Old Age; AtrophyNCT05675631
Effects of Suspension Training in Older Adults
A study testing Suspension training and Strength training in people with Old Age; Atrophy, run by University of Valencia at 1 site in Spain.
Trial summary
Traditionally, tools that use unstable surfaces have been used to increase the difficulty of exercises by stimulating the recruitment of a greater number of motor units. A new method is suspension training. Read more about this study
- Who is it for?
- Ages 60 to 85 yearsHealthy volunteers can take part
- Conditions the study is for
- Old Age; Atrophy
- What is being tested?
- Suspension training and Strength training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 65 participants
- Where
- 1 siteSpain
- Study dates
- 2 Jan 2023to 30 Dec 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 60 to 85 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Older adults between 60 and 85 years
Who cannot join
- Not wanting to sign the informed consent.
- Present pathology of the central nervous system that negatively affects balance, strength or compression; or cardiac pathologies in which strength exercise is contraindicated.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Suspension Training Versus a Traditional One in the Elderly Population: a Randomized Clinical Trial
Traditionally, tools that use unstable surfaces have been used to increase the difficulty of exercises by stimulating the recruitment of a greater number of motor units. A new method is suspension training. It uses the weight of the body and the principles of moments of forces to improve the recruitment of motor units. The difficulty that stimulates this recruitment depends on the amount of instability caused by the suspension apparatus and the position of the body.
So this type of training in the elderly can be very interesting due to the ease of adaptation, since it can be used as a facilitating method or to increase the difficulty.
Read more
It seems that suspension training can have positive effects that will have a direct impact on the quality of life of the elderly, due to improvements in different aspects such as gaining strength and improving balance, consequently reducing the risk of falling. . It is a good alternative to gain strength and improve functional mobility and upper trunk strength in the elderly, to other exercises such as elastic bands, since they produce similar effects.
For all these reasons, the program tries to demonstrate that suspension training can be an effective tool to improve the quality of life and reduce the risk of falls in the elderly.
Read the detailed description
This research originates from the curiosity of wanting to prove that exercise in the elderly is more than recommended, specifically suspension training.
Traditionally, tools that use unstable surfaces have been used to increase the difficulty of exercises by stimulating the recruitment of a greater number of motor units. A new method is suspension training. It uses the weight of the body and the principles of moments of forces to improve the recruitment of motor units. The difficulty that stimulates this recruitment depends on the amount of instability caused by the suspension apparatus and the position of the body.
So this type of training in the elderly can be very interesting due to the ease of adaptation, since it can be used as a facilitating method or to increase the difficulty.
Additionally, an unstable resistance training situation stresses/taxes the neuromuscular system and can promote a greater gain in strength and increase the cross-sectional area. It can also increase motor unit recruitment and improve neuromuscular coordination without an increase in mechanical load when performing push-ups under unstable conditions. Because TRX exercises involve normal resistance, they can potentially improve strength by facilitating the use of large and fast-twitch muscle units, increasing muscle coordination and stimulating the musculoskeletal system, and increasing the number of muscle fibers. Suspension work increases the activation of most muscle groups involved in suspension training (push-ups, inverted row, prone bridge and hamstring curl) compared to traditional training.
Likewise, for the upper extremity it improves significantly as well as training with elastic bands. Improves the handgrip. Due to the constant use of suspension elements. For the lower extremity, a very high activation of the biecps femoris and semitendinosus (<90% MVIC), hamstrings, gluteus maximus, gluteus medius and adductor lagus have been observed. In relation to balance, it has been observed that suspension training has more notable positive effects on it than in traditional training due to the constant adaptation and participation of the CORE in the different exercises. On the other hand, regarding the fear of falls, it has been observed that, in medium and high intensity programs, this fear decreases as the participants feel more confident. In this type of study, positive effects have also been shown on sleep quality through the PSQI, positive effects on stride after high intensity and positive changes in body composition: higher percentage of water at the cellular level, with which better value of PhA and better cellular health. Finally, another possible advantage is the ease of installation of the material and its affordable price, since traditional training often requires more expensive machines and tools.
It seems then that suspension training can have positive effects that will have a direct impact on the quality of life of the elderly, due to improvements in different aspects such as gaining strength and improving balance, consequently reducing the risk of suffering a drop. It is a good alternative to gain strength and improve functional mobility and upper trunk strength in the elderly, to other exercises such as elastic bands, since they produce similar effects.
For all these reasons, the program tries to demonstrate that suspension training can be an effective tool to improve the quality of life and reduce the risk of falls in the elderly.
- Conditions
- Old Age; Atrophy
- Being tested
- Suspension training, Strength training
- Keywords
- Suspension, Older adult, Balance, Strength, Prevention
- Medical subject headings
- Atrophy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Suspension trainingOther
This group will perform training using suspension devices.
Strength trainingOther
This group will perform training using weights and elastic bands.
| Study group | Role | What they receive |
|---|---|---|
| Experimental Group | Experimental | This group will perform training using suspension elements. Receives: Other: Suspension training |
| Control Group | Active comparator | This group will perform training using weights and elastic bands. Receives: Other: Strength training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Hand Grip Test
Grip strength is usually measured using a hand-held dynamometer. The patient squeezes the dynamometer with all of their strength, typically three times with each hand. An average score is then calculated using the measurements from both hands.
Measured: Baseline (0 week)
Hand Grip Test
Grip strength is usually measured using a hand-held dynamometer. The patient squeezes the dynamometer with all of their strength, typically three times with each hand. An average score is then calculated using the measurements from both hands.
Measured: Post-treatment (7 week)
Secondary outcomes (7)
5 Times Sit-to-Stand Test
Assesses functional lower extremity strength, transitional movements, balance, and fall risk. Equipment: Stopwatch; standard height chair with straight back (16 inches high); Therapist Instructions: Have the patient sit with their back against the back of the chair. he test provides a method to quantify functional lower extremity strength and/or identify movement strategies a patient uses to complete transitional movements.The time it takes to do it is timed.
Measured: Baseline (0 week), post-treatment (7 week)
One leg balance
Monopodal balance, count the time you can stand on one leg. The longer the time, the better the equilibrium state.
Measured: Baseline (0 week), post-treatment (7 week)
Functional Reach
Functional range that consists of measuring how much the participant can move or lean forward without losing stability. The greater the distance, the greater the stability.
Measured: Baseline (0 week), post-treatment (7 week)
Test Get-Up and Go
Dynamic or functional balance in which the time it takes to get up, travel a distance of 3m round trip and return to sit down is timed. The less time, the better functional status.
Measured: Baseline (0 week), post-treatment (7 week)
Walking speed test
The speed of the step is calculated by means of the chrono of what it takes to cover a distance of 4 meters. The higher the walking speed, the better the prognosis.
Measured: Baseline (0 week), post-treatment (7 week)
Quality of live (EQ-5D)
The EQ-5D-5L is a self-assessed, health related, quality of life questionnaire. The scale measures quality of life on a 5-component scale including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The lower the score on the questions, the better the status will be. On the analog scale, the higher the score, the better the state of health.
Measured: Baseline (0 week), post-treatment (7 week)
Falls Efficacy Scale International
The Falls Efficacy Scale-International (FES-I) is a short, easy to administer tool that measures the level of concern about falling during 16 social and physical activities inside and outside the home whether or not the person actually does the activity.
Measured: Baseline (0 week), post-treatment (7 week)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jan 2023
- Study start2 Jan 2023
- Primary completion30 Oct 2023
- Study completion30 Dec 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Old Age; AtrophyStudies of the same condition, open and under way.
- More trials run by University of ValenciaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 65 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Valencia
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, David Hernández-Guillén, University of Valencia
- Investigators
- David Hernández-Guillén, PT, PhD, Principal investigator, University of Valencia
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05675631
- Sponsor's protocol ID
- OA_SUSTRAIN
- Status last verified
- Jan 2024
- First submitted
- 29 Dec 2022
- Last updated
- 12 Jan 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Jan 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Suspension Training Versus a Traditional One in the Elderly Population: a Randomized Clinical Trial
- ClinicalTrials.gov ID
- NCT05675631
- Acronym / sponsor ID
- OA_SUSTRAIN
- Conditions
- Old Age; Atrophy
- Keywords
- Suspension, Older adult, Balance, Strength, Prevention
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 65 participants (actual)
- Lead sponsor
- University of ValenciaUniversity, hospital or other
- Study start
- 2 Jan 2023 (actual)
- Primary completion
- 30 Oct 2023 (actual)
- Study completion
- 30 Dec 2023 (actual)
- First posted
- 9 Jan 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Traditionally, tools that use unstable surfaces have been used to increase the difficulty of exercises by stimulating the recruitment of a greater number of motor units. A new method is suspension training. It uses the weight of the body and the principles of moments of forces to improve the recruitment of motor units. The difficulty that stimulates this recruitment depends on the amount of instability caused by the suspension apparatus and the position of the body.
So this type of training in the elderly can be very interesting due to the ease of adaptation, since it can be used as a facilitating method or to increase the difficulty.
It seems that suspension training can have positive effects that will have a direct impact on the quality of life of the elderly, due to improvements in different aspects such as gaining strength and improving balance, consequently reducing the risk of falling. . It is a good alternative to gain strength and improve functional mobility and upper trunk strength in the elderly, to other exercises such as elastic bands, since they produce similar effects.
For all these reasons, the program tries to demonstrate that suspension training can be an effective tool to improve the quality of life and reduce the risk of falls in the elderly.
Detailed description
This research originates from the curiosity of wanting to prove that exercise in the elderly is more than recommended, specifically suspension training.
Traditionally, tools that use unstable surfaces have been used to increase the difficulty of exercises by stimulating the recruitment of a greater number of motor units. A new method is suspension training. It uses the weight of the body and the principles of moments of forces to improve the recruitment of motor units. The difficulty that stimulates this recruitment depends on the amount of instability caused by the suspension apparatus and the position of the body.
So this type of training in the elderly can be very interesting due to the ease of adaptation, since it can be used as a facilitating method or to increase the difficulty.
Additionally, an unstable resistance training situation stresses/taxes the neuromuscular system and can promote a greater gain in strength and increase the cross-sectional area. It can also increase motor unit recruitment and improve neuromuscular coordination without an increase in mechanical load when performing push-ups under unstable conditions. Because TRX exercises involve normal resistance, they can potentially improve strength by facilitating the use of large and fast-twitch muscle units, increasing muscle coordination and stimulating the musculoskeletal system, and increasing the number of muscle fibers. Suspension work increases the activation of most muscle groups involved in suspension training (push-ups, inverted row, prone bridge and hamstring curl) compared to traditional training.
Likewise, for the upper extremity it improves significantly as well as training with elastic bands. Improves the handgrip. Due to the constant use of suspension elements. For the lower extremity, a very high activation of the biecps femoris and semitendinosus (<90% MVIC), hamstrings, gluteus maximus, gluteus medius and adductor lagus have been observed. In relation to balance, it has been observed that suspension training has more notable positive effects on it than in traditional training due to the constant adaptation and participation of the CORE in the different exercises. On the other hand, regarding the fear of falls, it has been observed that, in medium and high intensity programs, this fear decreases as the participants feel more confident. In this type of study, positive effects have also been shown on sleep quality through the PSQI, positive effects on stride after high intensity and positive changes in body composition: higher percentage of water at the cellular level, with which better value of PhA and better cellular health. Finally, another possible advantage is the ease of installation of the material and its affordable price, since traditional training often requires more expensive machines and tools.
It seems then that suspension training can have positive effects that will have a direct impact on the quality of life of the elderly, due to improvements in different aspects such as gaining strength and improving balance, consequently reducing the risk of suffering a drop. It is a good alternative to gain strength and improve functional mobility and upper trunk strength in the elderly, to other exercises such as elastic bands, since they produce similar effects.
For all these reasons, the program tries to demonstrate that suspension training can be an effective tool to improve the quality of life and reduce the risk of falls in the elderly.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental Group | Experimental | Other: Suspension trainingThis group will perform training using suspension elements. |
| Control Group | Active comparator | Other: Strength trainingThis group will perform training using weights and elastic bands. |
Who may qualify
- Ages
- 60 to 85 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Older adults between 60 and 85 years
Key exclusion criteria (2 listed)
- Not wanting to sign the informed consent.
- Present pathology of the central nervous system that negatively affects balance, strength or compression; or cardiac pathologies in which strength exercise is contraindicated.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Suspension trainingThis group will perform training using suspension devices. | Other | Experimental Group |
| Strength trainingThis group will perform training using weights and elastic bands. | Other | Control Group |
Primary outcome
Hand Grip Test
Time frame: Baseline (0 week)
Grip strength is usually measured using a hand-held dynamometer. The patient squeezes the dynamometer with all of their strength, typically three times with each hand. An average score is then calculated using the measurements from both hands.
Hand Grip Test
Time frame: Post-treatment (7 week)
Grip strength is usually measured using a hand-held dynamometer. The patient squeezes the dynamometer with all of their strength, typically three times with each hand. An average score is then calculated using the measurements from both hands.
7 secondary outcomes
5 Times Sit-to-Stand Test
Time frame: Baseline (0 week), post-treatment (7 week)
One leg balance
Time frame: Baseline (0 week), post-treatment (7 week)
Functional Reach
Time frame: Baseline (0 week), post-treatment (7 week)
Test Get-Up and Go
Time frame: Baseline (0 week), post-treatment (7 week)
Walking speed test
Time frame: Baseline (0 week), post-treatment (7 week)
Quality of live (EQ-5D)
Time frame: Baseline (0 week), post-treatment (7 week)
Falls Efficacy Scale International
Time frame: Baseline (0 week), post-treatment (7 week)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jan 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
David Hernández-Guillén, PT, PhD principal investigator
University of Valencia
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Suspension training and Strength training in people with Old Age; Atrophy, run by University of Valencia at 1 site in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Hand Grip Test (time frame: Baseline (0 week)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jan 2024.