High Velocity Resistance Training Versus Otago Exercise Training on Falling Risk in Elderly

NCT ID: NCT07204808

Last Updated: 2025-11-17

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

RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-01

Study Completion Date

2026-03-31

Brief Summary

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The study aim is to find out the difference between applying the otago exercise training versus high velocity resisted training on risk of fall in elderly. There will be no significant difference between the effect of otago exercise program versus high velocity resisted training on risk of fall in elderly . 40 Old aged persons of both sex their age \>65 years and have risk of falling will be recruited in this study.

Detailed Description

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Type of study : Randomized trail This prospective interventional study that will be conducted on 40 case of both sex their age above 65

They randomly assigned into 2 equal groups:

Study group (A) 20 patients will receive otago exercise program and will do their normal activity of daily living. Study group (B) 20 patients will receive high velocity resisted training and will do their normal activity of daily living

Conditions

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Falling Risk

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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Otago group

Participants who will be randomized to the otago exercise program will receive an exercise program that include 17 exercises 5 for strengthen , 12 balance exercise and will starting and ending with a 2-to 3-min warm-up/cool-down period OEP consists of strengthening and balance exercises. Strengthening of ankle plantar and dorsiflexors, knee extensors and flexors, and hip abductors will be focused in traises. The progression will be performed by increasing the duration and then weights. Stair walking, sit-to-stand, heel-to-toe walking backward, toe walking, heel walking, one-leg stands, tandem walking, tandem stance, sideways walking, turning around, walking backward, walking, and knee bends were used for balance exercises. Three levels will be used for balance exercises: Level 1 will be 2 hands holding on, Level 2 will be one hand holding on, and Level 3 will be no hands or support. The individuals will repeat exercise 10 times session twice a week over 8 weeks

Group Type ACTIVE_COMPARATOR

High velocity resistance training + Otago Exercise Program

Intervention Type DEVICE

Participants who will be randomized to the HVRT will receive an exercise program targeting the lower limbs, to be performed twice a week for 8 weeks. Participants will be instructed to perform the exercises in a rapid and explosive manner such that all repetitions for each shortening phase will be performed as quickly as possible while the lengthening phase of the muscle will be controlled over 2-3 s The exercise will be done (bilateral leg press, step up, sit to stand, calf raise). The 8 weeks will be divided in three phases .

OEP consists of strengthening and balance exercises. Strengthening of ankle plantar and dorsiflexors, knee extensors and flexors, and hip abductors will be focused in this program. Ankle weight cuffs (1-3 kg) provide resistance for hip and knee exercises. The ankle plantar and dorsiflexors will be strengthened by performing heel and toe raise .

plantar and dorsiflexors will be strengthened by performing heel and toe

High velocity resistance training group

Participants who will be randomized to the HVRT will receive an exercise program targeting the lower limbs, to be performed twice a week for 8 weeks. Participants will be instructed to perform the exercises in a rapid and explosive manner such that all repetitions for each shortening phase (concentric activation of the muscle) will be performed as quickly as possible while the lengthening phase of the muscle (eccentric phase) will be controlled over 2-3 s

Group Type ACTIVE_COMPARATOR

High velocity resistance training + Otago Exercise Program

Intervention Type DEVICE

Participants who will be randomized to the HVRT will receive an exercise program targeting the lower limbs, to be performed twice a week for 8 weeks. Participants will be instructed to perform the exercises in a rapid and explosive manner such that all repetitions for each shortening phase will be performed as quickly as possible while the lengthening phase of the muscle will be controlled over 2-3 s The exercise will be done (bilateral leg press, step up, sit to stand, calf raise). The 8 weeks will be divided in three phases .

OEP consists of strengthening and balance exercises. Strengthening of ankle plantar and dorsiflexors, knee extensors and flexors, and hip abductors will be focused in this program. Ankle weight cuffs (1-3 kg) provide resistance for hip and knee exercises. The ankle plantar and dorsiflexors will be strengthened by performing heel and toe raise .

plantar and dorsiflexors will be strengthened by performing heel and toe

Interventions

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High velocity resistance training + Otago Exercise Program

Participants who will be randomized to the HVRT will receive an exercise program targeting the lower limbs, to be performed twice a week for 8 weeks. Participants will be instructed to perform the exercises in a rapid and explosive manner such that all repetitions for each shortening phase will be performed as quickly as possible while the lengthening phase of the muscle will be controlled over 2-3 s The exercise will be done (bilateral leg press, step up, sit to stand, calf raise). The 8 weeks will be divided in three phases .

OEP consists of strengthening and balance exercises. Strengthening of ankle plantar and dorsiflexors, knee extensors and flexors, and hip abductors will be focused in this program. Ankle weight cuffs (1-3 kg) provide resistance for hip and knee exercises. The ankle plantar and dorsiflexors will be strengthened by performing heel and toe raise .

plantar and dorsiflexors will be strengthened by performing heel and toe

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age \>65 years old.
* Both sex.
* Have limited their activity level due to concern about falling (with or without falling) score by short -FES \> 7 and by
* fall risk check list ≥ 4.
* Participants will be independently ambulating

Exclusion Criteria

* Any uncontrolled non musculoskeletal conditions that would make testing difficult and uncomfortable such as chronic obstructive airways disease and/or congestive heart failure.
* A pre-existing neurological condition that affects lower-limb strength, balance and or ambulation (e.g., polio, stroke).
* Any uncontrolled musculoskeletal or orthopedic conditions that may affect ambulation (e.g. rheumatoid arthritis).
* Severe cerebrovascular or peripheral venous insufficiency.
* History of surgery within the past 6 weeks.
* Sensory impairments (vision, hearing, etc.) that affect communication
* Previous diagnosis of dementia.
* Hypotension (systolic blood pressure \<90 mmHg, diastolic blood pressure \<60 mmHg
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beni-Suef University

OTHER

Sponsor Role lead

Responsible Party

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Shaimaa abu bakr bakr taha

Demonstrator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tamer Ibrahim Abo Elyazed, Professor

Role: PRINCIPAL_INVESTIGATOR

Beni-Suef University

Locations

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Beni-suef University

Cairo, Cairo Governorate, Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Shaimaa Abu bakr bakr, Master degree

Role: CONTACT

00201122953409

Marwa Mohammed Eleawa, Lecturer

Role: CONTACT

00201000253865

Facility Contacts

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Tamer Ibrahim Abo Elyazed, Professor

Role: primary

0020 12 22870292

Marwa Mohammed, Lecturer

Role: backup

0020 10 00253865

Other Identifiers

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Falling risk

Identifier Type: -

Identifier Source: org_study_id

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