Old Age; Debility
Conditions
Keywords
NMES, LIRT, Muscle strength, Girth, Geriatic population
Brief summary
This study will employ a randomized controlled trial design with a pre-post design to investigate the combined effects of Neuromuscular Electrical Stimulation (NMES) and Low-Intensity Resistance Training (LIRT) on muscle strength, muscle girth, and physical endurance in the geriatric population. Participants will be randomly assigned to either an intervention group or a control group.
Detailed description
* Informed Consent: Obtain informed consent from participants before starting the study. 2\. Demographic Data Collection: Collect demographic data, including age, sex, height, weight, and medical history. 3\. Muscle Strength Assessment: Measure muscle strength using a dynamometer (e.g., handgrip strength or knee extension strength). 4\. Muscle Girth Measurement: Measure muscle girth using a flexible measuring tape (e.g., mid-upper arm or thigh circumference). 5\. 6-Minute Walk Test (6MWT): Conduct the 6MWT to assess physical endurance. Intervention 1. NMES Sessions: Administer NMES sessions 2-3 times a week for 4-5 weeks. 2. LIRT Sessions: Conduct LIRT exercises 2-3 times a week for 4-5weeks, targeting major muscle groups of upper and lower limb.
Interventions
OTHERNeuromuscular electrical stimulation
Prior to the initiation of resistance training, participants will receive 20 minutes of NMES targeting the gastrocnemius and calf muscles Frequency: 35 Hz Pulse duration: 300 µs Following NMES, participants will undergo a 20-minute LIRT session comprising the following exercises:
Seated Leg Press with Thera Band Resistance (Sole Support Position) Participants will be seated with a Thera Band looped around the soles of their feet and held in the hands to provide resistance during leg extension. Repetitions: 10 Sets: 3 Rest Interval: 30-60 seconds between sets
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
• Age: 65 to 85 (35) * Both male and female will be added(29) * Patients with low calf muscle mass \<31.5 cm for females and \<33.5 cm for males will be included in this study(36). * Participants able to complete the Five Times Sit-to-Stand Test in ≤ 10 seconds (men) or ≤ 11 seconds (women)(37). * Participants must have ability to walk independently and absence of severe medical conditions(29). * Participants who takes \> 12 seconds to complete TUG will be included in this study(38
Exclusion criteria
• Participants with contraindications to NMES or RT, such as pacemakers or severe cardiovascular disease(29). * Participants with a MoCA score of less than 26 will be excluded to ensure adequate cognitive ability to comprehend and follow the study protocol, including exercise and neuromuscular stimulation procedures (39). * Participants with any musculoskeletal issues will be excluded from this study(35). * Participants with neuromuscular disorders that may affect muscle strength or function(29).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Manual muscle testing (MMT) for strength measurement | baseline to 4 week | Muscle strength will be assessed using Manual Muscle Testing (MMT) of the plantar flexors and knee extensors based on the Medical Research Council (MRC) 0-5 grading scale. Each muscle group will be tested twice on the dominant side, and the higher grade will be recorded. Participants with grades ≤3 will be classified as having low muscle strength, while those with grades ≥4 will be considered to have sufficient strength for participation in low-intensity resistance training and neuromuscular electrical stimulation (NMES). MMT is a reliable and widely used clinical method for muscle strength assessment |
Countries
Pakistan
Contacts
CONTACTIsha butt butt, DPT
PRINCIPAL_INVESTIGATORSabiha Arshad, MS
Riphah International University
Outcome results
None listed