Muscle WeaknessNCT07910981
Effects of a Multidisciplinary Intervention on Muscle Strength, Posture, and Balance in Older Adults After an Earthquake
A study testing Multimodal Intervention in people with Muscle Weakness and Postural Balance, run by Kahramanmaras Sutcu Imam University at 1 site in Turkey (Türkiye).
Trial summary
This randomized controlled trial evaluated the effects of a 12-week multidisciplinary intervention on muscle strength, postural alignment, and balance in older adults living in temporary container settlements following the February 2023 earthquakes in Kahramanmaraş, Türkiye. Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Muscle Weakness, Postural Balance, Physical Functional Performance
- What is being tested?
- Multimodal Intervention
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 15 Sep 2024to 15 Jul 2025
- 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 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- Living in a temporary container settlement.
- Being an earthquake survivor.
- Being 65 years of age or older.
- Having a score of 4 or below on the Edmonton Frailty Scale.
- Being able to understand verbal commands.
- Being able to speak and understand Turkish.
- Voluntarily agreeing to participate in the study.
Who cannot join
- Not being an earthquake survivor.
- Not living in a temporary container settlement.
- Being younger than 65 years.
- Being unable to speak or understand Turkish.
- Being unable to understand verbal commands.
- Having a diagnosed psychological disorder.
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- Having undergone surgery within the previous six months.
- Having a score of 5 or above on the Edmonton Frailty Scale.
- Declining to participate in the study.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Kahramanmaras Sutcu Imam University
Kahramanmaraş, Kahramanmaraş
About this study
Official title: Effects of a Multidisciplinary Intervention Model on Muscle Strength, Postural Alignment, and Balance in Older Adults Living in Post-Earthquake Container Settlements: A Randomized Controlled Trial
This randomized controlled trial evaluated the effects of a 12-week multidisciplinary intervention on muscle strength, postural alignment, and balance in older adults living in temporary container settlements following the February 2023 earthquakes in Kahramanmaraş, Türkiye.
A total of 60 adults aged 65 years and older were allocated to an intervention group (n=30) or a control group (n=30). The intervention group participated in an individualized health management program that included exercises targeting muscle strength, balance, mobility, and posture, together with nutritional counseling, psychosocial support, and health education. The control group received no active intervention and underwent assessments at baseline and after 12 weeks.
Read more
Muscle strength was assessed using digital and manual dynamometers. Postural alignment was evaluated using PostureScreen, while postural sway and balance were assessed using Gyko and functional performance tests, including the Timed Up and Go Test and Short Physical Performance Battery.
The study aimed to determine whether a multidisciplinary intervention could improve physical function, postural alignment, and balance in older adults living in post-disaster temporary housing.
Read the detailed description
This randomized controlled trial was conducted among adults aged 65 years and older residing in temporary container settlements in Kahramanmaraş, Türkiye, following the February 2023 earthquakes. The study investigated the effects of a multidisciplinary health management intervention on muscle strength, postural alignment, balance, and physical performance.
Sixty eligible participants were allocated to two groups: an intervention group (n=30) and a control group (n=30). Randomization was conducted using a sealed-envelope method, with consideration of participants' frailty status.
The intervention group received a 12-week individualized multidisciplinary program addressing physical, nutritional, and psychosocial health needs. Physical interventions included exercises designed to improve muscle strength, balance, mobility, range of motion, and postural control. Additional components included nutritional counseling, psychosocial support, lifestyle guidance, and medication-related health education. The program was delivered under the supervision of a multidisciplinary healthcare team.
The control group received no active intervention and participated in baseline and 12-week follow-up assessments.
Muscle strength was assessed using the KFORCE KINVENT digital muscle strength measurement system, Jamar hand dynamometer, and pinch dynamometer. Postural alignment was assessed using the PostureScreen application. Postural sway was evaluated using the Gyko system. Functional mobility, balance, and lower-extremity physical performance were assessed using the Timed Up and Go Test and Short Physical Performance Battery.
Assessments were performed at baseline and following the 12-week intervention period.
The study was designed to evaluate whether a structured multidisciplinary approach could improve physical function and postural outcomes among older adults experiencing the long-term consequences of displacement following a major earthquake.
- Being tested
- Multimodal Intervention
- Keywords
- Older Adults, Multidisciplinary Rehabilitation, Muscle Strength, Postural Alignment, Postural Balance
- Medical subject headings
- Muscle Weakness
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Multimodal InterventionBehavioural
A 12-week individualized multidisciplinary health management program was delivered to older adults living in post-earthquake temporary container settlements. The intervention included exercises targeting muscle strength, postural alignment, balance, mobility, and range of motion. Additional components consisted of nutritional counseling, psychosocial support, lifestyle guidance, and medication-related health education. The program was implemented under the supervision of a multidisciplinary healthcare team.
| Study group | Role | What they receive |
|---|---|---|
| Study Group | Experimental | Older adults aged 65 years and above who experienced the earthquake and were living in temporary container settlements. Participants in this group received a 12-week multidisciplinary health management intervention including exercises for muscle strength, balance, mobility, and posture, together with nutritional counseling, psychosocial support, and health education. Receives: Behavioral: Multimodal Intervention |
| Control Group | No intervention | Older adults aged 65 years and above who experienced the earthquake and were living in temporary container settlements. Participants in this group received no active intervention and underwent assessments at baseline and after 12 weeks. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Upper and Lower Extremity Muscle Strength
Isometric muscle strength of selected upper- and lower-extremity muscle groups was assessed using the KFORCE KINVENT digital muscle strength measurement device. Measurements were performed bilaterally to evaluate changes in muscle strength following the 12-week intervention.
Measured: Baseline and Week 12
Change in Postural Alignment
Postural alignment was assessed using the PostureScreen mobile application. Frontal and lateral photographs were obtained to identify postural deviations and evaluate changes in postural alignment following the intervention.
Measured: Baseline and Week 12
Change in Postural Sway and Balance
Postural sway was assessed using the Gyko system. The assessment included sway length, sway area, sway progression rate, and sway frequency to evaluate postural stability and balance changes following the 12-week intervention.
Measured: Baseline and Week 12
Secondary outcomes (4)
Change in Handgrip Strengt
Handgrip strength was assessed using a Jamar hand dynamometer. Measurements were performed to evaluate changes in handgrip strength between baseline and the end of the 12-week intervention.
Measured: Baseline and Week 12
Change in Pinch Strength
Pinch strength was assessed using a mechanical pinch dynamometer (Baseline Pinch Gauge). Measurements were performed to evaluate changes in pinch strength following the intervention.
Measured: Baseline and Week 12
Change in Functional Mobility and Dynamic Balance
Functional mobility and dynamic balance were assessed using the Timed Up and Go Test (TUG). The time required to stand from a chair, walk three meters, turn, return, and sit down was recorded in seconds. Lower completion times indicate better functional mobility.
Measured: Baseline and Week 12
Change in Lower Extremity Physical Performance
Lower-extremity physical performance was assessed using the Short Physical Performance Battery (SPPB), consisting of standing balance, a four-meter walking test, and a chair-rise test. Total scores range from 0 to 12, with higher scores indicating better physical performance.
Measured: Baseline and Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Nov 2026
- Study start15 Sep 2024
- Primary completion15 May 2025
- Study completion15 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Muscle WeaknessStudies 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
- Model description
- Participants were randomly allocated to two parallel groups: a multidisciplinary intervention group (n=30) and a control group (n=30). The intervention group received a 12-week multidisciplinary health management program, while the control group received no active intervention.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kahramanmaras Sutcu Imam University
- Sponsor type
- University, hospital or other
- Collaborators
- The Scientific and Technological Research Council of Turkey
- Responsible party
- Principal investigator, Mehmet GÖĞREMİŞ, Kahramanmaras Sutcu Imam University
- Investigators
- Mehmet Göğremiş, PhD, Principal investigator, Kahramanmaras Sutcu Imam University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07910981
- Sponsor's protocol ID
- 323S043
- Other IDs
- 323S40
- Status last verified
- Oct 2026
- First submitted
- 27 Oct 2026
- Last updated
- 2 Nov 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 2 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of a Multidisciplinary Intervention Model on Muscle Strength, Postural Alignment, and Balance in Older Adults Living in Post-Earthquake Container Settlements: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07910981
- Acronym / sponsor ID
- 323S043
- Keywords
- Older Adults, Multidisciplinary Rehabilitation, Muscle Strength, Postural Alignment, Postural Balance
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Kahramanmaras Sutcu Imam UniversityUniversity, hospital or other
- Collaborators
- The Scientific and Technological Research Council of Turkey
- Study start
- 15 Sep 2024 (actual)
- Primary completion
- 15 May 2025 (actual)
- Study completion
- 15 Jul 2025 (actual)
- First posted
- 2 Nov 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 randomized controlled trial evaluated the effects of a 12-week multidisciplinary intervention on muscle strength, postural alignment, and balance in older adults living in temporary container settlements following the February 2023 earthquakes in Kahramanmaraş, Türkiye.
A total of 60 adults aged 65 years and older were allocated to an intervention group (n=30) or a control group (n=30). The intervention group participated in an individualized health management program that included exercises targeting muscle strength, balance, mobility, and posture, together with nutritional counseling, psychosocial support, and health education. The control group received no active intervention and underwent assessments at baseline and after 12 weeks.
Muscle strength was assessed using digital and manual dynamometers. Postural alignment was evaluated using PostureScreen, while postural sway and balance were assessed using Gyko and functional performance tests, including the Timed Up and Go Test and Short Physical Performance Battery.
The study aimed to determine whether a multidisciplinary intervention could improve physical function, postural alignment, and balance in older adults living in post-disaster temporary housing.
Detailed description
This randomized controlled trial was conducted among adults aged 65 years and older residing in temporary container settlements in Kahramanmaraş, Türkiye, following the February 2023 earthquakes. The study investigated the effects of a multidisciplinary health management intervention on muscle strength, postural alignment, balance, and physical performance.
Sixty eligible participants were allocated to two groups: an intervention group (n=30) and a control group (n=30). Randomization was conducted using a sealed-envelope method, with consideration of participants' frailty status.
The intervention group received a 12-week individualized multidisciplinary program addressing physical, nutritional, and psychosocial health needs. Physical interventions included exercises designed to improve muscle strength, balance, mobility, range of motion, and postural control. Additional components included nutritional counseling, psychosocial support, lifestyle guidance, and medication-related health education. The program was delivered under the supervision of a multidisciplinary healthcare team.
The control group received no active intervention and participated in baseline and 12-week follow-up assessments.
Muscle strength was assessed using the KFORCE KINVENT digital muscle strength measurement system, Jamar hand dynamometer, and pinch dynamometer. Postural alignment was assessed using the PostureScreen application. Postural sway was evaluated using the Gyko system. Functional mobility, balance, and lower-extremity physical performance were assessed using the Timed Up and Go Test and Short Physical Performance Battery.
Assessments were performed at baseline and following the 12-week intervention period.
The study was designed to evaluate whether a structured multidisciplinary approach could improve physical function and postural outcomes among older adults experiencing the long-term consequences of displacement following a major earthquake.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- Participants were randomly allocated to two parallel groups: a multidisciplinary intervention group (n=30) and a control group (n=30). The intervention group received a 12-week multidisciplinary health management program, while the control group received no active intervention.
| Arm | Type | Receives |
|---|---|---|
| Study Group | Experimental | Behavioral: Multimodal InterventionOlder adults aged 65 years and above who experienced the earthquake and were living in temporary container settlements. Participants in this group received a 12-week multidisciplinary health management intervention including exercises for muscle strength, balance, mobility, and posture, together with nutritional counseling, psychosocial support, and health education. |
| Control Group | No intervention | –Older adults aged 65 years and above who experienced the earthquake and were living in temporary container settlements. Participants in this group received no active intervention and underwent assessments at baseline and after 12 weeks. |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (7 listed)
- Living in a temporary container settlement.
- Being an earthquake survivor.
- Being 65 years of age or older.
- Having a score of 4 or below on the Edmonton Frailty Scale.
- Being able to understand verbal commands.
Key exclusion criteria (9 listed)
- Not being an earthquake survivor.
- Not living in a temporary container settlement.
- Being younger than 65 years.
- Being unable to speak or understand Turkish.
- Being unable to understand verbal commands.
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 |
|---|---|---|
| Multimodal InterventionA 12-week individualized multidisciplinary health management program was delivered to older adults living in post-earthquake temporary container settlements. The intervention included exercises targeting muscle strength, postural alignment, balance, mobility, and range of motion. Additional components consisted of nutritional counseling, psychosocial support, lifestyle guidance, and medication-related health education. The program was implemented under the supervision of a multidisciplinary healthcare team. | Behavioural | Study Group |
Primary outcome
Change in Upper and Lower Extremity Muscle Strength
Time frame: Baseline and Week 12
Isometric muscle strength of selected upper- and lower-extremity muscle groups was assessed using the KFORCE KINVENT digital muscle strength measurement device. Measurements were performed bilaterally to evaluate changes in muscle strength following the 12-week intervention.
Change in Postural Alignment
Time frame: Baseline and Week 12
Postural alignment was assessed using the PostureScreen mobile application. Frontal and lateral photographs were obtained to identify postural deviations and evaluate changes in postural alignment following the intervention.
Change in Postural Sway and Balance
Time frame: Baseline and Week 12
Postural sway was assessed using the Gyko system. The assessment included sway length, sway area, sway progression rate, and sway frequency to evaluate postural stability and balance changes following the 12-week intervention.
4 secondary outcomes
Change in Handgrip Strengt
Time frame: Baseline and Week 12
Change in Pinch Strength
Time frame: Baseline and Week 12
Change in Functional Mobility and Dynamic Balance
Time frame: Baseline and Week 12
Change in Lower Extremity Physical Performance
Time frame: Baseline and Week 12
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 2 Nov 2026.
- 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.
Mehmet Göğremiş, PhD principal investigator
Kahramanmaras Sutcu Imam 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 Multimodal Intervention in people with Muscle Weakness and Postural Balance, run by Kahramanmaras Sutcu Imam 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 7 inclusion and 9 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 2 Nov 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?
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?
Change in Upper and Lower Extremity Muscle Strength (time frame: Baseline and Week 12). The study lists 3 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 2 Nov 2026.