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CTRI Number  CTRI/2024/04/066173 [Registered on: 23/04/2024] Trial Registered Prospectively
Last Modified On: 03/03/2025
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   To study the effect of two walking techniques on balance, physical fitness and quality of life in old people. 
Scientific Title of Study   Effect Of Nordic Walking Vs Retro Walking On Balance, Physical Fitness And Quality Of Life In Young-Old Individuals : A Comparative Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Yashi Shah 
Designation  PG student 
Affiliation  Dr. DY Patil college of Physiotherapy, Pimpri, Pune  
Address  Department of Community Based Rehabilitation, 4th floor,Dr. D. Y. Patil college of physiotherapy, Pimpri.

Pune
MAHARASHTRA
411018
India 
Phone  7066226123  
Fax    
Email  yashi2000shah@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manisha Rathi 
Designation  Professor 
Affiliation  Dr. DY Patil college of Physiotherapy, Pimpri, Pune  
Address  Department of Community Based Rehabilitation, 4th floor,Dr. D. Y. Patil college of physiotherapy, Pimpri.

Pune
MAHARASHTRA
411018
India 
Phone  9850418712  
Fax    
Email  manisha.rathi@dpu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Yashi Shah 
Designation  PG student 
Affiliation  Dr. DY Patil college of Physiotherapy, Pimpri, Pune  
Address  Department of Community Based Rehabilitation, 4th floor,Dr. D. Y. Patil college of physiotherapy, Pimpri.

Pune
MAHARASHTRA
411018
India 
Phone  7066226123  
Fax    
Email  yashi2000shah@gmail.com  
 
Source of Monetary or Material Support  
Dr. DY Patil College of Physiotherapy, Pimpri, Pune-411018, Maharashtra. 
Yashi Shah 
 
Primary Sponsor  
Name  Yashi Shah 
Address  Dr. DY Patil college of physiotherapy, Pimpri, Pune-411018, Maharashtra. 
Type of Sponsor  Other [Self] 
 
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 Mayura Deshmukh  Dr. DY Patil College of Physiotherapy, Pimpri, Pune   Department of Cardio-Respiratory Sciences, 3rd floor.
Pune
MAHARASHTRA 
8149376929

mayura.deshmukh@dpu.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics committee of Dr. DY Patil College of Physiotherapy, Pune  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Geriatric Population 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nordic Walking   The intervention will be given for 30 min, 3 days per week for 4 weeks consecutively. 5 mins progression will be added to the treatment protocol after 2 weeks. Nordic walking involves pushing oneself forward with poles, which engages 90% skeletal muscles. Nordic poles reduce joint stress, align and alleviate spine stress, as well as correct faulty posture by strengthening stabilizing muscles. Additional benefits include: increased heart rate and oxygen consumption without an increase in perceived exertion and fatigue; increased activation of core and upper extremity musculature (erector spinae, multifidus, external obliques, rectus abdominis, deltoid, latissimus dorsi, triceps brachii, biceps brachii) for increased energy expenditure [20-40% more as compared to the standard walking] and aerobic effects. Reduced load transmitted via the lower back, hips, and knees encourages optimal posture and improves balance and stability, reducing risk of fall, thus improving the quality of life. 
Comparator Agent  Retro Walking  The intervention will be given for 30 min, 3 days per week for 4 weeks consecutively. 5 mins progression will be added to the treatment protocol after 2 weeks. Retro-walking includes improvements in muscle activation pattern, reduction in adductor and flexor movement due to absence of heel contact during stance phase of gait, and increased stretch of hamstring muscle groups during stride; all of these will contribute to reduced disability, leading to improved function and balance. During backwards walking, there is greater reliance on proprioception, and more frequent, rapid balance correction. RW improves cognitive control and sharpens thinking abilities because it is also a "neurobic" activity. It also helps to reduce fatigue, anxiety, and regain motivation, all of which will improve the individual’s quality of life. 
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Young old individuals who can walk independently.
MMSE score more than 24.
Willing to participate.
 
 
ExclusionCriteria 
Details  Subjects having any health-related conditions which can interfere with independent walking [neurological, cardio-respiratory and musculoskeletal conditions].
Require use of assistive walking devices.
Patient with visual or auditory deficits which cannot be corrected with aids.
Patients with uncontrolled hypertension and uncontrolled diabetes.
Medications that interfere with balance. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Balance
Physical Fitness
 
Pre- 0 weeks
Post- 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Quality of Life  Pre- 0 weeks
Post- 4 weeks 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "40"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/05/2024 
Date of Study Completion (India) 30/12/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 30/12/2024 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
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  

Aging is a natural process characterized by many physiological changes that hinder human body functions. One of the major symptoms of ageing is the progressive loss of muscle weight and strength, which leads to numerous changes in body function, primarily the deterioration of physical fitness. A decrease in physical activity, loss of body balance, dizziness, and visual impairment are some of the factors influencing the likelihood of falls in the geriatric population. Impaired mobility often leads to disability in activities of daily living (ADLs), decrease in quality of life (QOL) and an increase in mortality.  American College of Sports Medicine (ACSM) recommends that older adults (>65 years) should engage in aerobic as well as resistance-training activities on a regular basis to maintain health, mobility, and safety. Conventional, or normal unassisted, walking is the primary mode of physical activity carried out by older adults and is associated with better body anthropometric measurements and total body fat composition; however, Nordic walking offers a further advantage when utilized with intent and correct techniques.

Nordic walking involves pushing oneself forward with poles, which engages 90% skeletal muscles. Nordic poles reduce joint stress, align and alleviate spine stress, as well as correct faulty posture by strengthening stabilizing muscles. Additional benefits include: increased heart rate and oxygen consumption without an increase in perceived exertion and fatigue; increased activation of core and upper extremity musculature (erector spinae, multifidus, external obliques, rectus abdominis, deltoid, latissimus dorsi, triceps brachii, biceps brachii) for increased energy expenditure [20-40% more as compared to the standard walking] and aerobic effects. Reduced load transmitted via the lower back, hips, and knees encourages optimal posture and improves balance and stability, reducing risk of fall, thus improving the quality of life.

Retro-walking includes improvements in muscle activation pattern, reduction in adductor and flexor movement due to absence of heel contact during stance phase of gait, and increased stretch of hamstring muscle groups during stride; all of these will contribute to reduced disability, leading to improved function and balance. During backwards walking, there is greater reliance on proprioception, and more frequent, rapid balance correction. RW improves cognitive control and sharpens thinking abilities because it is also a "neurobic" activity. It also helps to reduce fatigue, anxiety, and regain motivation, all of which will improve the individual’s quality of life.Elderly, obese, and sedentary people have lower levels of physical activity than the general population and frequently struggle to maintain the recommended levels. As a result, Nordic walking and Retro-walking has the potential to increase regular physical activity adherence and lead to improved health and fitness due to its suitability for all age groups, inexpensiveness, convenience, and unique training parameters in a variety of settings.

Existing literature provides very little information concerning the comparison of efficacy of Nordic walking vs Retro-walking in the young old individuals.

Hence, the purpose of this study is to draw an analogy between the effect of Nordic walking and Retro-walking on balance, physical fitness and quality of life in the young-old individuals.

 
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