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Completed

NCT Number: NCT07204808

High Velocity Resistance Training Versus Otago Exercise Training on Falling Risk in Elderly

The study aim is to find out the difference between applying the otago exercise training versus high velocity resisted training on risk of fall in elderly. There will be no significant difference between the effect of otago exercise program versus high velocity resisted training on risk of fall in elderly . 40 Old aged persons of both sex their age >65 years and have risk of falling will be recruited in this study.

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Key information

Conditions

Falling Risk

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Beni-suef University

Cairo, Egypt

About this study

Type of study : Randomized trail This prospective interventional study that will be conducted on 40 case of both sex their age above 65

They randomly assigned into 2 equal groups:

Study group (A) 20 patients will receive otago exercise program and will do their normal activity of daily living. Study group (B) 20 patients will receive high velocity resisted training and will do their normal activity of daily living

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age >65 years old.
  • Both sex.
  • Have limited their activity level due to concern about falling (with or without falling) score by short -FES > 7 and by
  • fall risk check list ≥ 4.
  • Participants will be independently ambulating

Exclusion criteria

  • Any uncontrolled non musculoskeletal conditions that would make testing difficult and uncomfortable such as chronic obstructive airways disease and/or congestive heart failure.
  • A pre-existing neurological condition that affects lower-limb strength, balance and or ambulation (e.g., polio, stroke).
  • Any uncontrolled musculoskeletal or orthopedic conditions that may affect ambulation (e.g. rheumatoid arthritis).
  • Severe cerebrovascular or peripheral venous insufficiency.
  • History of surgery within the past 6 weeks.
  • Sensory impairments (vision, hearing, etc.) that affect communication
  • Previous diagnosis of dementia.
  • Hypotension (systolic blood pressure <90 mmHg, diastolic blood pressure <60 mmHg

Treatment and study plan

High velocity resistance training + Otago Exercise Program

Device

Participants who will be randomized to the HVRT will receive an exercise program targeting the lower limbs, to be performed twice a week for 8 weeks. Participants will be instructed to perform the exercises in a rapid and explosive manner such that all repetitions for each shortening phase will be performed as quickly as possible while the lengthening phase of the muscle will be controlled over 2-3 s The exercise will be done (bilateral leg press, step up, sit to stand, calf raise). The 8 weeks will be divided in three phases .

OEP consists of strengthening and balance exercises. Strengthening of ankle plantar and dorsiflexors, knee extensors and flexors, and hip abductors will be focused in this program. Ankle weight cuffs (1-3 kg) provide resistance for hip and knee exercises. The ankle plantar and dorsiflexors will be strengthened by performing heel and toe raise .

plantar and dorsiflexors will be strengthened by performing heel and toe

Primary outcomes

  1. Berg balance scale

    Time frame: "Baseline (pre-intervention) and after 8 weeks of intervention"

    The scale will evaluate an individual's ability to maintain their balance while performing functional activities. It includes 14 items and each section is scored between 0 (worst) and 4 (best), and measures level of dependence/independence in positions such as standing from sitting, standing with feet together, standing in full balance position, balancing on one leg, as well as ability to change positions. High BBS score will indicate good balance. Participants will be classified based on BBS score as high fall risk, balance disorder (0-20 points), moderate fall risk, acceptable balance (21-40 points), and low fall risk, good balance (41-56 points)

  2. Time up and go test

    Time frame: "Baseline (pre-intervention) and after 8 weeks of intervention"

    Timed Up and Go is a commonly applied screening tool that helps to identify patients that are likely to fall. The test will be conducted with the following rules: at first, the tested person will sit on a chair with their back on the backrest; then, on the command "START," they will get up and walk 3m (on a level floor at a normal pace); next, having crossed a line, they will take a 180-degree turn and will come back to the chair to sit down again. The time will be measured by a stopwatch when the patient is instructed on how the test should be done . A test result less than 10 sec indicate low risk of fall , 10-19 sec -a moderate risk of fall and more than 19 -ahigh risk of fall

Secondary outcomes

  1. 30 sec chair stand test

    Time frame: "Baseline (pre-intervention) and after 8 weeks of intervention"

  2. Short fall efficacy scale

    Time frame: "Baseline (pre-intervention) and after 8 weeks of intervention"

  3. 6 mwt

    Time frame: "Baseline (pre-intervention) and after 8 weeks of intervention"

  4. Fall Risk check list

    Time frame: "Baseline (pre-intervention) and after 8 weeks of intervention"

  5. Four stage balance test

    Time frame: "Baseline (pre-intervention) and after 8 weeks of intervention"

Sponsors and collaborators

Lead sponsor

Beni-Suef University

Other

Registry information

Official study title

A Comparative Study of High Velocity Resistance Training Versus Otago Exercise Training on Falling Risk in Elderly : A Randomized Controlled Trial

Acronym: HVRT/OTAGO

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Oct 2, 2025
Registry last updated
May 22, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.