| 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
|
|
|
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
|
|
|
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. |