RecruitingNot ApplicableNCT06460337

Comparative Effects of Modified Otago and Frenkel's Exercises in Geriatric Population

Comparative Effects of Modified Otago and Frenkel's Exercises on Balance, Motor Function, Fear of Fall, and Quality of Life in Geriatric Population

Sponsor

Riphah International University

Enrollment

44 participants

Start Date

Mar 20, 2024

Study Type

INTERVENTIONAL

Conditions

Geriatrics

Summary

The goal of this randomized clinical trial is to compare the effects of modified Otago and Frenkel's exercises on balance, motor function, fear of fall and quality of life in the geriatric population. The main questions it aims to answer are: * How modified Otago and Frenkel's exercises affect balance, motor function, fear of fall and quality of life in the geriatric population? * Is there any difference between the effects of these two exercises? Researchers will compare the effects of modified Otago and Frenkel's exercises to see which kind of exercise has superior effects on the mentioned outcomes. Participants will be randomly divided into two groups who will perform their respective exercises for 45 minutes 3 days a week for 8 weeks. Outcomes will be evaluated at the baseline, 4th week and 8th week.

Eligibility

Min Age: 65 YearsMax Age: 80 Years

Inclusion Criteria3

Community-dwelling adults of both genders who have experienced a fall at least once in the previous year
Minimum Berg Balance score of >40
Able to independently walk and perform everyday activities without any walking aid

Exclusion Criteria6

Unable to walk independently.
Previous surgeries related to knee or hip joint replacement.
Severe comorbidities such as stroke, unstable coronary artery disease, Parkinson's disease, and epilepsy.
Patients with mental illness such as schizophrenia, dementia, and Alzheimer's disease
Uncorrected visual, auditory, or vestibular impairments
Having limb defects or any physical disability that prevents performing the exercises

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Interventions

OTHERModified Otago exercises

Participants will engage in modified Otago exercise sessions, either individually or in groups, for 45 minutes, thrice weekly over an 8-week period. The program entails moderate-intensity strengthening exercises targeting various muscle groups such as hip extensors, abductors, knee flexors and extensors, inner range quadriceps, ankle plantar flexors, and dorsiflexors, performed at 10 repetitions maximum (RM) with ankle cuff weights ranging from 0.5 to 1 kg. Additionally, balance exercises will be conducted, initially with support and gradually progressing to without support, including knee bends, backwards walking, sideways walking, tandem stance and walk, one leg stance, heel and toe walking, sit-to-stand, stair climbing, stepping over objects, and bending to pick up objects from the floor. Participants are also encouraged to walk outdoors at their usual pace for 30 minutes at least three times weekly.

OTHERFrenkel's exercises

Frenkel's exercise regimen comprises a series of movements performed in lying, sitting, stride standing, and standing positions aimed at improving coordination and motor control. In the lying position, exercises include alternating hip and knee flexion/extensions, hip abduction/adduction, pedaling the lower limbs, and simultaneous movements of hips and knees. These are executed slowly to enhance coordination. In sitting, exercises involve leg stretching, hip flexion with knees flexed or straightened, and transitions from sitting to standing and back. Stride standing exercises focus on weight transfer and sideways walking, while standing exercises encompass walking on marked paths, trunk rotations, 360-degree turns, smaller arcs of hip abduction/adduction and flexion/extension, straight-line walking, and directional changes to simulate real-life obstacles. 3 sets comprising 10 repetitions are performed for each exercise, aiming for motor skill improvement and balance enhancement