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CTRI Number  CTRI/2024/06/068414 [Registered on: 05/06/2024] Trial Registered Prospectively
Last Modified On: 29/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing Whole Body Vibration vs. Focal Vibration with Conventional Exercises on Older Adult Balance 
Scientific Title of Study   Added Effect of Whole Body Vibration versus Focal Vibration along with Conventional Exercises on Balance in Older Adults 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Madhuri Rajbhar 
Designation  PG Student 
Affiliation  MAEERs College of Physiotherapy, Talegaon Dabhade 
Address  A-230 Neurophysiotherapy Department 2nd floor OPD Building MAEERs College of Physiotherapy Near Talegaon Railway Station Talegaon Dabhade

Pune
MAHARASHTRA
410507
India 
Phone  02114308391  
Fax    
Email  rajbharmadhuri1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Priya Chitre 
Designation  Associate Professor  
Affiliation  MAEERs College of Physiotherapy, Talegaon Dabhade 
Address  A-230 Neurophysiotherapy Department 2nd floor OPD Building MAEERs College of Physiotherapy Near Talegaon Railway Station Talegaon Dabhade

Pune
MAHARASHTRA
410507
India 
Phone  02114308391  
Fax    
Email  priyachitre@mitmimer.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sumitra Sakhawalkar 
Designation  Associate Professor  
Affiliation  MAEERs College of Physiotherapy, Talegaon Dabhade 
Address  A-230 Neurophysiotherapy Department 2nd floor OPD Building MAEERs College of Physiotherapy Near Talegaon Railway Station Talegaon Dabhade

Pune
MAHARASHTRA
410507
India 
Phone  02114308391  
Fax    
Email  sumitra26@mitmimer.com  
 
Source of Monetary or Material Support  
MAEERs College of Physiotherapy, Talegaon Dabhade 
 
Primary Sponsor  
Name  MAEERs College of Physiotherapy Talegaon Dabhade 
Address  A-230, Neurophysiotherapy Department, 2nd floor OPD Building, MAEERs College of Physiotherapy, Near Talegaon Railway Station, Talegaon Dabhade- 410507  
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sumitra Sakhawalkar  MAEERs College of Physiotherapy, Talegaon Dabhade  A 230 Neurophysiotherapy Department 2nd floor OPD Building MAEERs College of Physiotherapy Near Talegaon Railway Station Talegaon Dabhade 410507
Pune
MAHARASHTRA 
9049998861

sumitra26@mitmimer.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MAEERs College of Physiotherapy Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Balance Impairment 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Focal Vibration with Conventional Exercises  Focal vibration will be provided through hand held vibrator which is placed on the muscle belly or tendon. The head held device is placed on the Quadriceps, Tibialis anterior and the Gastrocnemius muscle. The participant position will be in supine lying. The duration of FV will be 3 minutes bilaterally on each muscle. The frequency used here is 60-100 Hz. Focal Vibration will be given for 6 weeks and 3 days a week.  
Comparator Agent  NA  NA 
Intervention  Whole Body Vibration with Conventional Exercises  Participant will be advised to stand upright on the platform, over clearly marked foot positions, wearing normal footwear. The position of the participant should be erect with slightly knee flexed. A handrail can be used for support in case required. The duration of WBV will be 3 mins for 3 repetitions and 1 min of interval between each set. The frequency used here is 15-30 Hz. Whole Body Vibration will be given for 6 weeks and 3 days a week. 
 
Inclusion Criteria  
Age From  65.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  - Young old adults with age group of 65-75 years, male or female (1, 18)
- Normal general cognition (MMSE ≥ 24)
- Mild to moderate risk of fall
- Able to walk 10m independently with or without use of assistive device. 
 
ExclusionCriteria 
Details  - High risk of fall (BBS ≤ 20).
- Any musculoskeletal injury, pain or deformity in the lower limb; acute upper limb conditions
- Any cardiac conditions or neurological conditions affecting balance.
- Presence of uncontrolled Hypertension and Diabetes.
- Presence of Vestibular dysfunction. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
POMA (Performance Oriented Mobility Assessment)   6 Weeks 
 
Secondary Outcome  
Outcome  TimePoints 
NA  NA 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1/ Phase 2 
Date of First Enrollment (India)   10/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Background:  As the part of the aging process older adults show decline in various physiological systems of the body. The age related decline in Nervous system cause anatomical changes in the brain which result in neuronal loss. Pacinian corpuscles, which sense the vibratory stimuli, decrease in density with advancing age. This results in balance impairment, loss of muscle strength, muscle endurance and power, loss of mobility, cognitive decline, decrease aerobic capacity, decline in visual acuity, decrease touch sensation and vestibular dysfunction. Therefore, improving balance and thereby enhancing the quality of life in older adults forms an integral part of a rehabilitation program. The Conventional exercise program mainly focuses on the muscle strength, power, endurance and flexibility for balance improvement in older adults. The WBV training is one in which mechanical vibrations are transmitted from the feet to the rest of the body using a vibrating platform for 3 min with 1 min of interval between each repetition for 3 repetitions. Focal Vibration is a hand held device or wearable device which uses frequency of 100 Hz. The effective time required for focal vibration to have an effect is 40s to 3 min bilaterally on each muscle. 3 major muscles of the lower limb are targeted– Quadriceps, Tibialis Anterior and Gastrocnemius which thereby helps in improving balance. So the purpose of this study is to compare WBV with FV and to assess which exercise program is more effective in improving balance in older adults.

 

Material and Methods:  In this study 40 participants will be selected according to inclusion and exclusion criteria. With purposive sampling participants will be divided into two groups, Group A and Group B. Group A will be given WBV along with conventional exercise 3 times a week for 6 weeks. Group B will be given FV along with conventional exercise 3 times a week for 6 weeks. Pre and Post intervention assessment of static balance will be taken by Functional Reach Test and dynamic balance by using POMA scale.

 
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