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Not yet recruitingNCT06835413Updated Feb 19, 2025

Monitoring Combined Effect of Balance and Strengthening Exercises on Static and Dynamic Balance in Elderly Populations

An interventional study of 1-Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice 2-Strength and Balance Exercises A- Sit-to-stand B- Heel r in Geriatrics Balance Disturbance With High Risk Falling, Osteoporosis, Vestibular Age Related Changes, Female Post-menopausal Based on History, sponsored by South Valley University. Not yet recruiting at 1 site in Egypt. Open to participants aged 50 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-19.

Sponsored by South Valley University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Oct 2025, 11 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
50 Years to 70 Years
Sex
All
01

Study summary

The purpose of training is to evoke improvements in reactive balance, then the training program may be associated with all postural control systems, including the musculoskeletal system, the cognitive system, as well as the somatosensory feedback system, while challenging the body in different environmental situations and unexpected perturbations

Read the detailed description

A study will be conducted at South Valley University Hospital. Subjects have been assigned a consent form before enrolling in the study. This study followed the Consolidated Standards of Reporting Trials guidelines.

Design Parallel double blinded randomized control trial. Subjects Study will be included 60 subjects with geriatrics balance disturbance with high risk falling, osteoporosis, vestibular age related changes, female post-menopausal based on history, physical examination. Male and female subjects meeting the following criteria were included: age ranged from 50 to 70 years, BMI was 18-25 kg/m2, will be divided into two groups, If a patient had a history of hiatus hernia, substantial gastro-esophageal reflux, acute cardiac events, un controlled diabetes mellitus, hypertension within the last six weeks, congestive heart failure, acute exacerbation, exacerbation six months before, active hemoptysis, or malignant disease, they were excluded from the study.

Procedures Assessment

Assessment Tools to effectively monitor the combined effects of these exercises, various assessment tools can be employed:

Balance Tests: Standardized tests functional reach and the Timed Up and Go (TUG) test can provide quantitative measures of balance improvements.

  • Timed Up and Go (TUG) Method: The patient starts in a seated position. The patient stands up upon therapist's command: walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the patient is seated. The subject is allowed to use an assistive device. Normal time ( \< 10 sec)
  • Functional Reach Test (FRT): Functional Reach Test is a measure of how high someone can reach while standing. Procedure: If measuring against a wall, the subject stands side on and reaches up with the hand closest to the wall. Keeping the feet flat on the ground, the point of the fingertips is marked then the distance measured. Normal distance 25 centimetres or more (4).

The study Group: training program will be implemented for 60 min per session, 3 times per week for 8 weeks. This intervention included aerobic training on treadmill or bicycle ergometer and mat activities (stretching and muscle strengthening). Balance Exercises \& Strength and Balance Exercises.

  1. Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice A- Standing with a decreased base B- Graded reaching in standing

    • Feet together and level.
    • Semi-tandem stance.
    • Tandem stance.
    • Stand on one leg.
    • Maintain position for longer
    • Close eyes.
    • Stand on different surfaces e.g. foam rubber mat.
    • Minimize hand support \& Aim to increase time without hand support. • Feet placement- narrower, step standing
    • Reaching further.
    • Reaching in different directions.
    • Reaching down to a stool or the floor.
    • Reaching for heavier objects.
    • Reaching for a full cup of water.
    • Standing on a softer surface eg foam rubber mat.
    • Stepping while reaching. C- Stepping in different directions D- Walking Practice
    • Narrow foot position.
    • Longer steps.
    • Faster steps.
    • Step over objects.
    • Choice component e.g. step forward with left foot.
    • Incorporate pivoting on the non-stepping foot.
    • Use different colors, numbers of letters or a clock face or coins as targets for variety. • Decrease base of support i.e. progress to tandem walk.
    • Increased step size.
    • Increase speed.
    • Change direction.
    • Walk on different surfaces.
    • Walk sideways, backwards.
    • Obstacles to step over and walk around.
  2. Strength and Balance Exercises A- Sit-to-stand B- Heel raise C- Forward step-up D- Lateral step-up E- Half- squats sliding down a wall A- Sit-to-stand B- Heel raise

    • Lowering the height.
    • Don't use hands to push off, cross arms across chest.
    • Changing the nature of the surface (e.g. softer chair). • Decrease hand support.
    • Hold the raise for longer.
    • One leg at a time.
    • Adding weight (either vest or belt)
    • Use a wedge to increase the range of motion. C- Forward- Lateral step-up D- Half- squats sliding down a wall
    • Increasing step height.
    • Adding weight (either vest or belt).
    • Decrease hand support.
    • Step up and over block. • Decrease hand support.
    • Hold the squat for longer.
    • Move a short distance away from the wall.
    • Adding weight (either vest or belt).
    • The person can just do 2 sets of 10- 15 repetitions (10-15) repetition maximum (RM).
    • Frequency 3-4 times per week.
    • Intensity of exercise should be limited so that blood pressures not exceed 170 mmHg.
    • Duration of the exercise divided into warm up of 5-10 min, stimulus phase of 30-45 min and cool down of 5 -10 min.

The control group: The active control group will be received only physical therapy training, which will be provided 3 times per week for 60-min per session. This intervention included aerobic training on treadmill or bicycle ergometer and mat activities (stretching and muscle strengthening).

02

Conditions studied

  • Geriatrics Balance Disturbance With High Risk Falling, Osteoporosis, Vestibular Age Related Changes, Female Post-menopausal Based on History

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Keywords

  • 1-Static balance
  • 2- dynamic balance
  • 3- Geriatrics populations
  • 4- Balance exercises
  • 5-Strengthening exercises
03

In context

Osteoporosis

1,640 studies on the registry are indexed under Osteoporosis; 212 are open to participants now.

This study's planned enrollment of 60 is below the median of 95 across 1,133 interventional studies indexed under Osteoporosis.

Browse Osteoporosis studies →

Lead sponsor

South Valley University is the lead sponsor of 147 studies on the registry; 46 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • geriatrics balance disturbance with high risk falling
  • osteoporosis
  • vestibular age related changes
  • female post-menopausal based on history

Exclusion criteria

Exclusion Criteria:

  • Hiatus hernia
  • Substantial gastro-esophageal reflux
  • Acute cardiac events
  • Uncontrolled diabetes mellitus
  • Hypertension within the last six weeks
  • Congestive heart failure,
  • Acute exacerbation, exacerbation six months before
  • Active hemoptysis, or malignant disease
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    The study Group

    training program will be implemented for 60 min per session, 3 times per week for 8 weeks. This intervention included aerobic training on treadmill or bicycle ergometer and mat activities (stretching and muscle strengthening). Balance Exercises \& Strength and Balance Exercises. 1. Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice 2. Strength and Balance Exercises A- Sit-to-stand B- Heel raise C- Forward step-up D- Lateral step-up E- Half- squats sliding down a wall

    Procedure: 1-Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice 2-Strength and Balance Exercises A- Sit-to-stand B- Heel r

  • Active comparator
    The control group

    The active control group will be received only physical therapy training, which will be provided 3 times per week for 60-min per session. This intervention included aerobic training on treadmill or bicycle ergometer and mat activities (stretching and muscle strengthening).

    Procedure: 1-Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice 2-Strength and Balance Exercises A- Sit-to-stand B- Heel r

Interventions

  • Procedure1-Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice 2-Strength and Balance Exercises A- Sit-to-stand B- Heel r

    1-Balance Exercises A- Standing with a decreased base B- Graded reaching in standing C- Stepping in different directions D- Walking practice A- Standing with a decreased base B- Graded reaching in standing * Feet together and level. * Semi-tandem stance. * Tandem stance. * Stand on one leg. * Maintain position for longer * Close eyes. * Stand on different surfaces e.g. foam rubber mat. * Minimize hand support \& Aim to increase time without hand support. • Feet placement- narrower, step standing * Reaching further. * Reaching in different directions. * Reaching down to a stool or the floor. * Reaching for heavier objects. * Reaching for a full cup of water. * Standing on a softer surface eg foam rubber mat. * Stepping while reaching. C- Stepping in different directions D- Walking Practice * Narrow foot position. * Longer steps. * Faster steps. * Step over objects. * Choice component e.g. step forward with left foot. * Incorporate pivoting on the non-stepping foot. * Use different color

06

What researchers measure

Primary outcomes

  1. Timed Up and Go (TUG) (sec.)

    Assessment Tools to effectively monitor the combined effects of these exercises, various assessment tools can be employed: • Timed Up and Go (TUG) Method: The patient starts in a seated position. The patient stands up upon therapist's command: walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the patient is seated. The subject is allowed to use an assistive device. Normal time ( \< 10 sec)

    Time frame: 8 weeks

  2. Functional Reach Test (FRT) (centimeters)

    Assessment Tools to effectively monitor the combined effects of these exercises, various assessment tools can be employed: • Functional Reach Test (FRT): Functional Reach Test is a measure of how high someone can reach while standing. Procedure: If measuring against a wall, the subject stands side on and reaches up with the hand closest to the wall. Keeping the feet flat on the ground, the point of the fingertips is marked then the distance measured. Normal distance 25 centimeters or more

    Time frame: 8 weeks

07

Study locations

1 site
  • South Valley university
    Qena, Egypt
08

References and documents

Publications

  • Bulat T, Hart-Hughes S, Ahmed S, Quigley P, Palacios P, Werner DC, Foulis P. Effect of a group-based exercise program on balance in elderly. Clin Interv Aging. 2007;2(4):655-60. doi: 10.2147/cia.s204. PubMed 18225467 ↗
  • Hafstrom A, Malmstrom EM, Terden J, Fransson PA, Magnusson M. Improved Balance Confidence and Stability for Elderly After 6 Weeks of a Multimodal Self-Administered Balance-Enhancing Exercise Program: A Randomized Single Arm Crossover Study. Gerontol Geriatr Med. 2016 Apr 26;2:2333721416644149. doi: 10.1177/2333721416644149. eCollection 2016 Jan-Dec. PubMed 28138495 ↗
  • Zouita S, Zouhal H, Ferchichi H, Paillard T, Dziri C, Hackney AC, Laher I, Granacher U, Ben Moussa Zouita A. Effects of Combined Balance and Strength Training on Measures of Balance and Muscle Strength in Older Women With a History of Falls. Front Physiol. 2020 Dec 23;11:619016. doi: 10.3389/fphys.2020.619016. eCollection 2020. PubMed 33424642 ↗
  • Dunsky A. The Effect of Balance and Coordination Exercises on Quality of Life in Older Adults: A Mini-Review. Front Aging Neurosci. 2019 Nov 15;11:318. doi: 10.3389/fnagi.2019.00318. eCollection 2019. PubMed 31803048 ↗

Related links

Individual participant data

Plan to share: Undecided — Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06835413
Lead sponsor
South Valley University
Responsible party
Ibrahim Abuzaid (Head of Department of physical therapy for cardiovascular/pulmonary disorders and Geriatrics, South Valley University) — Principal investigator
First posted
Feb 19, 2025
Start date
May 15, 2025 (estimated)
Primary completion
Oct 15, 2025 (estimated)
Completion
Jan 15, 2026 (estimated)
Last update
Feb 19, 2025

Study contacts

ibrahim ismail ibrahim Abuzaid, Doctorate
Contact
ibrahim_ismail_2011@svu.edu.eg
+2010006512150 ext. +962797756592
ibrahim ismail ibrahim Abuzaid, Doctorate
Contact
ibrahim_ismail_2011@svu.edu.eg
+201006512150 ext. +962797756592

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is not yet recruiting, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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