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Effects of Combined Cervical and Oculomotor Exercises on Dynamic Balance in Elderly
Sponsor: Foundation University Islamabad
Summary
This study focuses on improving balance in elderly individuals (aged 60-80 years) who may experience dizziness or instability while walking or performing daily activities. Poor balance increases the risk of falls, which can lead to serious injuries and loss of independence. The study compares two types of exercise programs: One group performs combined cervical (neck) exercises + eye (oculomotor) exercises + Otago balance exercises The other group performs eye (oculomotor) exercises + Otago balance exercises only These exercises are done 3 times per week for 6 weeks, with each session lasting 30-45 minutes. The goal is to determine whether combining neck and eye exercises improves balance more effectively than eye exercises alone. This research may help: Reduce fall risk in elderly people Improve mobility and independence Provide better rehabilitation programs for physiotherapists
Key Details
Gender
All
Age Range
60 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
48
Start Date
2025-11-18
Completion Date
2026-05-10
Last Updated
2026-05-27
Healthy Volunteers
Yes
Conditions
Interventions
occulomotor with otago exercises
Smooth pursuit exercises, where the eyes follow a moving target horizontally, vertically, and diagonally while keeping the head still. Saccadic eye movements, involving quick shifts of gaze between two stationary targets. Gaze stability (VOR x1 and VOR x2) exercises, involving head movements while maintaining focus on a target, and moving the head and target in opposite directions. All participants will perform the Otago exercise program, a well-established, evidence-based fall prevention program focusing on lower limb strengthening and dynamic balance. It includes: * Strengthening exercises (e.g., knee extensions, hip abduction, calf raises). * Static and dynamic balance exercises (e.g., tandem stance, backward walking, sit-to-stand without using hands). * A progressive walking plan to improve endurance and confidence during ambulation.
Combined Cervical and Oculomotor Exercises with Otago Exercises
Cervical range of motion exercises in flexion, extension, rotation, and side bending (gentle, controlled movements). Chin tuck exercises in supine or sitting positions to activate deep cervical flexors. Isometric neck strengthening exercises (flexion, extension, lateral flexion), focusing on controlled, static holds. Occulomotor Exercises: Smooth pursuit exercises, where the eyes follow a moving target horizontally, vertically, and diagonally while keeping the head still. Saccadic eye movements, involving quick shifts of gaze between two stationary targets. Gaze stability (VOR x1 and VOR x2) exercises, involving head movements while maintaining focus on a target, and moving the head in opposite direction Otago exercises Strengthening exercises (e.g., knee extensions, hip abduction, calf raises). Static and dynamic balance exercises (e.g., tandem stance, backward walking, sit-to-stand without using hands). A progressive walking plan to improve endurance and confidence during ambulation.
Locations (1)
Foundation University College of Physical Therapy
Islamabad, Pakistan