Effect of Chair Suryanamaskar with Strength Training on Functional Fitness in Frail Older Adults: A Research Protocol for a Randomised Controlled Trial

Introduction: Physical frailty is a syndrome characterised by deterioration in multiple physiological domains, including muscle mass and strength, flexibility, balance, neuromuscular coordination, and cardiovascular function. Evidence suggests that regular exercise provides substantial health be...

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Main Authors: Nitin Suhas Nikhade, Vaishali Deepak Phalke
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-08-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/18245/64028_CE[Ra1]_F(IS)_PF1(AG_KM)_PFA_PB(AG_KM)_QC(SHK_SS)_PN(KM).pdf
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author Nitin Suhas Nikhade
Vaishali Deepak Phalke
author_facet Nitin Suhas Nikhade
Vaishali Deepak Phalke
author_sort Nitin Suhas Nikhade
collection DOAJ
description Introduction: Physical frailty is a syndrome characterised by deterioration in multiple physiological domains, including muscle mass and strength, flexibility, balance, neuromuscular coordination, and cardiovascular function. Evidence suggests that regular exercise provides substantial health benefits, reducing the risk of many chronic diseases and medical costs, especially for frail older adults. However, the effect of exercise on functional status in this population is not well explored. Need of the study: Population aging in India is rapidly accelerating, and frailty is a significant clinical condition associated with aging. Frailty increases the risk of institutionalisation, morbidity, and mortality. Regular exercise has been shown to improve functional fitness in older adults, but exercises performed while standing unaided can be challenging for individuals with compromised balance and mobility. Chair Suryanamaskar, a form of exercise performed while seated, may be an alternative mode of exercise for this population. Although aerobic and resistance exercises have shown benefits, there is growing interest in exploring the potential benefits of a multicomponent intervention for frail older adults. Aim: The aim of this study is to investigate the effect of chair Suryanamaskar with strength training on functional fitness in community-dwelling frail older adults. Materials and Methods: The study will be conducted from March 2021 to March 2024. This two-group parallel singleblind randomised controlled trial will take place at MAEER's Physiotherapy College in TalegaonDabhade, Maharashtra, India. Approximately 400 older adults will be screened for frailty using the Short Physical Performance Battery (SPPB) test. Participants with an SPPB score ≤7 will be considered frail and a total of 108 participants aged 65-84 years will be recruited based on inclusion and exclusion criteria. The participants will be equally divided into two groups (54 participants in each group) using computer-generated random tables. The experimental group (group A) will receive a 45-minute Chair Suryanamaskar with strength training protocol three times a week for 12 weeks. Before the study begins, participants will have two practice sessions of 20 minutes each to become familiar with Chair Suryanamaskar. The control group (group B) will participate in two 20-minute health education program sessions and receive weekly telephonic follow-ups to monitor for adverse events. Additionally, a health education program booklet will be provided. The primary outcome of the study is the Senior Fitness Test (SFT). Assessments will be conducted at baseline (0 weeks) and post-intervention (12 weeks). Intentionto-treat analyses with mixed linear modeling will be used for statistical analysis.
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spelling doaj.art-890cf4f9307147ea92641aea3926e8d72023-08-21T09:54:41ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-08-01178010610.7860/JCDR/2023/64028.18245Effect of Chair Suryanamaskar with Strength Training on Functional Fitness in Frail Older Adults: A Research Protocol for a Randomised Controlled Trial Nitin Suhas Nikhade0Vaishali Deepak Phalke1Professor, Department of Community Physiotherapy, MAEER’s Physiotherapy College, Talegaon Dabhade, Pune, Maharashtra, India.Professor, Department of Community Medicine, Rural Medical College, Pravara Institute of Medical Sciences (DU) Loni, Ahmednagar, Maharashtra, India.Introduction: Physical frailty is a syndrome characterised by deterioration in multiple physiological domains, including muscle mass and strength, flexibility, balance, neuromuscular coordination, and cardiovascular function. Evidence suggests that regular exercise provides substantial health benefits, reducing the risk of many chronic diseases and medical costs, especially for frail older adults. However, the effect of exercise on functional status in this population is not well explored. Need of the study: Population aging in India is rapidly accelerating, and frailty is a significant clinical condition associated with aging. Frailty increases the risk of institutionalisation, morbidity, and mortality. Regular exercise has been shown to improve functional fitness in older adults, but exercises performed while standing unaided can be challenging for individuals with compromised balance and mobility. Chair Suryanamaskar, a form of exercise performed while seated, may be an alternative mode of exercise for this population. Although aerobic and resistance exercises have shown benefits, there is growing interest in exploring the potential benefits of a multicomponent intervention for frail older adults. Aim: The aim of this study is to investigate the effect of chair Suryanamaskar with strength training on functional fitness in community-dwelling frail older adults. Materials and Methods: The study will be conducted from March 2021 to March 2024. This two-group parallel singleblind randomised controlled trial will take place at MAEER's Physiotherapy College in TalegaonDabhade, Maharashtra, India. Approximately 400 older adults will be screened for frailty using the Short Physical Performance Battery (SPPB) test. Participants with an SPPB score ≤7 will be considered frail and a total of 108 participants aged 65-84 years will be recruited based on inclusion and exclusion criteria. The participants will be equally divided into two groups (54 participants in each group) using computer-generated random tables. The experimental group (group A) will receive a 45-minute Chair Suryanamaskar with strength training protocol three times a week for 12 weeks. Before the study begins, participants will have two practice sessions of 20 minutes each to become familiar with Chair Suryanamaskar. The control group (group B) will participate in two 20-minute health education program sessions and receive weekly telephonic follow-ups to monitor for adverse events. Additionally, a health education program booklet will be provided. The primary outcome of the study is the Senior Fitness Test (SFT). Assessments will be conducted at baseline (0 weeks) and post-intervention (12 weeks). Intentionto-treat analyses with mixed linear modeling will be used for statistical analysis.https://www.jcdr.net/articles/PDF/18245/64028_CE[Ra1]_F(IS)_PF1(AG_KM)_PFA_PB(AG_KM)_QC(SHK_SS)_PN(KM).pdfphysical frailtysenior fitness testshort physical performance battery
spellingShingle Nitin Suhas Nikhade
Vaishali Deepak Phalke
Effect of Chair Suryanamaskar with Strength Training on Functional Fitness in Frail Older Adults: A Research Protocol for a Randomised Controlled Trial
Journal of Clinical and Diagnostic Research
physical frailty
senior fitness test
short physical performance battery
title Effect of Chair Suryanamaskar with Strength Training on Functional Fitness in Frail Older Adults: A Research Protocol for a Randomised Controlled Trial
title_full Effect of Chair Suryanamaskar with Strength Training on Functional Fitness in Frail Older Adults: A Research Protocol for a Randomised Controlled Trial
title_fullStr Effect of Chair Suryanamaskar with Strength Training on Functional Fitness in Frail Older Adults: A Research Protocol for a Randomised Controlled Trial
title_full_unstemmed Effect of Chair Suryanamaskar with Strength Training on Functional Fitness in Frail Older Adults: A Research Protocol for a Randomised Controlled Trial
title_short Effect of Chair Suryanamaskar with Strength Training on Functional Fitness in Frail Older Adults: A Research Protocol for a Randomised Controlled Trial
title_sort effect of chair suryanamaskar with strength training on functional fitness in frail older adults a research protocol for a randomised controlled trial
topic physical frailty
senior fitness test
short physical performance battery
url https://www.jcdr.net/articles/PDF/18245/64028_CE[Ra1]_F(IS)_PF1(AG_KM)_PFA_PB(AG_KM)_QC(SHK_SS)_PN(KM).pdf
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