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The effects of Muscle Stimulation of the whole body on the activities of walking, exercising and the risk of falling in elderly people who do not exercise

Effectiveness of Whole Body Electromyostimulation on function, muscle mass, strength, social participation, and falls-efficacy in older people: A randomized trial protocol

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-422x64
Enrollment
Unknown
Registered
2020-04-08
Start date
2020-09-01
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sarcopenia

Interventions

Experimental group: Participants will be randomly allocated and oriented about this intervention. The WB-EMS can to activate simultaneously of 8–12 muscle groups (upper legs, upper arms, bottom, abdom
KEMMLER et al, 2012
KEMMLER et al, 2014). Participants will be conducted and supervised during the 18-minutes whole body electromyostimulation training two times per week, always on alternately days, until 8 weeks. Group
the session will also acoustically and visually guided by videos that exactly mimic the movements of the protocol. Based on others studies, the WB-EMS protocol closely will follow the setting of comm

Sponsors

Universidade Federal de Juiz de Fora
Lead Sponsor

Eligibility

Sex/Gender
All
Age
60 Years to 80 Years

Inclusion criteria

Inclusion criteria: Sedentary volunteers; both genders; elderly subjects with age from 60 to 80 years

Exclusion criteria

Exclusion criteria: Elderly that to present cognitive alterations detectable by the Mini Mental State Examination (BERTOLUCCI et al., 1994); that had participation in structured physical activity at last year; uncontrolled cardiac illness and/or metabolic disease; known history of cerebrovascular disease or sequelae neurological; active neoplasia during the previous five years; surgical fractures or osteosynthesis in the last six months; severe visual and hearing difficulties; other pathological or orthopedic conditions that limits physical training or assessment outcomes

Design outcomes

Primary

MeasureTime frame
1 Outcome: Risk of falling; determined by the usual gait speed test; the distance/time ratio (m/s) will be measured in a space of 10 meters, being recorded in the central 6 meters of the path identified laterally with tapes; values below 0.8 m/s indicate a higher risk for the elderly to suffer falls The outcome expected 1: will be considered if there is an increase in walking speed above 20% before and after the intervention.;2 Outcome: Balance; determined by the "timed up and go (TUG)" test; the time will be measured to perform the task of getting up from a chair and going around a cone 3 meters in front of that chair, given in seconds; values above 20 seconds to perform the test indicate a greater loss of balance that can negatively impact activities of daily living. The expected outcome 2 will be considered if there is a reduction above 20% in the time performed in the TUG test before and after the intervention.;3 Outcome: isometric extension force of the knee; obtained through the portable MicroFET dynamometer; the individual sitting with the vertical leg forming a 90 ° angle, with the dynamometer positioned 5 cm above the malleoli, is asked to perform the leg extension; the values obtained are given in N (Newtons). The expected outcome 3 will be considered if there is an increase of more than 20% in the isometric muscle strength of knee extension before and after the intervention.;4 Outcome: Functional strength of lower limbs; determined by the 30-second sit-up test; the test will be performed in a chair with a height of 43.2 cm, without armrests and participants are instructed to get up and sit down, repeating the procedure as many times as possible for 30 seconds; the values obtained are the number of times the individual sat and stood during the test period. The expected outcome 4 will be considered if there is an increase of at least 4 repetitions in the sit and stand test before and after the intervention.;5 Outcome: Lean body mass (LBM); determined by

Secondary

MeasureTime frame
6 Outcome: Patient's satisfaction; determined by "Patients’ satisfaction with and awareness of electrical stimulation therapy” instrument. This questionnaire includes 2 sections. Section 1, consisting of 10 items, addresses demographic details such as age, gender, education level, application body areas, number of treatment sessions, electrical stimulation therapy (EST) modalities, perceived healing effect, devices, and probes of EST. Data will be collected via closed-ended categorical and yes/no questions. Section 2, consisting of 3 items, investigates the subjects’ having information on EST, their knowledge of EST, and their satisfaction. The questionnaire will be administered face to face to the volunteers. The scored questions will be analyzed as percentiles.;7 Outcome: Fear of falling; determined by the International Falls Effectiveness Scale - Brazil (FES-I-BRASIL); there are 16 questions, which can be answered from 1-4 (from not at all concerned to extremely concerned); the score ranges from 16 (with no concern about falling) to 64 (with extreme concern). To classify the fear of falling, 23 points will be adopted at the cutoff point. The expected outcome 7 will be considered if there is a reduction in fear observed by a reduction of at least four points before and after the intervention.;8 Outcome: Social participation; Will be measured using the Assessment of Life Habits (LIFE-H) questionnaire. It comprises 69 life habits across 12 categories. These categories (number of items) are: nutrition, fitness, personal care, communication, housing, mobility, responsibilities, interpersonal relationships, community life, education, employment, and recreation. The first six categories refer to daily activities, while the others are associated with social roles. In the present study, because of their irrelevance for the majority of older people, the categories “employment” and “education” were removed from analysis, leaving 10 categories and 59 items. This questionnair

Countries

Brazil

Contacts

Public Contactcarla malaguti

Universidade Federal de Juiz de Fora

c_malaguti@yahoo.com.br+55-32-91993329

Outcome results

None listed

Source: REBEC (via WHO ICTRP)