Идёт набор NCT06672354

Effects of Non-immersive Virtual Reality Training Compared to Otago Exercise Program on Balance and Spatiotemporal Gait Parameters in Elderly Population

Без фазы С лечением Elderly Balance Gait Virtual Reality

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Otago Exercise Program, Non-Immersive Virtual Reality Training.
Кому может быть актуально: Состояния в реестре: Elderly, Balance, Gait, Virtual Reality. Базовые параметры: от 55 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Пакистан
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

Falling is a serious concern for the growing elderly population due to age-related decline in physical function, leading to injuries, loss of independence, and a decline in overall well-being. The Otago Exercise Program (OEP), for the elderly consists of lower limb strengthening and balance exercises, leading to better strength, balance, and reduced fear of falling. The interactive and game-like nature of VR training can make it more engaging and motivating for older adults. It can provide challenging and engaging approach to exercise that can help to improve stability, enhance quality of life and reduce the risk of fall.

Подробное описание

OBJECTIVES:

The objectives of this study are:

1. To determine the effects of Non-Immersive VR training and Otago exercise program on spatiotemporal gait parameters in elderly population. 2. To determine the effects of Non-Immersive VR training and Otago exercise program on balance in elderly population. 3. To determine the effects of Non-Immersive VR training and Otago exercise program on lower limb strength of elderly population. 4. To determine the effects of Non-Immersive VR training and Otago exercise program on fear of fall in elderly population.

HYPOTHESIS:

Alternate Hypothesis:

1. There is statistically significant difference between non-immersive virtual reality training and Otago exercise program on spatiotemporal gait parameters in elderly population. 2. There is statistically significant difference between non-immersive virtual reality training and Otago exercise on balance in elderly population. 3. There is statistically significant difference between non-immersive virtual reality training and Otago exercise on lower limb strength in elderly population. 4. There is statistically significant difference between non-immersive virtual reality training and Otago exercise on fear of fall in elderly population.

Null Hypothesis:

1. There is no statistically significant difference between non-immersive virtual reality training and Otago exercise program on spatiotemporal gait parameters in elderly population. 2. There is no statistically significant difference between non-immersive virtual reality training and Otago exercise on balance in elderly population. 3. There is no statistically significant difference between non-immersive virtual reality training and Otago exercise on lower limb strength in elderly population. 4. There is no statistically significant difference between non-immersive virtual reality training and Otago exercise on fear of fall in elderly population.

Research Design: Experimental study. Randomized Control Trial

Clinical setting: Multidisciplinary Lab in FUCP. Study duration: 1 year

Selection Criteria:

Inclusion Criteria

1. Age 55 years and above 2. Male and female both 3. Able to independently ambulate, without the assistance of a walking aid. 4. Participants that are able to maintain upright position with eyes open and eyes close for 10 seconds in standing position

Exclusion Criteria

1. Wheel-chair bound elderly 2. Diagnosed with neurological disorder 3. Severe cognitive impairment (MMSE scoring of 17 or \<17) 4. Recent orthopedic trauma 5. Severe degenerative conditions

Technique: Non probability Purposive Sampling

Outcome Measures:

Data will be collected on Demographics and general information. Data will be collected using Mini-BESTEST scale, 10 Meter walk test, 30 sec sit to stand test, The Fall Efficacy Scale International

Expermental Group (A) =This group will recive Otago Exercise Program training outcomes will be measured at baseline, on 4th, 8th and at 12th week of treatment.

Data analysis techniques:

Experimental Group (B) = This group will receive Non-Immersive Virtual Reality training using Xbox Kinect 360. Their outcomes will be measured at baseline, on 4th, 8th and at 12th week of treatment.

The data will be analyzed through SPSS 21 and Data would be analyzed based on the study design chosen that is random control experimental study within the community.

A printed questionnaire will be provided to the patients after obtaining written consent and providing adequate explanation regarding the study, after which the data will be presented in the form of graphs or tables.

Significance of the study:

While the Otago Exercise Program (OEP) has established itself as a highly effective intervention for improving balance and reducing fall risk in older adults, the emergence of non-immersive Virtual Reality (VR) training introduces a potentially complementary approach.

However, despite both offering multi-component interventions targeting fall risk factors, a lack of conclusive evidence exists regarding their differential impact on balance and gait parameters.

Our study addresses this critical gap in the literature by directly comparing the efficacy of non-immersive VR training against the OEP.

Вмешательства

Процедура Otago Exercise Program
1- Otago Exercise Program: i) This exercise program will consist of strengthening, balance exercises and walking plan. The OEP will be performed according to the following: 5 min warm-up, 10 min resistance training and 15 min balance exercises. ii) The strength training protocol targets, on hip abductors, knee flexors, knee extensors, plantarflexors, and dorsiflexors.All exercises will be performed for 10 repetitions. This protocol recommends strength training 3 days per week. iii) The balance
Процедура Non-Immersive Virtual Reality Training
In this interventional group, VR training exercises will be performed by using Xbox Kinect, which includes a Kinect sensor.-The monitor or Tv screen will recognize the movements of participants via camera and infra-red motion sensors.-In order to perform simulated exercises in each session, the participant will be positioned at 1.5-2 meter from the monitor or TV screen.-The virtual reality training exercises will include Kinect Adventure games (Rally Ball, 20,000 leaks, Reflex Ridge) and Sports

Первичные конечные точки

Balance [Срок оценки: 12 weeks]
Gait Speed [Срок оценки: 12 weeks]
Cycle Time [Срок оценки: 12 weeks]
Stride Length [Срок оценки: 12 weeks]
Cadence [Срок оценки: 12 weeks]
Leg Strength [Срок оценки: 12 weeks]
Fear of Fall [Срок оценки: 12 weeks]

Критерии участия

Критерии включения

Age 55 years and above
Male and female both
Able to independently ambulate, without the assistance of a walking aid.
Participants that are able to maintain upright position with eyes open and eyes close for 10 seconds in standing position