Cognitive Training and Dual-task Ability
1 other identifier
interventional
34
1 country
2
Brief Summary
The first goal of this study is to examine the extent to which the inclusion of dual-task practice to standard balance rehabilitation results in greater benefits to dual-task ability. The second goal of this study is to examine the extent to which the addition of cognitive training following balance rehabilitation results in greater benefits to dual-task ability.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jul 2013
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 19, 2013
CompletedStudy Start
First participant enrolled
July 1, 2013
CompletedFirst Posted
Study publicly available on registry
July 10, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2015
CompletedResults Posted
Study results publicly available
June 19, 2017
CompletedJune 19, 2017
April 1, 2017
2.2 years
June 19, 2013
January 27, 2017
April 5, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change Scores in Timed up and go With Cognitive Task
Timed up and go test (TUG) has three conditions: no secondary task (TUG), cognitive (TUGc) and manual dual-tasks (TUG-m). Time to complete the task with the cognitive task was recorded as a primary outcome measure. Time greater than 15 s for TUG-c indicates impaired dual-task ability.
baseline and 6 weeks
Secondary Outcomes (5)
Change Scores in Walk While Talk Test With Verbal Fluency Task
baseline and 6 weeks
Change Scores in Dynamic Gait Index
baseline and 6 weeks
Change Scores in Sensory Organization Test (SOT)
baseline and 6 weeks
Change Scores in Preferred Gait Speed
baseline and 6 weeks
Change Scores in Activities-specific Balance-related Confidence
baseline and 6 weeks
Study Arms (4)
Balance rehabilitation + dual-tasking
EXPERIMENTALBalance rehabilitation will involve a structured framework of balance activities that require increasing levels of complexity and multimodal stimuli and response demands with the addition of cognitive tasks, (e.g., counting backwards or reciting lists) to be added when the participant can safely perform the primary balance or gait task.
Standard balance rehabilitation
ACTIVE COMPARATORStandard balance rehabilitation will involve a structured framework of balance activities that require increasing levels of complexity and multimodal stimuli and response demands.
Cognitive training (speed of processing)
EXPERIMENTALSpeed of processing cognitive training involves systematically increasing the complexity of visual tasks. Task demands are increased by reducing stimulus duration, adding visual or auditory distractors, increasing number of concurrent tasks or increasing the visual field.
Cognitive training (general cognition)
ACTIVE COMPARATORGeneral cognitive training involves systematic training of 14 key cognitive abilities, including visual scanning, response time, eye-hand coordination, spatial perception, and working memory. Initial starting point is determined by the software using baseline evaluation.
Interventions
Balance rehabilitation will involve a structured framework of balance activities that require increasing levels of complexity and multimodal stimuli and response demands with the addition of cognitive tasks, (e.g., counting backwards or reciting lists) to be added when the participant
Standard balance rehabilitation will involve a structured framework of balance activities that require increasing levels of complexity and multimodal stimuli and response demands.
Speed of processing cognitive training involves systematically increasing the complexity of visual tasks. Task demands are increased by reducing stimulus duration, adding visual or auditory distractors, increasing number of concurrent tasks or increasing the visual field.
General cognitive training involves systematic training of 14 key cognitive abilities, including visual scanning, response time, eye-hand coordination, spatial perception, and working memory. Initial starting point is determined by the software using baseline evaluation.
Eligibility Criteria
You may qualify if:
- \> 60 years of age
- documented balance or mobility problems
- dual-task impairment (timed up and go with subtraction task \> 15 s)
You may not qualify if:
- cognitive impairment (\> 2 errors on Short Portable Mental Status Questionnaire41)
- progressive medical issues that would impact mobility (e.g., Parkinson's disease).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Atlanta VA Medical and Rehab Center, Decatur, GA
Decatur, Georgia, 30033, United States
Mountain Home VA Medical Center James H. Quillen VA Medical Center, Mountain Home, TN
Mountain Home, Tennessee, 37684, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Courtney Hall
- Organization
- James H Quillen VAMC
Study Officials
- PRINCIPAL INVESTIGATOR
Courtney D Hall, PhD PT
Mountain Home VA Medical Center James H. Quillen VA Medical Center, Mountain Home, TN
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 19, 2013
First Posted
July 10, 2013
Study Start
July 1, 2013
Primary Completion
September 1, 2015
Study Completion
September 1, 2015
Last Updated
June 19, 2017
Results First Posted
June 19, 2017
Record last verified: 2017-04
Data Sharing
- IPD Sharing
- Will not share