Flexor Hallucis Longus Training and Balance-Gait in Geriatrics
NCT ID: NCT06887478
Last Updated: 2025-03-20
Study Results
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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ACTIVE_NOT_RECRUITING
NA
66 participants
INTERVENTIONAL
2025-01-10
2025-04-01
Brief Summary
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Objective: The aim is to investigate whether a progressive resistance exercise program, focusing specifically on the flexor hallucis longus (FHL) muscle, can improve toe flexor strength and influence gait, balance, and falls in geriatric individuals.
Materials and Methods: Individuals over the age of 65 who are willing to participate in the study will be included. The participants will be divided into three groups: individual exercise group, home exercise group, and control group. Individuals who are unable to walk independently, have severe musculoskeletal disorders, have hallux rigidus deformity, suffer from orthostatic hypotension, have difficulty understanding instructions, or have diabetic neuropathy will be excluded from the study. After obtaining socio-demographic information from the participants, anthropometric measurements will be taken. Toe grip strength will be assessed using a digital dynamometer, and the strength of the intrinsic foot muscles and lower extremity antigravity muscles will also be measured using a digital dynamometer. Balance parameters will be evaluated using the Berg Balance Scale, Functional Reach Test, Timed Up and Go Test, while gait parameters will be assessed using the 10-meter walk test and Tinetti Gait Scale. Fall parameters will be assessed by the Falls Efficacy Scale and fall frequency.
The collected data will be analyzed using SPSS (Statistical Package for Social Sciences) software.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Physiotherapist-Assisted Isolated FHL Strengthening Exercise Group
The intervention for the "Physiotherapist-Assisted Isolated FHL Strengthening Exercise Group (FHL-SET)" will consist of physiotherapist-guided, isolated strengthening exercises specifically targeting the Flexor Hallucis Longus (FHL) muscle. Participants will engage in exercises designed to isolate and strengthen the FHL muscle through controlled and progressive resistance. Sessions will occur three times a week for 8 weeks, with the physiotherapist providing individualized adjustments and ensuring proper technique and progression.
Exercise
A progressive resistance exercise program focusing on strengthening the flexor hallucis longus (FHL) muscle in elderly participants.
Home-Based Foot and Ankle Strengthening Exercise Training Group
After the initial assessments, the participants in this group will receive home-based foot and ankle strengthening exercises three times a week for 8 weeks. They will be monitored weekly using an exercise log. The Home-Based Exercise Group (EvT-KE) will be taught general foot exercises without progression in resistance. These exercises include ankle rotations, toe raises, toe lifts, rolling a ball under the foot for 2 minutes, picking up marbles with toes, towel collection exercises, and foot shortening exercises.
Exercise
A progressive resistance exercise program focusing on strengthening the flexor hallucis longus (FHL) muscle in elderly participants.
Control Group
For the Control Group, initial and final assessments will be conducted at the beginning of the study and at the end of 8 weeks. No exercise program will be provided during this period. After the study, necessary exercises and recommendations will be given.
No interventions assigned to this group
Interventions
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Exercise
A progressive resistance exercise program focusing on strengthening the flexor hallucis longus (FHL) muscle in elderly participants.
Eligibility Criteria
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Inclusion Criteria
* Individuals who do not have hearing or speech problems,
* Individuals who do not have any neurological, orthopedic or visual problems that would prevent walking (can walk 10 meters independently)
* Individuals who score 24 points and above in the Mini Mental Test evaluation.
Exclusion Criteria
* Those with serious musculoskeletal system disorders,
* Those with hallux rigidus deformity,
* Those with orthostatic hypotension,
* Those who have difficulty understanding instructions and those with diabetic neuropathy.
65 Years
ALL
Yes
Sponsors
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Lokman Hekim University
OTHER_GOV
Responsible Party
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Hüseyin Gerdan
PhD thesis student
Locations
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Atakum Nursing Home, Elderly Care and Rehabilitation Center
Samsun, Samsun, Turkey (Türkiye)
Countries
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Other Identifiers
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2024049
Identifier Type: -
Identifier Source: org_study_id
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