The purpose of training is to evoke improvements in reactive balance, then the training program may be associated with all postural control systems, including the musculoskeletal system, the cognitive system, as well as the somatosensory feedback system, while challenging the body in different environmental situations and unexpected perturbations
geriatrics balance disturbance with high risk falling
osteoporosis
vestibular age related changes
female post-menopausal based on history
Hiatus hernia
Substantial gastro-esophageal reflux
Acute cardiac events
Uncontrolled diabetes mellitus
Parallel
1-Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice 2-Strength and Balance Exercises A- Sit-to-stand B- Heel r
Procedure/Surgery1-Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice A- Standing with a decreased base B- Graded reaching in standing * Feet together and level. * Semi-tandem stance. * Tandem stance. * Stand on one leg. * Maintain position for longer * Close eyes. * Stand on different surfaces e.g. foam rubber mat. * Minimize hand support \& Aim to increase time without hand support. • Feet placement- narrower, step standing * Reaching further. * Reaching in different directions. * Reaching down to a stool or the floor. * Reaching for heavier objects. * Reaching for a full cup of water. * Standing on a softer surface eg foam rubber mat. * Stepping while reaching. C- Stepping in different directions D- Walking Practice * Narrow foot position. * Longer steps. * Faster steps. * Step over objects. * Choice component e.g. step forward with left foot. * Incorporate pivoting on the non-stepping foot. * Use different color
Timed Up and Go (TUG) (sec.)
Assessment Tools to effectively monitor the combined effects of these exercises, various assessment tools can be employed: • Timed Up and Go (TUG) Method: The patient starts in a seated position. The patient stands up upon therapist's command: walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the patient is seated. The subject is allowed to use an assistive device. Normal time ( \< 10 sec)
Functional Reach Test (FRT) (centimeters)
Assessment Tools to effectively monitor the combined effects of these exercises, various assessment tools can be employed: • Functional Reach Test (FRT): Functional Reach Test is a measure of how high someone can reach while standing. Procedure: If measuring against a wall, the subject stands side on and reaches up with the hand closest to the wall. Keeping the feet flat on the ground, the point of the fingertips is marked then the distance measured. Normal distance 25 centimeters or more
Click on the lead sponsor to view all of their trials.
This trial is not recruiting at the moment. You can still explore other options:
