Older Adult Traditional Balance Training vs Traditional Balance Training Plus Neck Strengthening
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Neck Strengthening Exercises.
- Who it may be relevant to
- Registry conditions: Aging, Fall Injury Prevention, At Fall Risk. Basic parameters: from 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This study promotes greater understanding of factors impacting balance and how neck strength alters specific aspects of impaired balance. This study will help physical therapist protocols target a wholistic approach to treat fall risk individuals.
Detailed description
This study will use an interventional neck strengthening exercises along with physical therapist standard of care for balance for community dwelling older adults at fall risk.
The study has three aims: (1) evaluate the effects of a 6-week neck strengthening intervention on sensorimotor function in community-dwelling older adults at risk for falls, (2) examine the impact of neck strengthening on functional mobility and clinical balance performance, and (3) determine the effect of neck strengthening on psychosocial outcomes related to fall risk.
Interventions
- Other Neck Strengthening Exercises
5 minutes of specified neck strengthening exercises two times per week for 6 weeks.
Primary outcome measures
- Peak Cervical Neck Flexion Force [Time frame: Baseline testing and at 5 weeks]
- Time to peak force (s) for cervical neck flexion [Time frame: Baseline and at 5 weeks]
- Peak force (N) for right cervical lateral flexion [Time frame: Baseline and at 5 weeks]
- Time to peak force (s) for right cervical lateral flexion [Time frame: Baseline and at 5 weeks]
- Peak force (N) for left cervical lateral flexion [Time frame: Baseline and at 5 weeks]
- Time to peak force (s) for left cervical lateral flexion [Time frame: Baseline and at 5 weeks]
- Peak force (N) for right cervical lateral flexion [Time frame: Baseline and at 5 weeks]
- Time to peak force (s) for right cervical lateral flexion [Time frame: Baseline and at 5 weeks]
- Peak force (N) for left cervical lateral flexion [Time frame: Baseline and at 5 weeks]
- Time to peak force (s) for left cervical lateral flexion [Time frame: Baseline and at 5 weeks]
Secondary outcome measures (1)
- Maximal grip strength (lbs) [Time frame: Baseline and at 5 weeks]
Eligibility criteria
Inclusion criteria
- 65 + for age appropriate for Medicare-based guidelines
- No previous upper cervical spine surgery
- Intracranial bleed within the last 6 months
- No recent orthopedic surgical intervention or injury that limits weight-bearing capacity on one side in the past 6 months
- Able to stand for at least 30 seconds without any sort of upper-extremity assistance
Exclusion criteria
- legally blind
- taking meclizine
- unable to follow simple motor commands
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 1 center
- Ohio University — Athens
Publications
- Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine (Phila Pa 1976). 2002 Apr 1;27(7):694-701. doi: 10.1097/00007632-200204010-00005. PMID 11923661
- Gosselin G, Rassoulian H, Brown I. Effects of neck extensor muscles fatigue on balance. Clin Biomech (Bristol). 2004 Jun;19(5):473-9. doi: 10.1016/j.clinbiomech.2004.02.001. PMID 15182982
- Song, G. B., & Park, E. C. (2016). Effects of neck and trunk stabilization exercise on balance in older adults. The Journal of Korean Physical Therapy, 28(4), 221-226. ISSN: 1229-0475, 2287-156X
- Deshmukh, A. A., & Kanase, S. B. (2020). Effect of Activation of Deep Neck Muscles as an Adjunct to Vestibular Rehabilitation in Vertigo. Indian Journal of Public Health Research & Development, 11(2). DOI:10.37506/v11/i2/2020/ijphrd/195234
- Sturnieks DL, St George R, Lord SR. Balance disorders in the elderly. Neurophysiol Clin. 2008 Dec;38(6):467-78. doi: 10.1016/j.neucli.2008.09.001. Epub 2008 Oct 7. PMID 19026966
Identifiers
NCT: NCT07503899 · IRB-FY26-126