search
Back to results

Effect of Proprioceptive Neuromuscular Facilitation Techniques on Elderly People With Scapular Disposition

Primary Purpose

Geriatric Rehabilitation, Scapular Dyskinesis

Status
Recruiting
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
1st Group
2nd Group
Sponsored by
European University of Lefke
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Geriatric Rehabilitation focused on measuring Geriatric Rehabilitation, Scapular Disposition, Balance, Posture, Gait

Eligibility Criteria

65 Years - 74 Years (Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Having scapular disposition (Patients will be determined after the visual scapular disposition test and lateral scapular slide test) With no injuries Able to walk without any assistive devices To be able to read and write in Turkish Exclusion Criteria: Having a musculoskeletal or neurological problem that causes issues with applying the intervention. Any orthopedic, neurological, cardiac, vestibular, visual, or psychiatric impairment which would not allow them to perform Had physiotherapy during the past 3 months

Sites / Locations

  • Fizyomorfo Fizyoterapi Rehabilitasyon ve Saglikli Yasam MerkeziRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

PNF Technique Group

Gait Training Group

Arm Description

Participants in this group will receive PNF techniques and gait training 3 times per week for 8 weeks

Participants in this group will receive only gait training 3 times per week for 8 weeks

Outcomes

Primary Outcome Measures

Visual Scapular Disposition Test
During the visual scapular disposition test, patients will be asked to perform bilateral shoulder elevation movements and scapular movements will be observed in order to determine scapular dyskinesia
Lateral Scapular Slide Test
During the lateral scapular slide test, patients will be evaluated in 3 different arm positions while standing. at each position, special measurements of the scapula will be taken with measurement tape. If the difference between measurements in the same position is more than 1.5 centimeters (cm), the patient will be recorded as having scapular dyskinesia
Walking Speed
Participants normal walking speed measurement will be taken by asking patient to walk a dedicated 15m line and normal walking speed will be measured after 3 repetitions average time calculated
Modified Dynamic Gait Index (mDGI)
The DGI tests the ability of the participant to maintain walking balance while responding to different task demands, through various dynamic conditions.
Timed Up and Go Test
The timed "get up and walk" test is the basic functional mobility test for the elderly which they will be asked to stand up from a regular chair, walk 3 meters, turn and walk back to the chair and sit.
Berg Balance Scale
Berg Balance Scale (BDI) is generally used to measure balance performance in elderly patients. It is effective in assessing postural control and predicting fall risk.
Functional Reach Test
Functional Reach Test (FRT) is a clinical outcome measure and assessment tool for assessing dynamic balance in one simple task. It will be done in the standing position, by measuring the distance between the length of an outstretched arm in a maximal forward reach, while maintaining a fixed base of support, and this information is correlated with the risk of falling
Falls Efficacy Scale
The Falls Efficacy Scale is a short, easy to administer tool that measures the level of concern about falling during social and physical activities inside and outside the home whether or not the person actually does the activity.
PostureCO
PostureCo, Inc. is a technology company focusing on posture and movement analysis, it takes the data for the posture and movements. A special posture application for mobile phones will be used to determine postural sway. Data will be collected by scanning each patient and analyzing the posture.
SF-36
The 36-item Short Form (SF-36) is a commonly used questionnaire for measuring health-related quality of life. Each patient will be asked to answer the questions in order to get the results for the quality of life

Secondary Outcome Measures

Full Information

First Posted
May 30, 2023
Last Updated
July 15, 2023
Sponsor
European University of Lefke
search

1. Study Identification

Unique Protocol Identification Number
NCT05893303
Brief Title
Effect of Proprioceptive Neuromuscular Facilitation Techniques on Elderly People With Scapular Disposition
Official Title
Effect of Proprioceptive Neuromuscular Facilitation (PNF) Techniques on Balance and Gait Characteristics of Elderly People With Scapular Disposition: A Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 31, 2023 (Actual)
Primary Completion Date
December 15, 2023 (Anticipated)
Study Completion Date
May 15, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
European University of Lefke

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Proprioceptive neuromuscular facilitation (PNF) has been defined as a comprehensive rehabilitation approach focusing on a motor learning effect, especially in the elderly. Therefore, PNF can be an effective treatment method for our purpose which is to analyze if PNF techniques improve balance and gait characteristics in elderly with scapular disposition and to determine the difference when used with the gait education
Detailed Description
Participants will be randomly divided into 2 groups. Scapular PNF techniques in addition to gait training will be applied to the 1st group for 8 weeks, and only gait training exercises will be applied to the 2nd group for 8 weeks. Individuals will be evaluated in detail at the beginning, and end of the study, and after 3 months as a follow-up evaluation. For the assessment of scapular disposition, the Visual Scapular Disposition Test and Lateral Scapular Slide Test will be applied. Walking Speed will be evaluated with a dedicated area by measuring the distance. The Modified Dynamic Gait Index will be used for measuring the ability of the participant to maintain walking balance while responding to different task demands. For fall risks and functional mobility Timed Up and Go Test and Falls Efficacy Scale will be used. For balance assessment Berg Balance Scale and Functional Reach Test. For assessment of the quality of life, SF-36 will be used. Posture will be assessed with a dedicated application called PostureCo

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Geriatric Rehabilitation, Scapular Dyskinesis
Keywords
Geriatric Rehabilitation, Scapular Disposition, Balance, Posture, Gait

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
48 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
PNF Technique Group
Arm Type
Experimental
Arm Description
Participants in this group will receive PNF techniques and gait training 3 times per week for 8 weeks
Arm Title
Gait Training Group
Arm Type
Active Comparator
Arm Description
Participants in this group will receive only gait training 3 times per week for 8 weeks
Intervention Type
Other
Intervention Name(s)
1st Group
Intervention Description
1st group is going to undergo scapula-oriented PNF techniques (diagonal) which are anterior elevation and posterior depression - posterior elevation and anterior depression with 20 repetitions with rhythmic initiation and repeated contractions facilitation techniques during all patterns. In addition to PNF techniques, gait training is going to be applied as standing with balance exercises (15 repetitions) as well as specific exercises for the stance and swing phases of the gait which are; stepping forward and sideways (15 repetitions), and gait education (walking 3 lapses within 2 meters parallel bar)
Intervention Type
Other
Intervention Name(s)
2nd Group
Intervention Description
2nd group is going to undergo only gait training and balance exercises (15 repetitions) as well as specific exercises for the stance and swing phases of the gait which are; stepping forward and sideways (15 repetitions), and gait education (walking 3 lapses within 2 meters parallel bar)
Primary Outcome Measure Information:
Title
Visual Scapular Disposition Test
Description
During the visual scapular disposition test, patients will be asked to perform bilateral shoulder elevation movements and scapular movements will be observed in order to determine scapular dyskinesia
Time Frame
5 minutes
Title
Lateral Scapular Slide Test
Description
During the lateral scapular slide test, patients will be evaluated in 3 different arm positions while standing. at each position, special measurements of the scapula will be taken with measurement tape. If the difference between measurements in the same position is more than 1.5 centimeters (cm), the patient will be recorded as having scapular dyskinesia
Time Frame
5 minutes
Title
Walking Speed
Description
Participants normal walking speed measurement will be taken by asking patient to walk a dedicated 15m line and normal walking speed will be measured after 3 repetitions average time calculated
Time Frame
5 minutes
Title
Modified Dynamic Gait Index (mDGI)
Description
The DGI tests the ability of the participant to maintain walking balance while responding to different task demands, through various dynamic conditions.
Time Frame
10 minutes
Title
Timed Up and Go Test
Description
The timed "get up and walk" test is the basic functional mobility test for the elderly which they will be asked to stand up from a regular chair, walk 3 meters, turn and walk back to the chair and sit.
Time Frame
5 minutes
Title
Berg Balance Scale
Description
Berg Balance Scale (BDI) is generally used to measure balance performance in elderly patients. It is effective in assessing postural control and predicting fall risk.
Time Frame
5 minutes
Title
Functional Reach Test
Description
Functional Reach Test (FRT) is a clinical outcome measure and assessment tool for assessing dynamic balance in one simple task. It will be done in the standing position, by measuring the distance between the length of an outstretched arm in a maximal forward reach, while maintaining a fixed base of support, and this information is correlated with the risk of falling
Time Frame
5 minutes
Title
Falls Efficacy Scale
Description
The Falls Efficacy Scale is a short, easy to administer tool that measures the level of concern about falling during social and physical activities inside and outside the home whether or not the person actually does the activity.
Time Frame
5 minutes
Title
PostureCO
Description
PostureCo, Inc. is a technology company focusing on posture and movement analysis, it takes the data for the posture and movements. A special posture application for mobile phones will be used to determine postural sway. Data will be collected by scanning each patient and analyzing the posture.
Time Frame
5 minutes
Title
SF-36
Description
The 36-item Short Form (SF-36) is a commonly used questionnaire for measuring health-related quality of life. Each patient will be asked to answer the questions in order to get the results for the quality of life
Time Frame
5 minutes

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Maximum Age & Unit of Time
74 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Having scapular disposition (Patients will be determined after the visual scapular disposition test and lateral scapular slide test) With no injuries Able to walk without any assistive devices To be able to read and write in Turkish Exclusion Criteria: Having a musculoskeletal or neurological problem that causes issues with applying the intervention. Any orthopedic, neurological, cardiac, vestibular, visual, or psychiatric impairment which would not allow them to perform Had physiotherapy during the past 3 months
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hasan Cellatoglu, PT, MSc
Phone
00905428774661
Email
hasancellatoglu96@gmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
Beliz Belgen Kaygisiz, PT, PhD
Phone
00905338648787
Email
bkaygisiz@eul.edu.tr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Beliz Belgen Kaygisiz, PT, PhD
Organizational Affiliation
European University of Lefke
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fizyomorfo Fizyoterapi Rehabilitasyon ve Saglikli Yasam Merkezi
City
Guzelyurt
State/Province
Trnc
ZIP/Postal Code
99750
Country
Turkey
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hasan Cellatoglu
Phone
5428774661
Ext
0090
Email
hasancellatoglu96@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Effect of Proprioceptive Neuromuscular Facilitation Techniques on Elderly People With Scapular Disposition

We'll reach out to this number within 24 hrs