CLOCK TURN STRATEGY (CTS): (12 MINUTES)

The participants perform a 180-degree turn into two parts, first from 12 to 3 O’clock and then from 3 to 6 O’clock in a clockwise wise, and then back from 6 O’clock to 3  o’clock, then to 12 in an anti-clockwise direction. Anti-clockwise direction from 12 to 9 O’clock and then from 9 to 6 O’clock, from there back to 9 O’clock and then to 12 O’clock in clockwise direction.

  PROCEDURE OF CLOCK TURN STRATEGY:

The patient will be asked to stand at a point, a circle will be drawn, and a reading and footprint will be calibrated on the circle, similar to a clock. The patient will be asked to stand in the circle where 12 is indicated. The reading will be 12, 3, 6, and 9, similar to a clock. The participants perform a 180-degree turn into two parts, first from 12 to 3 O’clock and then from 3 to 6 O’clock, and then back from 6 O’clock to 3 o’clock, from 3   to 12, which would take around 2 minutes to be completed. A 2-minute rest will be given to the patient, and he will be allowed to rest and take water if required. After this, the patient will have to begin again from 12 in an anti-clockwise direction, 12 to 9 o’clock, and then from 9 to 6, from there back to 9, and then to 12 O’clock, which will again take 2 minutes for the process to complete. Patient has to repeat 2 sets in a clockwise wise and 2 sets in the anti-clockwise direction. As done earlier, a cool-down period of 2 minutes will be given. The patient will be asked about any difficulties or suggestions. The total period will be for 12 minutes.

COOL-DOWN: (5 MINUTES)

2.    Deep Breathing Exercises

    DYNAMIC BALANCE TRAINING: (12 MINUTES)

  1. Dynamic standing    (2 sets, 30 seconds stand with feet together, shoulder width apart. Shift weight from one leg to the other.

  2. Obstacles course walking       (2 sets, 10 steps, navigate through small

                                                          Obstacles, change direction slowly.

   3. Balance Reaches                    (2 sets, stand with feet shoulder width  

                                                      Apart, reach for objects in different directions.

COOL-DOWN: (5 MINUTES)

2. Deep Breathing Exercises

The time for Experimental (group-A ) is 40 minutes, out of which 06 minutes is for patient preparation and instruction, and the remaining 32 minutes for Treatment. Amounting to a total time of 40 minutes.

The time for Control (group – B) is 40 minutes, time of 06 minutes is for patient preparation and instruction, and the remaining time. 32 minutes is for Treatment, amounting to a total time of 40 minutes.

Treatment is administered thrice a week on alternate days for 08 weeks and a total of 24 sessions, both for experimental (group A) and Control (group B).

 The scores of  Berg Balance Scale (BBS), Timed Up and Go Test (TUG), Functional Reach Test (FRT) and Falls Risk Assessment Tool (FRAT) is taken a day before the commencement of treatment and a day after the completion of the treatment and is entered as pre and post data of each individual in the data collection sheet.

Statistical analysis of this data will be done subsequently to find the effectiveness of the Clock Turn Strategy on balance and falls in the geriatric population.