Pilates Exercises Versus Resistance Exercises Among Geriatric Population With Sarcopenia

Sponsor

Dow University of Health Sciences (Other)

Overall Status

Recruiting

CT.gov ID

NCT05767541

Collaborator

(none)

Enrollment

Locations

Arms

Anticipated Duration (Months)

Patients Per Site

3.5

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The goal of this clinical trial is to compare the effectiveness of two exercises to improve physical functioning of older adults with sarcopenia. the primary aim of this RCT is:

To measure the influence of pilates exercises versus resistance training in elderly with sarcopenia.

To introduce an affordable, effective and safe exercise care program, which prioritizes to make geriatric population independent.

Participants will be assessed for all outcome measures at baseline and 3 weeks following an exercise intervention. Participants enrolled in pilates exercise group will receive total of 9 exercises and participants enrolled in resistance exercise group will receive total of 8 exercises.

Condition or Disease	Intervention/Treatment	Phase
Sarcopenia	Other: Pilates exercises Other: Resistance exercises	N/A

Detailed Description

A total sample of 70 of geriatric population with sarcopenia will be collected from Dow University Hospital Ojha. Non-probability purposive sampling technique will be used. Participants will be screened and referred from medicine, family medicine and neurology OPD to physiotherapy OPD. Outcome measure assessment will be performed in all patients at two time points: baseline and follow up at the end of last session.

Outcome measures include short physical performance battery assessment tool (SPPB). Strength and gait are first evaluated by the ability to perform the tasks of getting up and sitting on a chair five consecutive times and performing the walking speed test (3 meters), Time up and go test, sit and reach test, and 2-minute step test as a measure of physical functioning.

After complete assessment at baseline all participants will be randomized to different treatment groups using 70 opaque sealed envelopes containing notes written with "new treatment" or "Standard treatment" on (n= 35 of each). The envelops will be scrambled before each participant allow to draw an envelope and thus find out in which group they will be allocated. Treatment will be provided to both groups. Group 1 will be provided with pilates exercises and group 2 will be provided with resistance exercises. Both groups will perform generalized warm up for up to 10 minutes at the beginning and 10 minutes of relaxation exercises at the end of treatment session.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

70 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Comparative Effects of Pilates Exercises Versus Resistance Exercises on Measures of Physical Functioning Among Geriatric Population With Sarcopenia. a Randomized Clinical Trial

Actual Study Start Date :

Oct 1, 2022

Anticipated Primary Completion Date :

Jun 28, 2023

Anticipated Study Completion Date :

Jul 31, 2023

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Pilates group The Pilates technique consists of a series of low-impact exercises that build strength and flexibility throughout the body. All exercises performed 3 days in a week, 3 visits per week total of 9 sessions. In first week participants will perform 1 set of each exercise with 10 repetitions. In second week 2 sets of each exercise with 12 repetitions and in the third week both groups will perform 3 sets of each exercise with 15 repetitions with a rest interval of 2-3 minutes between sets.	Other: Pilates exercises The Pilates technique consist of hundred, swimming, prone leg lift, single leg stretch, spine stretch forward, arm circles, imprint and release, one leg circles and mini squat.
Active Comparator: Resistance group Resistance exercises are anaerobic physical exercises, uses low number of repetitions with adjustable intensity contribute to hypertrophy of the muscle fibers and increase in muscle strength. All exercises performed 3 days in a week, 3 visits per week total of 9 sessions. In first week participants will perform 1 set of each exercise with 10 repetitions. In second week 2 sets of each exercise with 12 repetitions and in the third week both groups will perform 3 sets of each exercise with 15 repetitions with a rest interval of 2-3 minutes between sets.	Other: Resistance exercises Resistance training include leg press, shoulder press, bench press, back arm press, seated row, knee extension, leg curl and seated calf raise

Arm

Intervention/Treatment

Experimental: Pilates group

The Pilates technique consists of a series of low-impact exercises that build strength and flexibility throughout the body. All exercises performed 3 days in a week, 3 visits per week total of 9 sessions. In first week participants will perform 1 set of each exercise with 10 repetitions. In second week 2 sets of each exercise with 12 repetitions and in the third week both groups will perform 3 sets of each exercise with 15 repetitions with a rest interval of 2-3 minutes between sets.

Other: Pilates exercises

The Pilates technique consist of hundred, swimming, prone leg lift, single leg stretch, spine stretch forward, arm circles, imprint and release, one leg circles and mini squat.

Active Comparator: Resistance group

Resistance exercises are anaerobic physical exercises, uses low number of repetitions with adjustable intensity contribute to hypertrophy of the muscle fibers and increase in muscle strength. All exercises performed 3 days in a week, 3 visits per week total of 9 sessions. In first week participants will perform 1 set of each exercise with 10 repetitions. In second week 2 sets of each exercise with 12 repetitions and in the third week both groups will perform 3 sets of each exercise with 15 repetitions with a rest interval of 2-3 minutes between sets.

Other: Resistance exercises

Resistance training include leg press, shoulder press, bench press, back arm press, seated row, knee extension, leg curl and seated calf raise

Outcome Measures

Primary Outcome Measures

Short physical performance battery assessment tool. [3 weeks, change from baseline]
The SPPB assesses physical performance through balance, strength, and gait. .Each test is scored from 0 (inability to perform the task) to 4 points (best test performance).The SPPB total score ranges from 0 (worst performance) to 12 points (best performance) and categorically evaluates performance in the tests using three classes of scores: three classes: 0-6 points (poor performance), 7-9 points (moderate performance), and 10-12 points (good performance).

Secondary Outcome Measures

Time up and go test [3 weeks, change from baseline]
TIME UP AND GO TEST: To evaluate agility and dynamic balance this is essential for tasks that demands quick movements.
sit and reach test [3 weeks, change from baseline]
SIT AND REACH TEST: It determines the lower back and hamstring flexibility. Which is necessary for proper gait pattern, good posture and multiple movement task.
2-minute step test [3 weeks, change from baseline]
2-MINUTE STEP TEST: To assess aerobic fitness.

Eligibility Criteria

Criteria

Ages Eligible for Study:

60 Years to 70 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Referred and screened patients with sarcopenia from medicine, family medicine and neurology OPD at Dow University Hospital Ojha Campus, Karachi.
Patients from 60 to 70 years of age
Both male and female.
Patients who consent to participate

Exclusion Criteria:

Being bedridden
Implanted pacemaker
Recent history of any fracture
Patients with cognitive & neurological impairment
Already enrolled in any exercise intervention program
Known case of patients with malignancy
Patients on steroids

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Dow University of Health and Sciences	Karachi	Sindh	Pakistan	74200
2	Dow University of Health and Sciences	Karachi		Pakistan

Sponsors and Collaborators

Dow University of Health Sciences

Investigators

Principal Investigator: Syeda Ariba Shoaib, Dow University of Heath Sciences

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Effect of mat vs. apparatus pilates training on the functional capacity of elderly women

Publications

None provided.

Responsible Party:

Syeda Ariba Shoaib, Principal Investigator, Dow University of Health Sciences

ClinicalTrials.gov Identifier:

NCT05767541

Other Study ID Numbers:

2642

First Posted:

Mar 14, 2023

Last Update Posted:

Mar 14, 2023

Last Verified:

Mar 1, 2023

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Syeda Ariba Shoaib, Principal Investigator, Dow University of Health Sciences

Sarcopenia

Resistance training

Exercise Movement Techniques

Additional relevant MeSH terms:

Sarcopenia

Study Results

No Results Posted as of Mar 14, 2023