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Active, not recruitingNCT07167979Updated Sep 11, 2025

Neck Integration and Eye Movement Training for Fall Risk in the Elderly

An interventional study of Combining neck muscle strengthening with oculomotor saccade tasks. and Neck Strengthening Only in Elderly, Proprioception, Postural Balance and Oculomotor System, sponsored by Kaohsiung Medical University. Active, not recruiting at 1 site in Taiwan. Open to participants aged 65 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-11.

Sponsored by Kaohsiung Medical University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
65 Years to 85 Years
Sex
All
01

Study summary

Age is one of the primary risk factors for falls, with risk increasing as people get older. Research on fall risk and prevention has identified hundreds of contributing factors, showing that falls have complex and multifactorial causes. Risk factors can be categorized as environmental, extrinsic, or intrinsic. Intrinsic factors include physiological aspects-such as reduced lower-limb strength, impaired gait and balance, weaker grip strength, diminished sensory function, and poorer sensorimotor control-as well as psychological aspects, including fear of falling, depression, and cognitive decline. Strongly associated intrinsic risk factors include a history of falls, physical weakness, gait and balance disorders, certain medications, and dizziness. While fixed factors like age and fall history cannot be changed, identifying and targeting modifiable risk factors is crucial for prevention. Among these, gait and balance impairments are considered the most important modifiable intrinsic factors.

02

Conditions studied

  • Elderly
  • Proprioception, Postural Balance
  • Oculomotor System
03

In context

Lead sponsor

Kaohsiung Medical University is the lead sponsor of 55 studies on the registry; 16 are open to participants now.

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

04

Who can participate

Ages eligible
65 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Adults aged 65 to 85 years. Able to independently perform mobility necessary for activities of daily living.

No major medical conditions that significantly affect functional capacity.

Exclusion criteria

Exclusion Criteria:

  • Presence of central nervous system disorders (e.g., stroke). Severe musculoskeletal or visual injury of the lower limbs within the past three months that prevents participation in assessments.

Cognitive impairment. Current use of antidepressant medications.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Placebo comparator
    Neck Strengthening Only

    The control group will receive an intervention consisting of neck muscle strengthening only.

    Behavioral: Neck Strengthening Only

  • Experimental
    Neck Strengthening plus Oculomotor Training

    The experimental group will receive an intervention combining neck muscle strengthening with oculomotor saccade tasks.

    Behavioral: Combining neck muscle strengthening with oculomotor saccade tasks.

Interventions

  • BehavioralCombining neck muscle strengthening with oculomotor saccade tasks.

    he exercise program begins at 30% of 1RM, progressing by first increasing repetitions (8-10 up to 8-12) and then intensity (+5% of 1RM). Training sessions include a 5-minute warm-up, 20 minutes of exercise, and a 5-minute cool-down, performed twice per week for 30 minutes per session. Neck strengthening is performed using the Iron Neck, which provides constant resistance. Exercises include maintaining a neutral neck position, protraction-retraction, left-right rotation, dynamic figure-8 movements, and synchronized 360° head-body rotations. Each exercise consists of two sets of 8-12 repetitions, with 30 seconds rest between repetitions and 1 minute between sets. After neck training, participants in the intervention group perform oculomotor saccade tasks while maintaining a neutral head position. Five visual targets appear randomly in front of the participant for 1 second each. The task lasts 40 seconds, followed by 1-2 minutes of rest, and is repeated three times.

  • BehavioralNeck Strengthening Only

    he exercise program begins at 30% of 1RM, progressing by first increasing repetitions (8-10 up to 8-12) and then intensity (+5% of 1RM). Training sessions include a 5-minute warm-up, 20 minutes of exercise, and a 5-minute cool-down, performed twice per week for 30 minutes per session. Neck strengthening is performed using the Iron Neck, which provides constant resistance. Exercises include maintaining a neutral neck position, protraction-retraction, left-right rotation, dynamic figure-8 movements, and synchronized 360° head-body rotations. Each exercise consists of two sets of 8-12 repetitions, with 30 seconds rest between repetitions and 1 minute between sets.

06

What researchers measure

Primary outcomes

  1. Neck range of motion

    Time frame: Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.

  2. Neck proprioception

    Laser Joint Position Error Test

    Time frame: Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.

  3. Neck position

    Measurement Method: Craniovertebral Angle

    Time frame: Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.

  4. Neck muscle

    craniocervical flexion test, CCFT

    Time frame: Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.

  5. Center of Pressure

    force plate

    Time frame: Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.

  6. Oculomotor

    tobii eye tracker 5 :Latency and Accuracy

    Time frame: Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.

  7. Dynamic balance

    y-balance

    Time frame: Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.

  8. L/E Muscle strength

    MicroFET2 MMT

    Time frame: Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.

  9. Ankle proprioception

    Joint Position Reproduction Test Kinesthesia

    Time frame: Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.

  10. The Falls Efficacy Scale International

    The scale scores range from 16 to 64, with higher scores indicating greater severity

    Time frame: Assessments will be conducted at baseline, and at three, six, and twelve months post-intervention.

07

Study locations

1 site
  • Oculomotor training device
    Kaohsiung City, Sanmin District 807, Taiwan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07167979
Lead sponsor
Kaohsiung Medical University
Responsible party
PEI-CHI LIN (Principal Investigator, Kaohsiung Medical University) — Principal investigator
First posted
Sep 11, 2025
Start date
Aug 10, 2025
Primary completion
Dec 2025 (estimated)
Completion
May 2026 (estimated)
Last update
Sep 11, 2025

Oversight

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

Not currently enrolling

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

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