Balance DisordersNCT07525453
Effects of Three Different Exercise Programs on Dynamic Balance in Community-Dwelling Older Adults
A study testing Core Stabilization Exercises, Amplitude-Based Exercise (LSVT BIG) and Combined Core and Amplitude-Based Exercise in people with Balance Disorders and Aging, run by Fenerbahce University at 1 site in Turkey (Türkiye).
Trial summary
This study aims to compare the effects of core stabilization exercises, an amplitude-based exercise program derived from LSVT BIG principles, and their combination on dynamic balance in community-dwelling healthy older adults aged 65 years and above. Read more about this study
- Who is it for?
- Ages 65 years and olderHealthy volunteers can take part
- Conditions the study is for
- Balance Disorders, Aging, Risk of Falling in the Elderly
- What is being tested?
- Core Stabilization Exercises, Amplitude-Based Exercise (LSVT BIG) and Combined Core and Amplitude-Based Exercise
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 45 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 16 Mar 2026to 11 May 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 65 years and older
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- Age 65 years and older
- Ability to walk independently
- Mini-Mental State Examination (MMSE) score > 24, indicating sufficient cognitive ability to understand and follow instructions
- Willingness to participate in the study and provide written informed consent
Who cannot join
- History of serious lower extremity injury, surgery, or acute musculoskeletal condition within the last 6 months
- Severe visual or hearing impairment that would prevent safe and accurate completion of the assessments
- Presence of acute vestibular disorders significantly affecting balance
- Presence of neurological disease
- Uncontrolled cardiac disease, uncontrolled hypertension, severe pulmonary disease, or any condition that makes exercise unsafe
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site, 1 recruiting
- Recruiting
Atasehir 30 August Retirees Cultural Center, Istanbul, Turkey
Istanbul, Ataşehir, 34734
Burcu AKKURT, 05536046713, burcu.akkurt@fbu.edu.tr
Elif Düşgün, Phd, 0 216 910 1907, elif.dusgun@fbu.edu.tr
About this study
Official title: Effects of Three Different Exercise Programs on Dynamic Balance in Community-Dwelling Older Adults: A Randomized Controlled Trial
This study aims to compare the effects of core stabilization exercises, an amplitude-based exercise program derived from LSVT BIG principles, and their combination on dynamic balance in community-dwelling healthy older adults aged 65 years and above. Secondary outcomes include functional mobility, fear of falling, reaction time, and quality of life.
Age-related declines in neuromuscular and sensory functions impair postural control and increase fall risk. While both core stabilization and amplitude-based exercises have shown beneficial effects, their comparative and combined effects in healthy older adults remain unclear. This study will determine whether the combined intervention provides additional benefits over single interventions.
Read the detailed description
Aging is associated with progressive declines in muscle strength, proprioceptive function, vestibular efficiency, and reaction time, all of which contribute to impaired postural control and reduced dynamic balance. These changes significantly increase the risk of falls in older adults, representing a major public health concern due to their association with morbidity, mortality, and loss of independence.
Exercise-based interventions are widely recommended to improve balance and reduce fall risk. Core stabilization exercises aim to enhance trunk muscle activation and improve postural control by increasing spinal stability. In contrast, amplitude-based exercise approaches derived from LSVT BIG principles focus on increasing movement amplitude, thereby improving motor performance and functional mobility. Although both approaches have demonstrated beneficial effects, evidence regarding their comparative effectiveness and the potential additive benefit of combining these interventions in healthy older adults remains limited.
In this randomized controlled study, participants aged 65 years and older will be allocated to one of three intervention groups: core stabilization exercises, amplitude-based exercises based on LSVT BIG principles, or a combined core and amplitude-based exercise program. All interventions will be conducted over a structured training period under supervision.
Dynamic balance will be assessed as the primary outcome. Secondary outcomes will include functional mobility, fear of falling, reaction time, and quality of life. Standardized and validated assessment tools will be used to ensure reliability of the measurements.
The findings of this study are expected to provide evidence on the relative and combined effectiveness of these exercise approaches and may contribute to the development of more effective rehabilitation strategies aimed at improving balance and reducing fall risk in older adults.
- Conditions
- Balance Disorders, Aging, Risk of Falling in the Elderly
- Being tested
- Core Stabilization Exercises, Amplitude-Based Exercise (LSVT BIG), Combined Core and Amplitude-Based Exercise
- Keywords
- Dynamic Balance, Older Adults, Postural Control, Reaction Time
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Core Stabilization ExercisesBehavioural
A structured exercise program focusing on trunk muscle activation, spinal stability, and postural control.
Amplitude-Based Exercise (LSVT BIG)Behavioural
An exercise program derived from LSVT BIG principles, emphasizing increased movement amplitude and functional mobility.
Combined Core and Amplitude-Based ExerciseBehavioural
A combined program including core stabilization exercises and amplitude-based exercises based on LSVT BIG principles.
| Study group | Role | What they receive |
|---|---|---|
| Core Stabilization Exercise Group | Experimental | Participants in this group will perform a structured core stabilization exercise program focusing on trunk muscle activation and postural control. Receives: Behavioral: Core Stabilization Exercises |
| Amplitude-Based Exercise Group (LSVT BIG) | Experimental | Participants in this group will perform an amplitude-based exercise program derived from LSVT BIG principles, focusing on increasing movement amplitude and functional mobility. Receives: Behavioral: Amplitude-Based Exercise (LSVT BIG) |
| Combined Core and Amplitude-Based Exercise Group | Experimental | Participants in this group will perform a combined exercise program including both core stabilization exercises and amplitude-based exercises based on LSVT BIG principles. Receives: Behavioral: Combined Core and Amplitude-Based Exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dynamic Balance (Y Balance Test)
The Y Balance Test is a reliable and valid measure used to assess dynamic balance and neuromuscular control. It is a modified version of the Star Excursion Balance Test and evaluates an individual's ability to maintain single-leg stance while reaching in multiple directions.
During the test, the participant stands on one leg at the center of a Y-shaped grid and uses the free limb to reach as far as possible in three directions: anterior, posteromedial, and posterolateral. Reach distances are measured in centimeters, and a composite score is calculated by normalizing reach distances to limb length.
Higher reach distances and composite scores indicate better dynamic balance performance. The test has been widely used in clinical and research settings due to its sensitivity in detecting balance deficits and risk of injury or falls.
Measured: From enrollment to the end of treatment at 8 weeks
Secondary outcomes (5)
Functional Reach Distance
Dynamic balance will be assessed using the Functional Reach Test. Participants will reach forward as far as possible while maintaining a fixed base of support, and the distance reached will be recorded in centimeters.
Measured: From enrollment to the end of treatment at 8 weeks
360-Degree Turn Time
Dynamic balance will be evaluated by measuring the time required to complete a full 360-degree turn in a standing position. Shorter times indicate better performance.
Measured: From enrollment to the end of treatment at 8 weeks
Reaction Time
Reaction time will be measured using a computerized system by recording responses to visual and auditory stimuli. Mean reaction time values will be used for analysis.
Measured: From enrollment to the end of treatment at 8 weeks
Fear of Falling (FES-I)
Fear of falling will be assessed using the Falls Efficacy Scale International (FES-I), a validated self-reported questionnaire.
Measured: From enrollment to the end of treatment at 8 weeks
Quality of Life (WHOQOL-BREF)
Quality of life will be evaluated using the WHOQOL-BREF questionnaire, which assesses physical, psychological, social, and environmental domains.
Measured: From enrollment to the end of treatment at 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Apr 2026
- Study start16 Mar 2026
- Primary completion11 May 2026 (estimated)
- Study completion11 May 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Balance DisordersStudies of the same condition, open and under way.
- 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 45 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Fenerbahce University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Burcu AKKURT, Fenerbahce University
- Investigators
- Burcu AKKURT, PhD, Principal investigator, Fenerbahçe University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07525453
- Sponsor's protocol ID
- 15.2026fbu
- Status last verified
- Apr 2026
- First submitted
- 6 Apr 2026
- Last updated
- 15 Apr 2026
- 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 15 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Three Different Exercise Programs on Dynamic Balance in Community-Dwelling Older Adults: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07525453
- Acronym / sponsor ID
- 15.2026fbu
- Conditions
- Balance Disorders, Aging, Risk of Falling in the Elderly
- Keywords
- Dynamic Balance, Older Adults, Postural Control, Reaction Time
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 45 participants (estimated)
- Lead sponsor
- Fenerbahce UniversityUniversity, hospital or other
- Study start
- 16 Mar 2026 (actual)
- Primary completion
- 11 May 2026 (estimated)
- Study completion
- 11 May 2026 (estimated)
- First posted
- 13 Apr 2026 (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.
This study aims to compare the effects of core stabilization exercises, an amplitude-based exercise program derived from LSVT BIG principles, and their combination on dynamic balance in community-dwelling healthy older adults aged 65 years and above. Secondary outcomes include functional mobility, fear of falling, reaction time, and quality of life.
Age-related declines in neuromuscular and sensory functions impair postural control and increase fall risk. While both core stabilization and amplitude-based exercises have shown beneficial effects, their comparative and combined effects in healthy older adults remain unclear. This study will determine whether the combined intervention provides additional benefits over single interventions.
Detailed description
Aging is associated with progressive declines in muscle strength, proprioceptive function, vestibular efficiency, and reaction time, all of which contribute to impaired postural control and reduced dynamic balance. These changes significantly increase the risk of falls in older adults, representing a major public health concern due to their association with morbidity, mortality, and loss of independence.
Exercise-based interventions are widely recommended to improve balance and reduce fall risk. Core stabilization exercises aim to enhance trunk muscle activation and improve postural control by increasing spinal stability. In contrast, amplitude-based exercise approaches derived from LSVT BIG principles focus on increasing movement amplitude, thereby improving motor performance and functional mobility. Although both approaches have demonstrated beneficial effects, evidence regarding their comparative effectiveness and the potential additive benefit of combining these interventions in healthy older adults remains limited.
In this randomized controlled study, participants aged 65 years and older will be allocated to one of three intervention groups: core stabilization exercises, amplitude-based exercises based on LSVT BIG principles, or a combined core and amplitude-based exercise program. All interventions will be conducted over a structured training period under supervision.
Dynamic balance will be assessed as the primary outcome. Secondary outcomes will include functional mobility, fear of falling, reaction time, and quality of life. Standardized and validated assessment tools will be used to ensure reliability of the measurements.
The findings of this study are expected to provide evidence on the relative and combined effectiveness of these exercise approaches and may contribute to the development of more effective rehabilitation strategies aimed at improving balance and reducing fall risk in older adults.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Core Stabilization Exercise Group | Experimental | Behavioral: Core Stabilization ExercisesParticipants in this group will perform a structured core stabilization exercise program focusing on trunk muscle activation and postural control. |
| Amplitude-Based Exercise Group (LSVT BIG) | Experimental | Behavioral: Amplitude-Based Exercise (LSVT BIG)Participants in this group will perform an amplitude-based exercise program derived from LSVT BIG principles, focusing on increasing movement amplitude and functional mobility. |
| Combined Core and Amplitude-Based Exercise Group | Experimental | Behavioral: Combined Core and Amplitude-Based ExerciseParticipants in this group will perform a combined exercise program including both core stabilization exercises and amplitude-based exercises based on LSVT BIG principles. |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (4 listed)
- Age 65 years and older
- Ability to walk independently
- Mini-Mental State Examination (MMSE) score > 24, indicating sufficient cognitive ability to understand and follow instructions
- Willingness to participate in the study and provide written informed consent
Key exclusion criteria (5 listed)
- History of serious lower extremity injury, surgery, or acute musculoskeletal condition within the last 6 months
- Severe visual or hearing impairment that would prevent safe and accurate completion of the assessments
- Presence of acute vestibular disorders significantly affecting balance
- Presence of neurological disease
- Uncontrolled cardiac disease, uncontrolled hypertension, severe pulmonary disease, or any condition that makes exercise unsafe
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 |
|---|---|---|
| Core Stabilization ExercisesA structured exercise program focusing on trunk muscle activation, spinal stability, and postural control. | Behavioural | Core Stabilization Exercise Group |
| Amplitude-Based Exercise (LSVT BIG)An exercise program derived from LSVT BIG principles, emphasizing increased movement amplitude and functional mobility. | Behavioural | Amplitude-Based Exercise Group (LSVT BIG) |
| Combined Core and Amplitude-Based ExerciseA combined program including core stabilization exercises and amplitude-based exercises based on LSVT BIG principles. | Behavioural | Combined Core and Amplitude-Based Exercise Group |
Primary outcome
Dynamic Balance (Y Balance Test)
Time frame: From enrollment to the end of treatment at 8 weeks
The Y Balance Test is a reliable and valid measure used to assess dynamic balance and neuromuscular control. It is a modified version of the Star Excursion Balance Test and evaluates an individual's ability to maintain single-leg stance while reaching in multiple directions. During the test, the participant stands on one leg at the center of a Y-shaped grid and uses the free limb to reach as far as possible in three directions: anterior, posteromedial, and posterolateral. Reach distances are measured in centimeters, and a composite score is calculated by normalizing reach distances to limb length. Higher reach distances and composite scores indicate better dynamic balance performance. The test has been widely used in clinical and research settings due to its sensitivity in detecting balance deficits and risk of injury or falls.
5 secondary outcomes
Functional Reach Distance
Time frame: From enrollment to the end of treatment at 8 weeks
360-Degree Turn Time
Time frame: From enrollment to the end of treatment at 8 weeks
Reaction Time
Time frame: From enrollment to the end of treatment at 8 weeks
Fear of Falling (FES-I)
Time frame: From enrollment to the end of treatment at 8 weeks
Quality of Life (WHOQOL-BREF)
Time frame: From enrollment to the end of treatment at 8 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Apr 2026.
- Individual participant dataSharing planned: No
Related trials for Balance Disorders
Not yet recruiting
Combined Versus Multicomponent Training in People With Chronic Kidney Disease Stages 3a and 3b
Chronic Kidney Disease Stage 3A, Chronic Kidney Disease Stage 3B
Recruiting
Effects of Contralateral Gravity Eliminated Gluteus Medius and Ipsilateral Quadratus Lumborum Strengthening on Pelvic Alignment, Balance and Functional Mobility on Subacute Stroke Patients
Stroke
RecruitingPhase 4
Mechanisms of Weight Loss: Tirzepatide vs Semaglutide
Obesity (Disorder)
Not yet recruiting
Evaluating the Effects of the EXOPULSE Suit on Mobility, Walking Ability, and Balance in People With Multiple Sclerosis
Multiple Sclerosis
Not yet recruiting
Beren Vibration Insole in Stroke Rehabilitation
Stroke
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.
Burcu AKKURT, PhD principal investigator
Fenerbahçe University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Core Stabilization Exercises, Amplitude-Based Exercise (LSVT BIG) and Combined Core and Amplitude-Based Exercise in people with Balance Disorders and Aging, run by Fenerbahce University at 1 site in Turkey (Türkiye).
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 4 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 15 Apr 2026. 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 Turkey (Türkiye). 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Burcu AKKURT, PhD (0 216 910 1907, burcu.akkurt@fbu.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Dynamic Balance (Y Balance Test) (time frame: From enrollment to the end of treatment at 8 weeks). 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 15 Apr 2026.