Balance performance Lower limb muscle strength Cognitive function Depression Fear of falling number of falls balance performance muscle strength cognitive function depression Fear of falling falls
Conditions
Interventions
The exercise program is a combination of aerobic exercise,
balance training and cognitive training (memory,
and executive function).,Health education about health promotion,
exercise and fall prevention in older adults.
Experimental Other,No Intervention No treatment
based dual-
tasks exercise,Health education
Sponsors
Faculty of Physical Therapy, Mahidol University
Faculty of Physical Therapy,
Mahidol University
Eligibility
Sex/Gender
All
Age
60 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1)Thais population 2)Aged 60 years and over 3)Have been diagnosed with type 2 diabetes with a fasting blood glucose level of at least 8 hours ≥ 126 mg/L 4)Time to complete Timed up and go test more than 10 seconds 5)Resting vital sign is safe for exercise (blood pressure 100/60 mmHg) 6) Walking independently without walking aids 7)Normal to near-normal visual acuity (with best correction lens) 8)Able to understand and follow verbal instruction
Exclusion criteria
Exclusion criteria: 1)History of central nervous system dysfunction, i.e., stroke, Parkinson's 2)Lower limb amputation including partial foot amputation 3)History of lumbar or lower limb surgery within previous 6 months 4)History of lumbar or lower limb fracture within previous 6 months 5)History of hip, knee, and ankle joints replacement 6)Acute stage of musculoskeletal system dysfunction 7)Disability 8)Taking other medicines with affect the nervous system, i.e., antidepressant, sleeping tablets, medicines for anxiety, antipsychotics
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Balance performance After 4 and 8 weeks intervention, 12 months after intervention period Timed Up and Go test and alternate step test ,Cognitive function After 4 and 8 weeks intervention, 12 months after intervention period The Montreal Cognitive Assessment and Wechsler Adult Intelligence Scale, Version III (digit span),Lower limb muscle strength After 4 and 8 weeks intervention, 12 months after intervention period Five-times sit to stand test and measure by using hand held dynamometer,Depression After 4 and 8 weeks intervention, 12 months after intervention period Patient Health Questionnaire-9 (PHQ-9),Fear of falling After 4 and 8 weeks intervention, 12 months after intervention period Fall Efficacy Scale-International (FES-I) Thai version, Activities of daily living (ADL) After 4 and 8 weeks intervention, 12 months after intervention period Barthel Index | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of falls monthly within intervention period and monthly for one year after end of the intervention period subjective and falls calendar,Peripheral diabetic nephropathy (PDN) at baseline before intervention Michigan Neuropathy Screening Instrument (MNSI),Orthostatic hypotension (OH) at baseline before intervention assessing blood pressure change from the supine to standing position | — |
Countries
Thailand
Contacts
Public ContactRatchanok Kraiwong
Faculty of Physical Therapy, Mahidol University
Outcome results
None listed