Effect of Proprioceptive Neuromuscular Facilitation Techniques on Elderly People with Scapular Disposition

NCT ID: NCT05893303

Last Updated: 2024-10-04

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

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-31

Study Completion Date

2024-07-31

Brief Summary

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Proprioceptive neuromuscular facilitation (PNF) has been defined as a comprehensive rehabilitation approach focusing on a motor learning effect, especially in the elderly. Therefore, PNF can be an effective treatment method for our purpose which is to analyze if PNF techniques improve balance and gait characteristics in elderly with scapular disposition and to determine the difference when used with the gait education

Detailed Description

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Participants will be randomly divided into 2 groups. Scapular PNF techniques in addition to gait training will be applied to the 1st group for 8 weeks, and only gait training exercises will be applied to the 2nd group for 8 weeks. Individuals will be evaluated in detail at the beginning, and end of the study, and after 3 months as a follow-up evaluation. For the assessment of scapular disposition, the Visual Scapular Disposition Test and Lateral Scapular Slide Test will be applied. Walking Speed will be evaluated with a dedicated area by measuring the distance. The Modified Dynamic Gait Index will be used for measuring the ability of the participant to maintain walking balance while responding to different task demands. For fall risks and functional mobility Timed Up and Go Test and Falls Efficacy Scale will be used. For balance assessment Berg Balance Scale and Functional Reach Test. For assessment of the quality of life, SF-36 will be used. Posture will be assessed with a dedicated application called PostureCo

Conditions

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Geriatric Rehabilitation Scapular Dyskinesis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PNF Technique Group

Participants in this group will receive PNF techniques and gait training 3 times per week for 8 weeks

Group Type EXPERIMENTAL

1st Group

Intervention Type OTHER

1st group is going to undergo scapula-oriented PNF techniques (diagonal) which are anterior elevation and posterior depression - posterior elevation and anterior depression with 20 repetitions with rhythmic initiation and repeated contractions facilitation techniques during all patterns. In addition to PNF techniques, gait training is going to be applied as standing with balance exercises (15 repetitions) as well as specific exercises for the stance and swing phases of the gait which are; stepping forward and sideways (15 repetitions), and gait education (walking 3 lapses within 2 meters parallel bar)

Gait Training Group

Participants in this group will receive only gait training 3 times per week for 8 weeks

Group Type ACTIVE_COMPARATOR

2nd Group

Intervention Type OTHER

2nd group is going to undergo only gait training and balance exercises (15 repetitions) as well as specific exercises for the stance and swing phases of the gait which are; stepping forward and sideways (15 repetitions), and gait education (walking 3 lapses within 2 meters parallel bar)

Interventions

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1st Group

1st group is going to undergo scapula-oriented PNF techniques (diagonal) which are anterior elevation and posterior depression - posterior elevation and anterior depression with 20 repetitions with rhythmic initiation and repeated contractions facilitation techniques during all patterns. In addition to PNF techniques, gait training is going to be applied as standing with balance exercises (15 repetitions) as well as specific exercises for the stance and swing phases of the gait which are; stepping forward and sideways (15 repetitions), and gait education (walking 3 lapses within 2 meters parallel bar)

Intervention Type OTHER

2nd Group

2nd group is going to undergo only gait training and balance exercises (15 repetitions) as well as specific exercises for the stance and swing phases of the gait which are; stepping forward and sideways (15 repetitions), and gait education (walking 3 lapses within 2 meters parallel bar)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Having scapular disposition (Patients will be determined after the visual scapular disposition test and lateral scapular slide test)
* With no injuries
* Able to walk without any assistive devices
* To be able to read and write in Turkish

Exclusion Criteria

* Having a musculoskeletal or neurological problem that causes issues with applying the intervention.
* Any orthopedic, neurological, cardiac, vestibular, visual, or psychiatric impairment which would not allow them to perform
* Had physiotherapy during the past 3 months
Minimum Eligible Age

65 Years

Maximum Eligible Age

74 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European University of Lefke

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Beliz Belgen Kaygisiz, PT, PhD

Role: PRINCIPAL_INVESTIGATOR

European University of Lefke

Locations

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Fizyomorfo Fizyoterapi Rehabilitasyon ve Saglikli Yasam Merkezi

Güzelyurt, TRNC, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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BAYEK022.04

Identifier Type: -

Identifier Source: org_study_id

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