Effects of Otago Exercise Combined With Short-Foot Exercise in Older Adults

NCT07870486 · tracked via the Priya Life Science Turkey tracker

Sponsor

Pamukkale University

Phase

Not applicable

Started

2026-10-30

Last updated

2026-10-13

Condition(s) studied

Aging

Investigational drug(s) / intervention(s)

Otago Exercise ProgrammeOtago Exercise Programme + Short-Foot Exercise

Otago Exercise Programme: The Otago Exercise Programme will be delivered under physiotherapist supervision for 8 weeks, 2 days per week, for a total of 16 sessions. Each session will last 50 minutes and will include warm-up, lower extremity strengthening, static and dynamic balance exercises, functional balance and walking tasks, and cool-down. Exercises will be progressively adjusted according to participant performance and safety.

Otago Exercise Programme + Short-Foot Exercise: The combined intervention will be delivered under physiotherapist supervision for 8 weeks, 2 days per week, for a total of 16 sessions. Each 60-minute session will include 5 minutes of warm-up, 10 minutes of Short-Foot Exercises, 40 minutes of Otago exercises, and 5 minutes of cool-down. Short-Foot Exercises will target intrinsic foot muscle activation and medial longitudinal arch control and will progress from sitting to standing, mini-squat, and soft-surface standing according to participant performance.

Study summary

The Otago Exercise Programme is a multicomponent exercise approach targeting strength, balance, and mobility in older adults. Short-foot exercises are designed to improve intrinsic foot muscle activation and medial longitudinal arch control. This randomized comparative study will investigate whether adding short-foot exercises to the Otago Exercise Programme provides additional benefits in older adults.

Eligibility

Sex

ALL

Min age

65 Years

Max age

—

Healthy volunteers

Accepted

Inclusion Criteria: * Willing to participate and provide written informed consent. Aged 65 years or older. Residing in the nursing home where the study will be conducted for at least 3 months. Able to understand and follow test instructions, with a Standardized Mini-Mental Test score ≥24. Able to walk at least 30 meters without physical assistance from another person. Able to stand with eyes open for at least 30 seconds and safely complete sit-to-stand and balance assessments. Able to perform the target ankle dorsiflexion and plantar flexion angles without pain or marked restriction of active range of motion. Navicular Drop Test result between 6 and 9 mm. Exclusion Criteria: * History of neurological or neurodegenerative disease that may substantially affect postural control, proprioception, or motor responses, including stroke sequelae, Parkinson's disease, multiple sclerosis, advanced dementia, or marked cerebellar disorders. Cardiopulmonary, vestibular, or systemic disease that may prevent safe completion of the interventions or assessments. Diagnosed peripheral neuropathy, marked lower-extremity sensory loss, or diabetic neuropathy. Use of an assistive device. Lower-extremity amputation, prosthesis use, or severe structural deformity interfering with foot or ankle assessment. Pain, instability, or severe range-of-motion limitation in the ankle, knee, or hip that prevents completion of the tests. History of lower-extremity fracture, surgery, or major trauma within the previous 6 months. Musculoskeletal injury of the foot, ankle, or lower extremity within the previous 3 months that limits participation in functional testing. Open wound, ulcer, active skin lesion, or infection in the foot or ankle region that interferes with sensor or measurement placement. Recent initiation of, or dose change in, medication that may affect balance, alertness, or motor performance.

Primary outcome measure(s)

Five Times Sit-to-Stand Test (5STS — Baseline (pre-intervention) and immediately post-intervention (Week 8).
Lower-extremity functional capacity will be assessed using the Five Times Sit-to-Stand Test (5STS). Participants will sit on a standard-height chair without armrests, with the arms crossed over the chest, and will be instructed to stand up fully and sit down five consecutive times as quickly as possible. The time from initiation of the first stand to completion of the fifth sitting will be recorded in seconds. Lower completion times indicate better functional performance

Trial sites (1)

Facility	City	Region	Status
Horsunlu Nursing Home Care and Rehabilitation Center	Sultanhisar	Aydın

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Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07870486 on ClinicalTrials.gov ↗ ← All trials in Turkey