017 Jun;39(12):1198-1206. doi: 10.1080/09638288.2016.1190870. Epub 2016 Jun 24.

Reference Type BACKGROUND
PMID: 27340939 (View on PubMed)

Rossi-Izquierdo M, Gayoso-Diz P, Santos-Perez S, Del-Rio-Valeiras M, Faraldo-Garcia A, Vaamonde-Sanchez-Andrade I, Lirola-Delgado A, Soto-Varela A. Vestibular rehabilitation in elderly patients with postural instability: reducing the number of falls-a randomized clinical trial. Aging Clin Exp Res. 2018 Nov;30(11):1353-1361. doi: 10.1007/s40520-018-1003-0. Epub 2018 Jul 14.

Reference Type BACKGROUND
PMID: 30008159 (View on PubMed)

Ricci NA, Aratani MC, Caovilla HH, Gananca FF. Effects of Vestibular Rehabilitation on Balance Control in Older People with Chronic Dizziness: A Randomized Clinical Trial. Am J Phys Med Rehabil. 2016 Apr;95(4):256-69. doi: 10.1097/PHM.0000000000000370.

Reference Type BACKGROUND
PMID: 26368833 (View on PubMed)

Tramontano M, Martino Cinnera A, Manzari L, Tozzi FF, Caltagirone C, Morone G, Pompa A, Grasso MG. Vestibular rehabilitation has positive effects on balance, fatigue and activities of daily living in highly disabled multiple sclerosis people: A preliminary randomized controlled trial. Restor Neurol Neurosci. 2018;36(6):709-718. doi: 10.3233/RNN-180850.

Reference Type BACKGROUND
PMID: 30412513 (View on PubMed)

Hebert JR, Corboy JR, Manago MM, Schenkman M. Effects of vestibular rehabilitation on multiple sclerosis-related fatigue and upright postural control: a randomized controlled trial. Phys Ther. 2011 Aug;91(8):1166-83. doi: 10.2522/ptj.20100399. Epub 2011 Jun 16.

Reference Type BACKGROUND
PMID: 21680771 (View on PubMed)

Jahn K. The Aging Vestibular System: Dizziness and Imbalance in the Elderly. Adv Otorhinolaryngol. 2019;82:143-149. doi: 10.1159/000490283. Epub 2019 Jan 15.

Reference Type BACKGROUND
PMID: 30947233 (View on PubMed)

Eibling D. Balance Disorders in Older Adults. Clin Geriatr Med. 2018 May;34(2):175-181. doi: 10.1016/j.cger.2018.01.002. Epub 2018 Feb 24.

Reference Type BACKGROUND
PMID: 29661330 (View on PubMed)

Melo RS, Lemos A, Paiva GS, Ithamar L, Lima MC, Eickmann SH, Ferraz KM, Belian RB. Vestibular rehabilitation exercises programs to improve the postural control, balance and gait of children with sensorineural hearing loss: A systematic review. Int J Pediatr Otorhinolaryngol. 2019 Dec;127:109650. doi: 10.1016/j.ijporl.2019.109650. Epub 2019 Aug 21.

Reference Type BACKGROUND
PMID: 31466025 (View on PubMed)

Other Identifiers

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REC/Lhr/20/2040 Hafsa Mustafah

Identifier Type: -

Identifier Source: org_study_id

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