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| Name | Class |
|---|---|
| Ministry of Science and ICT, Republic of Korea | OTHER_GOV |
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This study investigates the effects of a proprioception-enhancing assistive orthosis on balance and joint sense in geriatric patients with age-related diseases. The study uses wearable devices that deliver vibration stimuli to improve proprioceptive feedback. A total of 20 participants will be enrolled in a 24-month, IRB-approved trial at Seoul National University Hospital. The study assesses functional balance and joint position sense before and after using the device.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Proprioception-Enhancing Orthosis | Experimental | Geriatric patients with age-related diseases will undergo three assessment phases: (1) without the orthosis, (2) with the orthosis worn but vibration inactive, and (3) with the orthosis worn and vibration active. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| proprioception-enhancing assistive orthosis | Device | A wearable device that provides mechanical vibration to the tendons around the knee and ankle to enhance proprioceptive feedback. Vibration intensity and timing are controlled automatically based on body tilt measured by an IMU sensor. The device is applied during balance and joint sense assessments conducted across three visits. |
| Measure | Description | Time Frame |
|---|---|---|
| Postural Sway | This measures the amount of body sway during quiet standing (static) or controlled leaning in various directions (dynamic). Parameters such as center of pressure (COP) displacement, velocity, and area are recorded to assess balance stability. Assessments will be conducted under the following three conditions:
| up to 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Berg Balance Scale | The Berg Balance Scale (BBS) is a 14-item objective measure used to assess static balance and fall risk in adults. Each item is scored on a scale from 0 to 4, with 0 indicating the lowest level of function and 4 indicating the highest level. The total score ranges from 0 to 56, with higher scores indicating better balance performance. Assessments will be conducted under the following three conditions:
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Inclusion Criteria:
Patients with age-related diseases affecting balance and joint sense, who meet two or more of the following criteria for sarcopenia:
Able to fully understand and follow instructions related to walking, sitting, and balance.
Exclusion Criteria:
Unable or unwilling to provide informed consent
High risk of falls due to severe visual impairment or dizziness
Communication difficulties due to speech, language, or hearing problems
Inability to walk independently without assistive devices
History of diseases affecting gait, efficiency, or endurance, such as:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| JungHyun Kim, prof | Contact | 82+1088632341 | kiking0@naver.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | Jongno | South Korea |
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|
| up to 2 weeks |
| Romberg Test | The Romberg Test is a neurological test used to assess balance and proprioceptive control. Participants are asked to stand with their feet together, arms at their sides, and eyes closed, while the examiner observes for excessive sway or loss of balance. The duration for which the participant can maintain the position without stepping or falling is recorded, up to a maximum of 60 seconds. Longer durations indicate better balance. Assessments will be conducted under the following three conditions:
| up to 2 weeks |
| Passive Joint Position Reproduction Test (Passive JPR) | Assesses proprioceptive accuracy by passively moving a joint (e.g., the knee) to a target angle, then asking the participant to indicate when the position is reached again. The difference between target and reproduced angles reflects proprioceptive acuity. Assessments will be conducted under the following three conditions:
| up to 4 weeks |
| Active Joint Position Reproduction Test (Active JPR) | Participants actively move their joint to a memorized target angle without visual or auditory cues. The accuracy of the reproduced angle is used to evaluate active proprioceptive control. Assessments will be conducted under the following three conditions:
| up to 4 weeks |
| Threshold to Detection of Passive Motion (TTDPM) | Measures the smallest joint movement that a participant can detect while the joint is passively moved at a very slow, constant speed. This tests the sensitivity of proprioceptive input. Assessments will be conducted under the following three conditions:
| up to 4 weeks |