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

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

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.

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

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