Development and Evaluation of a Home-Based Dual-Task Training Program to Improve Balance Performance for Older Adults

NCT02280928 | Completed

• 1 other identifier: The graduate school, CMU
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to (1) develop and test the effectiveness of home-based interventions on dual-task performance in older adults; and (2) determine the generalizability of the four trainings (i.e. single-task motor training, single-task cognitive training, dual-task motor-cognitive training, and dual-task cognitive-cognitive trainings) to novel tasks.

Conditions

Elderly; Aged

Outcome Measures

Primary Outcomes (2)

• The Center of Mass velocity and Base of Support distance

  The Center of Mass velocity and Base of Support distance is referred as the direction of the center of mass velocity in relation to base of support. It is used to measure the control of dynamic balance throughout gait under single-task and dual-task conditions in order to examine training effect.

  At baseline and after 4-week training

• Spatio-temporal gait parameters

  Spatio-temporal gait parameters is measured throughout gait under single-task and dual-task conditions in order to examine training effect.

  At baseline and after 4-week training

Study Arms (4)

Single-task motor training group

EXPERIMENTAL

The participants will receive only balance training which will progress from stance activities, to stance activities plus hand manipulation, then gait activities, and finally gait activities plus hand manipulation.

Other: Balance exercise

Single-task cognitive training group

EXPERIMENTAL

The participants will receive cognitive training that will involve executive function, attention, and working memory.

Other: Cognitive training

Dual-task motor-cognitive training group

EXPERIMENTAL

The participants assigned to the dual-task motor-cognitive training group will receive the same exercises as single-task motor training while simultaneously performing secondary tasks as those in the single-task cognitive training group.

Other: Balance exercise; Other: Cognitive training

Dual-task cognitive-cognitive training group

EXPERIMENTAL

The participants in the dual-task cognitive-cognitive trainings group will receive two cognitive tasks at the same time.

Other: Dual-task cognitive-cognitive training

Interventions

Balance exercise OTHER

Balance activities, using a task-oriented approach, progress participants from body stability, to body stability plus hand manipulation, then body transport, and finally body transport plus hand manipulation.

Dual-task motor-cognitive training group; Single-task motor training group

Cognitive training OTHER

Cognitive training involves executive function, attention, and working memory. Examples of cognitive training include finding the exit to a maze, calculation, visual-spatial skills, Sudoku, Stroop color-word task, word search, spot the differences, visual discrimination, and memory scanning skills.

Dual-task motor-cognitive training group; Single-task cognitive training group

Dual-task cognitive-cognitive training OTHER

The Dual-task cognitive-cognitive training involves applying two cognitive tasks at the same time.

Dual-task cognitive-cognitive training group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Able to walk at least 10 meters without any assistive device
• Having greater than 16/23 for illiterate persons, greater than 20/30 for primary education level persons, and greater than 23/30 for secondary education level persons on the Mini-Mental State Examination-Thai 2002 (MMSE-Thai2002)

You may not qualify if:

• Severe neurological problems that could account for possible imbalance such as cerebral vascular accident, Parkinson's disease, transient ischemic attacks, and neuropathy
• Severe musculoskeletal problems that could impact gait such as severe osteoarthritis and active inflammatory joint disease
• Severe cardiopulmonary problems such as asthma and chronic obstructive pulmonary disease
• Visual impairment that cannot be corrected by lenses
• Severe auditory impairment such as deafness
• Depression as scored ≥ 13 by Thai Geriatric Depression Scale (TGDS)

Sponsors & Collaborators

• Chiang Mai University: lead

Study Sites (1)

Faculty of Associated Medical Sciences, Chiang Mai University

Sripoom, Chiang Mai, 50200, Thailand

Location

MeSH Terms

Interventions

Cognitive Training

Intervention Hierarchy (Ancestors)

Neurological Rehabilitation; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Faculty of Associated Medical Sciences

Study Record Dates

• First Submitted: October 30, 2014
• First Posted: November 3, 2014
• Study Start: October 1, 2014
• Primary Completion: July 1, 2015
• Study Completion: July 1, 2015
• Last Updated: July 22, 2015

Record last verified: 2015-07

Locations

TH (1)