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Effects of Otago Exercise Combined With Short-Foot Exercise in Older Adults

ConditionAging
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorPamukkale University

About this trial

The Otago Exercise Programme is a multicomponent exercise approach targeting strength, balance, and mobility in older adults. Short-foot exercises are designed to improve intrinsic foot muscle activation and medial longitudinal arch control. This randomized comparative study will investigate whether adding short-foot exercises to the Otago Exercise Programme provides additional benefits in older adults.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Willing to participate and provide written informed consent. Aged 65 years or older. Residing in the nursing home where the study will be conducted for at least 3 months.

Disqualifiers

History of neurological or neurodegenerative disease that may substantially affect postural control, proprioception, or motor responses, including stroke sequelae, Parkinson's disease, multiple sclerosis, advanced dementia, or marked cerebellar disorders.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Otago Exercise Programme

    Behavioral

    The Otago Exercise Programme will be delivered under physiotherapist supervision for 8 weeks, 2 days per week, for a total of 16 sessions. Each session will last 50 minutes and will include warm-up, lower extremity strengthening, static and dynamic balance exercises, functional balance and walking tasks, and cool-down. Exercises will be progressively adjusted according to participant performance and safety.

  • Otago Exercise Programme + Short-Foot Exercise

    Behavioral

    The combined intervention will be delivered under physiotherapist supervision for 8 weeks, 2 days per week, for a total of 16 sessions. Each 60-minute session will include 5 minutes of warm-up, 10 minutes of Short-Foot Exercises, 40 minutes of Otago exercises, and 5 minutes of cool-down. Short-Foot Exercises will target intrinsic foot muscle activation and medial longitudinal arch control and will progress from sitting to standing, mini-squat, and soft-surface standing according to participant performance.

Treatment groups

36 Participants
are divided into 2 treatment groups
Group A: Otago Exercise ProgrammeExperimental treatment 1 intervention
Group B: Otago Exercise Programme + Short-Foot ExerciseExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Five Times Sit-to-Stand Test (5STS

Lower-extremity functional capacity will be assessed using the Five Times Sit-to-Stand Test (5STS). Participants will sit on a standard-height chair without armrests, with the arms crossed over the chest, and will be instructed to stand up fully and sit down five consecutive times as quickly as possible. The time from initiation of the first stand to completion of the fifth sitting will be recorded in seconds. Lower completion times indicate better functional performance

Time frame
Baseline (pre-intervention) and immediately post-intervention (Week 8).

Secondary outcomes

1

Dynamic Balance - Mini-BESTest

Dynamic balance will be assessed using the Mini-BESTest, a 14-item clinical balance test evaluating anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. Each item is scored from 0 to 2, resulting in a total score ranging from 0 to 28. Higher scores indicate better dynamic balance performance.

Time frame
aseline (pre-intervention) and immediately post-intervention (Week 8).
2

Ankle Joint Position Sense

Ankle joint position sense will be assessed using the KFORCE Sens® electrogoniometer at target angles of 10° dorsiflexion and 20° plantar flexion. After passive positioning at the target angle, participants will actively reproduce the target position with eyes closed. Joint position sense error will be calculated as the absolute difference, in degrees, between the target and reproduced angles. Three trials will be performed for each movement direction, and the mean value will be used. Lower error values indicate better joint position sense.

Time frame
Baseline (pre-intervention) and immediately post-intervention (Week 8).
3

Ankle Muscle Strength

Ankle dorsiflexor and plantar flexor muscle strength will be assessed using the JTECH PowerTrack II Commander hand-held dynamometer. Three measurements will be performed for each muscle group, and the mean value will be used for analysis. Higher force values indicate greater muscle strength.

Time frame
Baseline (pre-intervention) and immediately post-intervention (Week 8).
4

Falls Efficacy Scale-International (FES-I)

Fear of falling will be assessed using the Falls Efficacy Scale-International (FES-I). The scale consists of 16 items, each scored from 1 to 4, resulting in a total score ranging from 16 to 64. Higher scores indicate greater concern about falling.

Time frame
Baseline (pre-intervention) and immediately post-intervention (Week 8).

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Pamukkale University

Lead sponsor

Source ClinicalTrials.gov

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