Motor Control Exercises and Neural Mobilization in Posture of Older Adults

NCT ID: NCT05333562

Last Updated: 2022-04-19

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-15

Study Completion Date

2021-12-15

Brief Summary

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The aim of this research is to find and compare the effect of Motor control exercises with and without neural mobilization on postural control of older adults.

Detailed Description

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Randomized controlled trials done at Bilqees Eidhi and Afiyat old age home Lahore.The sample size was 40. The subjects were divided in two groups, 20 subjects in Motor control exercise group and 20 in Motor control exercise with neural gliding group. Study duration was of 6 months. Sampling technique applied was purposive non probability sampling technique. Only 65-80 years of older adults included in study. Tools used in the study are time up and go test(TUG), Gait speed, Static balance and Quality of life(OPQOL35). Data was analyzed through SPSS 21.

Conditions

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Postural Control

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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Motor control exercise

Motor control exercise was given with total of 8 sessions for 30 min for 4 weeks twice a day. Each exercise was performed 10 repetitions for 10 sec.

Group Type OTHER

Motor control exercise

Intervention Type OTHER

Motor control exercise was given with total of 8 sessions for 30 min for 4 weeks twice a day. Each exercise was performed 10 repetitions for 10 sec.

Motor control exercise with neural mobilization

this was given motor control exercise for 30 min, 4 weeks twice a day plus neural gliding applied for 3 sets of 10 repetitions on each session. Neural gliding applied 5 min before motor control exercise. Total 8 sessions were given

Group Type ACTIVE_COMPARATOR

Motor control exercise with mobilization

Intervention Type OTHER

this was given motor control exercise for 30 min, 4 weeks twice a day plus neural gliding applied for 3 sets of 10 repetitions on each session. Neural gliding applied 5 min before motor control exercise. Total 8 sessions were given

Interventions

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Motor control exercise

Motor control exercise was given with total of 8 sessions for 30 min for 4 weeks twice a day. Each exercise was performed 10 repetitions for 10 sec.

Intervention Type OTHER

Motor control exercise with mobilization

this was given motor control exercise for 30 min, 4 weeks twice a day plus neural gliding applied for 3 sets of 10 repetitions on each session. Neural gliding applied 5 min before motor control exercise. Total 8 sessions were given

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Both male and female were included
* Older adults having age range from 60-80 years or older
* Adults whose score is more than 24 on mini mental state examination.
* Ambulate independently with or without a walking aid
* Adults who had permission from the institution's doctor to participate in exercise classes.

Exclusion Criteria

* Patients with altered conscious level
* Adults who cannot ambulate (bed ridden patients)
* Patient with any neurological condition like stroke, multiple sclerosis and TBI
* Patients with severe orthopedic condition like fractures and rheumatoid arthritis
* Patient having any cardiac condition
* Adults walking with walking aids like sick and crutches
* Adults having vertigo or vestibular problems.
* Adults having history of recurrent falls.
Minimum Eligible Age

60 Years

Maximum Eligible Age

80 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

Locations

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Binash Afzal

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Plaza-Manzano G, Cancela-Cilleruelo I, Fernandez-de-Las-Penas C, Cleland JA, Arias-Buria JL, Thoomes-de-Graaf M, Ortega-Santiago R. Effects of Adding a Neurodynamic Mobilization to Motor Control Training in Patients With Lumbar Radiculopathy Due to Disc Herniation: A Randomized Clinical Trial. Am J Phys Med Rehabil. 2020 Feb;99(2):124-132. doi: 10.1097/PHM.0000000000001295.

Reference Type BACKGROUND
PMID: 31464753 (View on PubMed)

Forrester LW, Roy A, Krywonis A, Kehs G, Krebs HI, Macko RF. Modular ankle robotics training in early subacute stroke: a randomized controlled pilot study. Neurorehabil Neural Repair. 2014 Sep;28(7):678-87. doi: 10.1177/1545968314521004. Epub 2014 Feb 10.

Reference Type BACKGROUND
PMID: 24515923 (View on PubMed)

Aasa B, Berglund L, Michaelson P, Aasa U. Individualized low-load motor control exercises and education versus a high-load lifting exercise and education to improve activity, pain intensity, and physical performance in patients with low back pain: a randomized controlled trial. J Orthop Sports Phys Ther. 2015 Feb;45(2):77-85, B1-4. doi: 10.2519/jospt.2015.5021.

Reference Type BACKGROUND
PMID: 25641309 (View on PubMed)

Gurpinar B, Kara B, Idiman E. Effects of aquatic exercises on postural control and hand function in Multiple Sclerosis: Halliwick versus Aquatic Plyometric Exercises: a randomised trial. J Musculoskelet Neuronal Interact. 2020 Jun 1;20(2):249-255.

Reference Type BACKGROUND
PMID: 32481240 (View on PubMed)

Silva-Batista C, Corcos DM, Kanegusuku H, Piemonte MEP, Gobbi LTB, de Lima-Pardini AC, de Mello MT, Forjaz CLM, Ugrinowitsch C. Balance and fear of falling in subjects with Parkinson's disease is improved after exercises with motor complexity. Gait Posture. 2018 Mar;61:90-97. doi: 10.1016/j.gaitpost.2017.12.027. Epub 2017 Dec 28.

Reference Type BACKGROUND
PMID: 29310015 (View on PubMed)

Halliday MH, Pappas E, Hancock MJ, Clare HA, Pinto RZ, Robertson G, Ferreira PH. A randomized clinical trial comparing the McKenzie method and motor control exercises in people with chronic low back pain and a directional preference: 1-year follow-up. Physiotherapy. 2019 Dec;105(4):442-445. doi: 10.1016/j.physio.2018.12.004. Epub 2018 Dec 21.

Reference Type BACKGROUND
PMID: 31204031 (View on PubMed)

Prasertsakul T, Kaimuk P, Chinjenpradit W, Limroongreungrat W, Charoensuk W. The effect of virtual reality-based balance training on motor learning and postural control in healthy adults: a randomized preliminary study. Biomed Eng Online. 2018 Sep 18;17(1):124. doi: 10.1186/s12938-018-0550-0.

Reference Type BACKGROUND
PMID: 30227884 (View on PubMed)

Hamed A, Bohm S, Mersmann F, Arampatzis A. Exercises of dynamic stability under unstable conditions increase muscle strength and balance ability in the elderly. Scand J Med Sci Sports. 2018 Mar;28(3):961-971. doi: 10.1111/sms.13019. Epub 2018 Feb 6.

Reference Type BACKGROUND
PMID: 29154407 (View on PubMed)

Stozek J, Rudzinska M, Pustulka-Piwnik U, Szczudlik A. The effect of the rehabilitation program on balance, gait, physical performance and trunk rotation in Parkinson's disease. Aging Clin Exp Res. 2016 Dec;28(6):1169-1177. doi: 10.1007/s40520-015-0506-1. Epub 2015 Dec 10.

Reference Type BACKGROUND
PMID: 26661467 (View on PubMed)

Mateus A, Rebelo J, Silva AG. Effects of a Multimodal Exercise Program Plus Neural Gliding on Postural Control, Pain, and Flexibility of Institutionalized Older Adults: A Randomized, Parallel, and Double-Blind Study. J Geriatr Phys Ther. 2020 Jan/Mar;43(1):3-11. doi: 10.1519/JPT.0000000000000249.

Reference Type BACKGROUND
PMID: 31569173 (View on PubMed)

Other Identifiers

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RiphahIU Raana Rubab

Identifier Type: -

Identifier Source: org_study_id

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