Date

2021-01-24

Protocol

Protocol changed

Item Changed

Secondary outcome(s)

Previous Version

1.Quality of life –SF-36 The 36-Item Short Form Health Survey (SF-36) is widely validated and popularly used in assessing the subjective quality of life (QOL) of patients and the general public. SF-36 includes one multi-item scale measuring each of eight health concepts: 1) physical functioning; 2) role limitations because of physical health problems; 3) bodily pain; 4) social functioning; 5) general mental health (psychological distress and psychological well-being); 6) role limitations because of emotional problems; 7) vitality (energy/fatigue); and 8) general health perceptions. [At baseline and at 12 and 24 weeks after commencement of intervention. ] 2.Body Flexibility: Upper Body Flexibility Back Scratch Test, Lower Body Flexibility Chair Sit-and-Reach Test Upper Body Flexibility, The Back Stretch (BS) test is used to assess flexibility of the upper limbs. It will be carried out in a standing position. The participants will be directed to take one hand up and over the shoulder and reach down the back, and the other hand behind and reaching up the back, with the intention of meeting the hands in the middle of the back, between the shoulder blades. Flexibility will be determined as the distance (in centimeters) between the middle fingers Lower Body Flexibility Chair The Chair Sit and Reach (CSR) test is used to assess flexibility of the lower limbs. From the sitting position, the participant will be directed to use two hands to reach forward towards the flexed toes of the extended leg. Flexibility will be determined as the distance (in centimeters) between the toes on the flexed foot of the extended leg and the fingers of the hands. [At baseline and at 12 and 24 weeks after commencement of intervention. ] 3.Index Barthel Barthel Index is a scale for ADL (Activities of Daily Living) measurement, with lower scores indicating greater dependency in ADL. The score value ranges between 0 and 100 points. The assessment of the total score is as follows: 0–20 completely dependent; 21–61 almost completely dependent; 62–85 dependent; 91–100 – independent [At baseline and at 12 and 24 weeks after commencement of intervention. ] 4.Lung Capacity TruZone(TM) Peak Flow Meter (Lung Capacity will be measured by Peak Flow Meter. Participants take a deep breath and blow air into the meter as fast as they can.) [At baseline and at 12 and 24 weeks after commencement of intervention. ] 5.Range of the Joint's Motion (shoulders, elbows) Range of Motion for flexion, abduction and rotation shoulder and elbow dominant side using goniometer. [At baseline and at 12 and 24 weeks after commencement of intervention. ] 6.Manual upper limb movement Box and Block The Box and Block Test (BBT)- is tool for examining upper-limb function. In the BBT, one hundred and fifty 2.5ccm wooden blocks in many different orientations are placed on the side of the partition with the testing hand. A subject’s score is equal to the number of these blocks transported over a partition in one minute. The subject can select blocks in any order to transport over the partition as quickly as possible, with the only requirement being that the subject’s fingertips cross the vertical plane of the partition. [At baseline and at 12 and 24 weeks after commencement of intervention. ] 7.Curl arm 30sek The 30 sec single-arm curl test, a measure of upper-body strength and endurance, determines the number of times a dumbbell (5 lb, or 2.3 kg, for women and 8 lb, or 3.6 kg, for men) can be curled through a full ROM (Range of Motion) in 30 sec. [At baseline and at 12 and 24 weeks after commencement of intervention. ] 8.Geriatric Depression Scale GDS 15 The Geriatric Depression Scale (GDS) is a 15-item self-report assessment used to identify depression in the elderly. Scores of 0-5 are considered normal; 6-10 indicate moderate depression; and 11-15 indicate severe depression. [At baseline and at 12 and 24 weeks after commencement of intervention. ]

Next Version

Body Flexibility: Upper Body Flexibility, The Back Stretch (BS) test is used to assess flexibility of the upper limbs. It will be carried out in a standing position. The participants will be directed to take one hand up and over the shoulder and reach down the back, and the other hand behind and reaching up the back, with the intention of meeting the hands in the middle of the back, between the shoulder blades. Flexibility will be determined as the distance (in centimeters) between the middle fingers Lower Body Flexibility Chair The Chair Sit and Reach (CSR) test is used to assess flexibility of the lower limbs. From the sitting position, the participant will be directed to use two hands to reach forward towards the flexed toes