Falls in the Elderly. Unspecified fall
Conditions
Interventions
Intervention 1: Intervention group 1:Participants in this group will undergo a Dynamic Neuromuscular Stabilization (DNS) training program.The intervention includes 12 sessions over 4 weeks (3 sessions
Sponsors
The Shahid Bahonar University of Kerman
Eligibility
Sex/Gender
Female
Age
60 Years to 70 Years
Inclusion criteria
Inclusion criteria: Having a history of falls based on a standard questionnaire and being in the age range of 60 to 70 years No injury in the lower limbs (fracture or muscle tear) confirmed by a specialist No history of stroke or inner ear disorders that may affect balance Ability to walk independently Obtaining informed consent from elderly participants for the study Scoring 24 or higher on the Mini-Mental State Examination (MMSE) Answering "No" to all questions on the Physical Activity Readiness Questionnaire (PAR-Q)
Exclusion criteria
Exclusion criteria: Terminal illness or severe dementia that prevents participation in exercises and assessments Non-ambulatory status or need for assistive devices (cane or walker) Use of sedatives or any drugs that affect balance or cognition Amputation or severe arthritis that prevents movement History of surgery or joint replacement in the lower limbs Balance disorders, frequent dizziness, or severe vision impairment affecting motor and balance function Failure to attend pre-test, mid-test, or post-test Absence from more than 3 sessions during the protocol History of neurological diseases (stroke, TIA, epilepsy, or Parkinson’s disease)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Muscular Strength of the Hip Abductors: It will be measured using the HHD device for the dominant leg only. Functional Balance: It will be assessed using the Mini-BESTest test, which is a standardized test for evaluating balance performance. Physical Performance: It will be assessed using the Chair Stand Test and the 6-Minute Walk Test (6MWT). These two tests measure an individual’s ability to perform daily movements and their endurance during a six-minute walking period. These variables have been selected to evaluate the effect of Dynamic Neuromuscular Stabilization (DNS) exercises and Fall-Proof exercises on muscular strength, functional balance, and physical performance in older women with a history of falls. Timepoint: Muscle strength of hip abductors: Measurement will be conducted using the HHD device at the beginning of the study (before the intervention begins) and at the end of the intervention (after 12 sessions).Functional balance: Assessment will be conducted using the Mini-BESTest at the beginning of the study (before the intervention begins) and at the end of the intervention (after 12 sessions).Motor performance: Assessment will be conducted using the Chair Stand Test (CST) and the 6-Minute Walk Test (6MWT) at the beginning of the study (before the intervention begins) and at the end of the intervention (after 12 sessions). Method of measurement: Muscle Strength of Hip Abductors: Measurement will be performed using a Handheld Dynamometer (HHD).Functional Balance: Assessment will be conducted using the Mini-BESTest.Motor Performance: Assessment will be carried out using the Chair Stand Test (CST) and the Six-Minute Walk Test (6MWT). | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional Balance: Assessed using Mini-BESTest (Functional Balance Measurement).Motor Function: Assessed using Chair Stand Test (CST) and Six-Minute Walk Test (6MWT). Timepoint: Functional balance: Measurement at the baseline (before intervention) and after 12 sessions of exercise.Motor performance: Measurement at the baseline (before intervention) and after 12 sessions of exercise. Method of measurement: Functional Balance: Assessed using the Mini-BESTest.Motor Function: Assessed using the Chair Stand Test (CST) and Six-Minute Walk Test (6MWT). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFatemeh Mansourbahmani
The Shahid Bahonar University of Kerman
Outcome results
None listed