Equilibration Disorder, Vestibular Nerve
Conditions
Keywords
postural balance, strength
Brief summary
This study aims to examine 1. the feasibility 2. immediately 3. long term effects on postural control and strength of mechanical SR-WBV intervention in a frail elderly population.
Detailed description
This study is based on the guideline of falls management exercise programs (FaME) designed exercise from Skelton and Dinan. The FAME program is structured so that four biocybernetic pillars are embedded in the three successive stages of training. The biocybernetic pillars: 1. improving the balance 2. improvement in functional capacity 3. improvement in bone density and muscle mass Overthrowing 4) improving the security (reducing anxiety). The training phase should reach the following goals: 1. Skilling up: with the aim of improving improve neuromuscular control, postural control and strengthening of large muscle groups of the lower extremity. 2. Training Gain: with the aim to improve functional abilities. 3. Maintaining the Gains: with the goal of muscle mass and bone density and introduce them to build complex multi-sensory exercises. We started the FaME program with assistance from the pilot study, Effects of stochastic resonance therapy on postural control in the elderly population (KEK Bern: No.228/09, Trial Registry: NCT01045746). It was found that a whole-body vibration with stochastic resonance (SR-WBV) enables that strength, coordination, and balance training while standing, in the exercise training gain phase is possible. For this reason, this study will examine the feasibility and the immediately and long term effects of SR-WBV with 6 Hz, Noise 4 on postural control and strength in frail elderly.
Interventions
Immediate effects (one minute after intervention): over 5 sets with 6 Hz, Noise 4 and than 1 Hz, Noise 1. Long term effect: over four weeks, three times a week with 6 Hz, Noise 4 and than over four weeks three times a week with 1 Hz, Noise 1.
Immediate effects (one minute after intervention): over 5 sets with 1 Hz, Noise 1 and than 6 Hz, Noise 4. Long term effect: over four weeks, three times a week with 1 Hz, Noise 1 and than four weeks three times a week with 6 Hz, Noise 4.
Sponsors
Goethe University
Maastricht University Medical Center
Swiss Federal Institute of Technology
Bern University of Applied Sciences
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* RAI (Resident Assessment Instrument) \>0 * live in canton Bern * in terms of training load be resistant.
Exclusion criteria
* acut joint disease, acut thrombosis, acute fractures, acute infections, acute tissue damage, or acute surgical scars * seniors with prosthesis. * alcoholic * acute joint disease, activated osteoarthritis, rheumatoid arthritis, acute lower limb * acute inflammation or infection tumors * fresh surgical wounds * severe migraine * epilepsy * acute severe pain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dynamic body balance | effects after 4 weeks | The Expanded Timed Get Up-and-Go (ETGUG) will be used for measuring dynamic body balance. At 2, 8 and 10 meters along the walkway, markers were set, allowing to the measurement the change of the split times. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| static body balance | immediate effects following one minute after a session of SR-WBV | Semi-tandem stand (STS): Anterior-posterior (AP) and medial-lateral (ML) sway on a force plate during the STS will be measured. |
| dynamic body balance | immediate effects following one minute after a session of SR-WBV | The Expanded Timed Get Up-and-Go (ETGUG) will be used for measuring dynamic body balance. At 2, 8 and 10 meters along the walkway, markers were set, allowing to the measurement the change of the split times. |
| Lower extremity performance | immediate effects following one minute after a session of SR-WBV | Short physical performance battery (SPBB):The SPPB combines the results of balance tests (semi-tandem stand, side-by-side stand,full tandem stand), gait speed, and chair rise tests. |
| Lower extermity performance | effects after 4 weeks | Short physical performance battery (SPBB):The SPPB combines the results of balance tests (semi-tandem stand, side-by-side stand,full tandem stand), gait speed, and chair rise tests. |
| strength | immediate effects following one minute after a session of SR-WBV | Muscle strength: It will be evaluated by five-sit-to-stand test and isometric rate of forcedevelopment and isometric Maximum Voluntary Contraction (MCV). |
Countries
Switzerland
Outcome results
None listed