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This study will employ a randomized controlled trial design with a pre-post design to investigate the combined effects of Neuromuscular Electrical Stimulation (NMES) and Low-Intensity Resistance Training (LIRT) on muscle strength, muscle girth, and physical endurance in the geriatric population. Participants will be randomly assigned to either an intervention group or a control group.
Informed Consent: Obtain informed consent from participants before starting the study.
2. Demographic Data Collection: Collect demographic data, including age, sex, height, weight, and medical history.
3. Muscle Strength Assessment: Measure muscle strength using a dynamometer (e.g., handgrip strength or knee extension strength).
4. Muscle Girth Measurement: Measure muscle girth using a flexible measuring tape (e.g., mid-upper arm or thigh circumference).
5. 6-Minute Walk Test (6MWT): Conduct the 6MWT to assess physical endurance. Intervention
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neuromuscular electrical stimulation | Experimental | Prior to the initiation of resistance training, participants will receive 20 minutes of NMES targeting the gastrocnemius and calf muscles Frequency: 35 Hz Pulse duration: 300 µs Following NMES, participants will undergo a 20-minute LIRT session comprising the following exercises: |
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| conventinal | Active Comparator | 5minutes cool-down will be given after allocated interventions to participants of both groups. Gentle foot massage and stretching relaxation will be included in cool-down. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neuromuscular electrical stimulation | Other | Prior to the initiation of resistance training, participants will receive 20 minutes of NMES targeting the gastrocnemius and calf muscles Frequency: 35 Hz Pulse duration: 300 µs Following NMES, participants will undergo a 20-minute LIRT session comprising the following exercises: |
| Measure | Description | Time Frame |
|---|---|---|
| Manual muscle testing (MMT) for strength measurement | Muscle strength will be assessed using Manual Muscle Testing (MMT) of the plantar flexors and knee extensors based on the Medical Research Council (MRC) 0-5 grading scale. Each muscle group will be tested twice on the dominant side, and the higher grade will be recorded. Participants with grades ≤3 will be classified as having low muscle strength, while those with grades ≥4 will be considered to have sufficient strength for participation in low-intensity resistance training and neuromuscular electrical stimulation (NMES). MMT is a reliable and widely used clinical method for muscle strength assessment | baseline to 4 week |
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Inclusion Criteria:• Age: 65 to 85 (35)
Exclusion Criteria:• Participants with contraindications to NMES or RT, such as pacemakers or severe cardiovascular disease(29).
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Isha butt butt, DPT | Contact | 03324390215 | ishamb.09876@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Sabiha Arshad, MS | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Recruiting | Lahore | Punjab Province | 54000 | Pakistan |
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| ID | Term |
|---|---|
| D000073496 | Frailty |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| lOW intensity resistance training | Other | Seated Leg Press with Thera Band Resistance (Sole Support Position) Participants will be seated with a Thera Band looped around the soles of their feet and held in the hands to provide resistance during leg extension. Repetitions: 10 Sets: 3 Rest Interval: 30-60 seconds between sets |
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