Sarcopenia
Conditions
Keywords
Sarcopenia, Resistance training, Exercise Movement Techniques
Brief summary
The goal of this clinical trial is to compare the effectiveness of two exercises to improve physical functioning of older adults with sarcopenia. the primary aim of this RCT is: To measure the influence of pilates exercises versus resistance training in elderly with sarcopenia. To introduce an affordable, effective and safe exercise care program, which prioritizes to make geriatric population independent. Participants will be assessed for all outcome measures change at baseline and after 3 weeks following an exercise intervention. Participants enrolled in pilates exercise group will receive total of 9 exercises and participants enrolled in resistance exercise group will receive total of 8 exercises.
Detailed description
A total sample of 70 of geriatric population with sarcopenia will be collected from Dow University Hospital Ojha. Non-probability purposive sampling technique will be used. Participants will be screened and referred from medicine, family medicine and neurology OPD to physiotherapy OPD. Outcome measure assessment will be performed in all patients at two time points: baseline and follow up at the end of last session. Outcome measures include short physical performance battery assessment tool (SPPB). Strength and gait are first evaluated by the ability to perform the tasks of getting up and sitting on a chair five consecutive times and performing the walking speed test (3 meters), Time up and go test, sit and reach test, and 2-minute step test as a measure of physical functioning. After complete assessment at baseline all participants will be randomized to different treatment groups using 70 opaque sealed envelopes containing notes written with new treatment or Standard treatment on (n= 35 of each). The envelops will be scrambled before each participant allow to draw an envelope and thus find out in which group they will be allocated. Treatment will be provided to both groups. Group 1 will be provided with pilates exercises and group 2 will be provided with resistance exercises. Both groups will perform generalized warm up for up to 10 minutes at the beginning and 10 minutes of relaxation exercises at the end of treatment session.
Interventions
OTHERPilates exercises
The Pilates technique consist of hundred, swimming, prone leg lift, single leg stretch, spine stretch forward, arm circles, imprint and release, one leg circles and mini squat.
OTHERResistance exercises
Resistance training include leg press, shoulder press, bench press, back arm press, seated row, knee extension, leg curl and seated calf raise
Sponsors
Dow University of Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Referred and screened patients with sarcopenia from medicine, family medicine and neurology OPD at Dow University Hospital Ojha Campus, Karachi. * Patients from 60 to 70 years of age * Both male and female. * Patients who consent to participate
Exclusion criteria
* Being bedridden * Implanted pacemaker * Recent history of any fracture * Patients with cognitive & neurological impairment * Already enrolled in any exercise intervention program * Known case of patients with malignancy * Patients on steroids
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Short physical performance battery assessment tool. | 3 weeks, change from baseline | The SPPB assesses physical performance through balance, strength, and gait. .Each test is scored from 0 (inability to perform the task) to 4 points (best test performance).The SPPB total score ranges from 0 (worst performance) to 12 points (best performance) and categorically evaluates performance in the tests using three classes of scores: three classes: 0-6 points (poor performance), 7-9 points (moderate performance), and 10-12 points (good performance). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time up and go test | 3 weeks, change from baseline | TIME UP AND GO TEST: To evaluate agility and dynamic balance this is essential for tasks that demands quick movements. |
| sit and reach test | 3 weeks, change from baseline | SIT AND REACH TEST: It determines the lower back and hamstring flexibility. Which is necessary for proper gait pattern, good posture and multiple movement task. |
| 2-minute step test | 3 weeks, change from baseline | 2-MINUTE STEP TEST: To assess aerobic fitness. |
Countries
Pakistan
Outcome results
None listed